Djaali Wahyuningsih, Dahuri Rahmania Kannesia, Viventius Yoshua, Helda Helda
Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, Jawa Barat, Indonesia.
Medical Acupuncture Specialist Program, Faculty of Medicine, Universitas Indonesia, Jakarta, Daerah Istimewa Jakarta, Indonesia.
Med Acupunct. 2022 Aug 1;34(4):256-260. doi: 10.1089/acu.2022.0026. Epub 2022 Aug 17.
Trigger digits or stenosing tenosynovitis comprise a pathologic condition of the fingers caused by inflammation and thickening of the synovial tendon sheaths. Treatment of trigger digits is performed to relieve pain and improve function of the affected fingers.
A 64-year-old male patient, with pain (visual analogue scale [VAS] score of 5) and stiffness in the fifth finger of his right hand. He was diagnosed with a trigger digit and controlled type 2 diabetes. He received laser acupuncture therapy at a Nogier ABF frequency at a dose of 6 per point at the SI-2 point, Ex-UE-9 point, and a local point on the nodule of his right hand; and manual acupuncture at the LI-4 point bilaterally.
After 7 sessions of acupuncture therapy, this patient did not have any pain (a VAS score of 0), the fifth finger of his right hand could be fully flexed, and there was almost no resistance to finger extension. There was no longer swelling and redness of his fingers, and the size of the nodules was reduced. There was an increase in his quality of life per the EQ-5D questionnaire from a scale of 70/100 to a scale of 85/100.
This report describes an elderly patient with a trigger digit and diabetes for whom a combination of laser and manual acupuncture therapy was very helpful. Laser acupuncture can be an option for patients who have contraindications to pharmacologic or interventional therapies.
扳机指或狭窄性腱鞘炎是一种由滑膜腱鞘炎症和增厚引起的手指病理状况。扳机指的治疗旨在缓解疼痛并改善患指功能。
一名64岁男性患者，右手小指疼痛（视觉模拟评分[VAS]为5分）且僵硬。他被诊断为扳机指，同时患有2型糖尿病。他在右手上的SI-2穴、Ex-UE-9穴以及结节处的局部穴位接受了频率为诺吉尔ABF的激光针刺治疗，每穴剂量为6；并双侧在LI-4穴进行了手动针刺。
经过7次针刺治疗后，该患者不再疼痛（VAS评分为0），右手小指可完全屈曲，手指伸展时几乎没有阻力。手指不再肿胀发红，结节大小减小。根据EQ-5D问卷，其生活质量从70/100提高到了85/100。
本报告描述了一名患有扳机指和糖尿病的老年患者，激光针刺与手动针刺联合治疗对其非常有帮助。对于有药物或介入治疗禁忌证的患者，激光针刺可以是一种选择。
