Effect Of Dry Needling On Quality Of Life In Patients With Trigger Fingers

Cairo University (CU)

Status: Completed

Conditions: Trigger Finger Disorder

Treatments: Procedure: Dry needling; Other: conventional treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT05671523

p.t.REC/012/003924

Details and patient eligibility

About

This study will be conducted to investigate the effect of dry needling on quality of life in patients with trigger finger

Full description

Trigger finger (TF) is one of the most prevalent causes of hand disability and is a common cause of referral to orthopedic clinics. Trigger finger is tenosynovitis of the flexor sheaths that typically occurs in the 4th finger and thumb as a result of repetitive use. The incidence of TF is 28:100,000 per year or lifetime risk of 2.6% in the general population. It has the highest incidence being between 52 and 62 years more in women (75%). Thumb and fourth digit (ring finger) are the most commonly affected fingers.

Dry needling (DN) is a relatively new technique used by physical therapists to treat myofascial trigger points (MTrPs) and various pain syndromes. Dry needling is defined as a "skilled intervention using a thin filiform needle to penetrate the skin that stimulates myofascial TrPs, muscles, and connective tissue for the treatment of musculoskeletal pain disorders. DN has analgesic and anti-inflammatory effects, it is commonly used to relieve pain and reduce inflammation.

Enrollment: 40 patients

Sex: All

Ages: 45 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 40 patients all have trigger fingers lasting at least 4 weeks.
• Both gender will be included
• Age of patients will be 45-75 years old
• Pain and tenderness at the position of A1 pulley.
• Nodule palpation, pain, and discomfort when flexing and extending the finger, presence of a clicking sound at the time of flexion or extension of the finger, snapping or locking of the finger.
• Willing and able to complete study procedures.

Exclusion criteria

• Participants with diabetes mellitus.
• History of trauma, and rheumatoid arthritis.
• Dialysis treatment.
• fingers with a history of local gouty/pyogenic disease.
• Major hand trauma and fear of needles.
• Any contraindication for deep dry needling such as anticoagulants, infections, bleeding, or psychotic conditions tumors, calcium deposits, or severe osteoarthritis.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups

Dry needling

Experimental group

Description:

The patients will receive ten sessions, twice a week, for five weeks of dry needling in addition to their conventional physical therapy program (splinting and ultrasound therapy.)

Treatment:

Procedure: Dry needling

Other: conventional treatment

conventional treatment

Active Comparator group

Description:

The patients will receive conventional treatment (splinting and ultrasound therapy) for 5 weeks

Treatment:

Other: conventional treatment