[논문]Round Acupuncture for the Treatment of Recurrent Carpal Tunnel Syndrome

Kim, Ju-ran; Lee, Yun Kyu; Lee, Hyun-Jong; Kim, Jae Soo

doi:10.3831/kpi.2020.23.006

Round Acupuncture for the Treatment of Recurrent Carpal Tunnel Syndrome 원문보기

Journal of pharmacopuncture, v.23 no.1, 2020년, pp.37 - 41

Kim, Ju-ran (Department of Acupuncture & Moxibustion medicine, College of Korean medicine, Daegu Haany University) , Lee, Yun Kyu (Department of Acupuncture & Moxibustion medicine, College of Korean medicine, Daegu Haany University) , Lee, Hyun-Jong (Department of Acupuncture & Moxibustion medicine, College of Korean medicine, Daegu Haany University) , Kim, Jae Soo (Department of Acupuncture & Moxibustion medicine, College of Korean medicine, Daegu Haany University)

Abstract ▼ AI-Helper

Objectives: Round Acupuncture having blunt end has developed from acupotomy. This case report is to find out that Round Acupuncture is effective in treating patients with recurrent carpal tunnel syndrome (CTS), which has not improved by steroid injection or acupotomy. Methods: Round Acupuncture was inserted into the distal fibers of transverse carpal ligament and released toward the proximal fibers. Treatment was performed three times in total. T ingling, numbn ess, night pain and swelling sensation were assessed, and provocative maneuvers were also used. Results: After treat ment, all symptoms completely disappeared and the patient had no recurrence until 3 months after treatment. Conclusion: Round Acupuncture co uld be an effective treatment for recurrent CTS.

주제어

표/그림 (5)

그림 Figure 1 Round Acupuncture and acupotomy
그림 Figure 2 Round acup oint (A) and c ross sectional view (B) of the carpal tunnel
그림 Figure 3 Procedure of releasing the transverse carpal ligament with the Round Acupuncture
그림 Figure 4 Te change of visual analogue scale about the patient's night pain during treatment
그림 Figure 5 Te change of numeral rating scale about the patient's symptoms during treatment period

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가설 설정

A: Kaplans cardinal line is from the first web space parallel to the proximal transverse palmar crease. Round acupoint is marked with star.

제안 방법

Before and after treatment, the patient's night pain was assessed using the Visual Analogue Scale, and tingling, numbness, and swelling sensation were assessed using the Numeral Rating Scale (NRS).
NRS assessed the patient's symptoms by setting 0 for when the patient felt there're no symptoms and 10 for when the patient felt unbearable. The Phalen test and Tinel sign used NRS to observe the degree of tingling during the test. During the procedure of the Round Acupuncture, no other treatment was performed and the treatment was performed three times in total.

성능/효과

4), swelling sensation was reduced by half, but tingling and numbness didn't improve. After the second treatment, two weeks after the first treatment, the Phalen test, Tinel sign, and swell ing sensation were completely disappeared, and tingling and numbness fell from 10 to 2 in NRS. After the third treatment, six weeks after the first treatment, some tingling and numbness remained, but all symptoms disappeared a month after the last treatmen t (Fig.

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