The aim of this report was to show the effects of acupotomy in patients with carpal tunnel syndrome. Four patients were treated with acupotomy twice. Visual analogue scale (VAS), Tinel's sign, Phalen's test, Boston carpal tunnel syndrome questionnaire (BCTQ), muscular strength test, and a cross-sect...
The aim of this report was to show the effects of acupotomy in patients with carpal tunnel syndrome. Four patients were treated with acupotomy twice. Visual analogue scale (VAS), Tinel's sign, Phalen's test, Boston carpal tunnel syndrome questionnaire (BCTQ), muscular strength test, and a cross-sectional area of median nerve was measured using ultrasound before and after treatment. In all 4 cases, the VAS score, BCTQ score and cross-sectional area of median nerve, all decreased and muscular strength test score increased. Tinel's sign and the Phalen's test changed from a positive to a negative in most cases. This report shows that acupotomy is an effective treatment for carpal tunnel syndrome. Further larger are needed to fully evaluate the beneficial effects of this treatment.
The aim of this report was to show the effects of acupotomy in patients with carpal tunnel syndrome. Four patients were treated with acupotomy twice. Visual analogue scale (VAS), Tinel's sign, Phalen's test, Boston carpal tunnel syndrome questionnaire (BCTQ), muscular strength test, and a cross-sectional area of median nerve was measured using ultrasound before and after treatment. In all 4 cases, the VAS score, BCTQ score and cross-sectional area of median nerve, all decreased and muscular strength test score increased. Tinel's sign and the Phalen's test changed from a positive to a negative in most cases. This report shows that acupotomy is an effective treatment for carpal tunnel syndrome. Further larger are needed to fully evaluate the beneficial effects of this treatment.
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제안 방법
In this study, ultrasonography was used before acupotomy in CTS patients to define the location and depth of nerves and blood vessels. Then acupotomy was performed, after disinfection of the site.
대상 데이터
Case 1 was a 38-year-old female whose chief complaint was finger numbness in the right hand (1st, 2nd, 3rd, 4th fingers). The date of onset was April 2017, and there was no past medical history.
Case 2 was a 70-year-old female whose chief complaint was that she had both hand pain and numbness. The year of onset was 2016, and there was no past medical history.
She was clinically diagnosed with CTS at a local clinic and was prescribed medicine but it was ineffective. For this reason, she visited Wonkwang University Gwangju Korean Medical Hospital that following month (May 9, 2017). Treatment progress and ultrasonic images are shown in Table 1; Fig.
Four patients who have CTS received acupotomy twice at Wonkwang University Gwangju Korean Medical Hospital. Before the treatment, sufficient information about the treatment involved was provided and patient consent was taken.
She was clinically diagnosed with CTS at a local clinic in April 2017. She first visited Wonkwang University Gwangju Korean Medical Hospital on July 11, 2017. Treatment progress and ultrasonic images are shown in Table 4; Fig.
In May 17, 2017, she was diagnosed with CTS by a nerve conduction velocity test (NCV) at a local neurosurgery. She first visited Wonkwang University Gwangju Korean Medical Hospital on May 19, 2017. Treatment progress and ultrasonic images are shown in Table 2; Fig.
In July 2016, she was clinically diagnosed with CTS at a local clinic where she was prescribed neurotherapy twice. She first visited Wonkwang University Gwangju Korean Medical Hospital on May 23, 2017. Treatment progress and ultrasonic images are shown in Table 3; Fig.
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