Objectives : This study reports the clinical effects of miniscalpel needle therapy in patients with carpal tunnel or tarsal tunnel syndrome. Methods : Three patients with carpal tunnel syndrome (CTS) or tarsal tunnel syndrome (TTS) (first case, patient with CTS and TTS; second case, patient with CTS...
Objectives : This study reports the clinical effects of miniscalpel needle therapy in patients with carpal tunnel or tarsal tunnel syndrome. Methods : Three patients with carpal tunnel syndrome (CTS) or tarsal tunnel syndrome (TTS) (first case, patient with CTS and TTS; second case, patient with CTS; and third case, patient with TTS) were treated with miniscalpel needle (MSN) therapy and integrative Korean medical treatment. The Numeric Rating Scale (NRS), Neuropathic Pain Scale (NPS), Boston scale score, and AOFAS (American Orthopaedic Foot and Ankle Society) ankle-hindfoot score were measured. Results : In general, outcome measures after treatment showed improvement in all cases. In the first case (CTS and TTS), scores on the NRS, NPS, and Boston scale decreased, and AOFAS ankle-hind foot scores increased. In addition, Tinel's sign showed improvement. In the second case (CTS), scores on the NRS, NPS, and Boston scale, and Tinel's sign, were decreased. In the third case (TTS), scores on the NRS and NPS, and Tinel's sign, showed improvement, and AOFAS ankle-hind foot scores were increased. Conclusion : These results suggest that MSN therapy has a meaningful clinical effect in CTS and TTS.
Objectives : This study reports the clinical effects of miniscalpel needle therapy in patients with carpal tunnel or tarsal tunnel syndrome. Methods : Three patients with carpal tunnel syndrome (CTS) or tarsal tunnel syndrome (TTS) (first case, patient with CTS and TTS; second case, patient with CTS; and third case, patient with TTS) were treated with miniscalpel needle (MSN) therapy and integrative Korean medical treatment. The Numeric Rating Scale (NRS), Neuropathic Pain Scale (NPS), Boston scale score, and AOFAS (American Orthopaedic Foot and Ankle Society) ankle-hindfoot score were measured. Results : In general, outcome measures after treatment showed improvement in all cases. In the first case (CTS and TTS), scores on the NRS, NPS, and Boston scale decreased, and AOFAS ankle-hind foot scores increased. In addition, Tinel's sign showed improvement. In the second case (CTS), scores on the NRS, NPS, and Boston scale, and Tinel's sign, were decreased. In the third case (TTS), scores on the NRS and NPS, and Tinel's sign, showed improvement, and AOFAS ankle-hind foot scores were increased. Conclusion : These results suggest that MSN therapy has a meaningful clinical effect in CTS and TTS.
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제안 방법
He was diagnosed with CTS based on the complaining symptom,apositive Phalen test and Tinel’s sign, and increased numbness when pressing the carpal tunnel.
He was diagnosed with TTS based on the complaining symptom, a positive Tinel’s sign, and increased numbness when pressing the tarsal tunnel.
In this study, MSN therapy was used to treat CTS and TTS. It is a novel acupuncture method that incorporates the functions of acupuncture and scalpel, thus combining and advancing acupuncture theory of Korean medicine and operative treatment.
She was diagnosed with CTS and TTS based on the complaining symptom, a positive Phalen test and Tinel’s sign, and increased numbness when pressing the carpal tunnel and the tarsal tunnel.
The patient’s systemic reaction and focal side effects were monitored,and the treatedsite was covered with gauze and a bandage. The patient was informed about possible adverse events such ashemorrhage, palpitation, dizziness, and hypotension. MSN therapy was performed by a board-certified specialist of acupuncture and moxibustion with over twenty years of clinical practice.
Society (AOFAS) ankle-hindfoot score The AOFAS ankle-hindfoot score is obtained from aquestionnaire developed by the AOFAS that measures the discomfort of the hindfoot andankle. The test consisting of 40 points of pain severity,50 points of functional limitation, and 10 points of arrangement. Higher points signify greater improvement of symptoms15,16).
대상 데이터
In this study, we performed MSN therapy in combination with integrative Korean medicine treatment on three participants who visited or were admitted to Department of Acupuncture & Moxibustion of the Dunsan Korean medicine hospital of Daejeon University.
The disposable MSN was produced by Hansung Meditech, Ltd. (Republic of Korea), 1.2×60 mm in size.
The participants of this study were three patients admitted or treated at Department of Acupuncture &Moxibustion of the Dunsan Korean medicine hospital of Daejeon University between December, 2016 and February, 2017 for symptoms of numbness and feeling of cold in the upper or lower limb, and who were diagnosed with CTS or TTS based on symptoms and physical examination8,9).
2×60 mm in size. The patient with CTS was treated with MSN therapy on the area around acupuncture point PC7, while the patient with TTS was treated onthe area around KI3, KI6, and KI5. The MSN was inserted parallel to the nearby muscle and ligaments at a depth of 5-7 mm, and pulled out immediately10).
This patient developed numbness and feeling of cold on both lower limbs at on set, without aparticular cause, and visited our hospital on January 6, 2017. He was diagnosed with TTS based on the complaining symptom, a positive Tinel’s sign, and increased numbness when pressing the tarsal tunnel.
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