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Study aim
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The goal is to find an effective and non invasive method for Trigger finger treatment, particularly for patients with non responsive or reoccuring despite the other ones treatments methods and patients with Diabetes Mellitus.
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Design
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This study consist of 19 trigger finger patients referred to Esfahan University of Medical Science's clinics who are suffering from inclusion criteria.
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Settings and conduct
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Every patient is treated by ESWT for 3 weeks (1 week interval between sessions). Radial head protocol includes 1000 shock, at an energy flux density of 2 bar,with the frequency of 15 Hz. Focus protocol includes 500 shock, at an energy flux density of 0.1 bar, with the frequency of 4 Hz. Focus head will be used directly on nodule and maximum tenderness while radial head will employed on surrounding soft tissues.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria consists of Trigger finger, grade 1 or more.
Exclusion criteria consists of Previous treatment in less than last 6 months, including corticosteroid injection or surgical release,
Bleeding disorders,
Pregnancy,
Malignancy,
Local infection,
Arrhythmia and cardiac pace maker.
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Intervention groups
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This study consist of 19 trigger finger patients. Every patient will be treated by Extra Corporal Shock Wave Therapy for 3 weeks (1 week interval between sessions). No control group will be employed, as well as any other groups.
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Main outcome variables
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1.Pain intensity: due to Visual Analogue Scale.
2.Trigger finger grading: due to Quinnell trigger finger score.
3.Dysfunction: due to quick DASH(Disability of Arm, Shoulder and Hand) system.