Kasim Antonius Hapindra, Viventius Yoshua
Medical Acupuncture Specialist Program, Faculty of Medicine, Universitas Indonesia, Depok, Jawa Barat, Indonesia.
Department of Medical Acupuncture, RSPUN Dr. Cipto Mangunkusumo, Central Jakarta, Jakarta, Indonesia.
Med Acupunct. 2022 Aug 1;34(4):261-265. doi: 10.1089/acu.2022.0028. Epub 2022 Aug 17.
Trigger fingers is a condition that causes locking/stiffness due to inflammation and hypertrophy of the tendon sheaths. This inflammatory process occurs due to degenerative conditions, such as aging, chronic daily overuse, and other factors such as metabolic disorders.
A 51-year-old woman had grade IIIb trigger finger on her right hand for ∼2 months before going to an outpatient clinic. She also had stiffness and swelling for a longer time but it felt more severe by the time she presented at the clinic, thus, interfering with her work and quality of life (QoL). She was given acupuncture with low-level-laser therapy, using a low-energy laser, 3 times per week, on her right hand. The unilateral points used were LU-10 , LI-4 , PC-6 , LI-11 , GB-21 , and an point on the first finger of the metacarpophalangeal [MCP-I] joint). The bilateral body points used were ST 36 and LR-3 .
After 12 sessions of therapy, there was a decrease her numerical rating scale (NRS) score of 6/10 to an NRS score of 0/10. She also had an improvement in her QoL, as measured by the Short Form-36 and Quick-Disabilities of the Arm, Shoulder and Hand instruments.
Laser acupuncture may be considered for treating pain and improving QoL of patients with trigger finger. In addition, laser acupuncture causes minimal side-effects, compared with other medical treatments.
扳机指是一种由于腱鞘炎症和肥大导致锁定/僵硬的病症。这种炎症过程是由退行性疾病引起的，如衰老、长期日常过度使用，以及其他因素如代谢紊乱。
一名51岁女性右手患有IIIb级扳机指约2个月后前往门诊。她还长期存在僵硬和肿胀，但在就诊时感觉更严重，从而影响了她的工作和生活质量（QoL）。她接受了低强度激光针灸治疗，使用低能量激光，每周3次，照射右手。单侧使用的穴位为LU-10、LI-4、PC-6、LI-11、GB-21，以及掌指关节（MCP-I）第一指上的一个穴位。双侧使用的身体穴位为ST 36和LR-3。
经过12次治疗后，她的数字评定量表（NRS）评分从6/10降至0/10。通过简短健康调查问卷（Short Form-36）和手臂、肩膀和手部快速残疾评定工具测量，她的生活质量也有所改善。
激光针灸可考虑用于治疗扳机指患者的疼痛并改善其生活质量。此外，与其他医学治疗相比，激光针灸产生的副作用最小。
