TY  - JOUR
T1  - Management of resistant de Quervain tenosynovitis with local anesthetic (neural therapy): A case report
TT  - Dirençli de Quervain tenosinovitinin lokal anestezik ile tedavisi (nöralterapi): Olgu sunumu
AU  - Bölük Şenlikci, Hüma
AU  - Yılmaz, Özden
AU  - Nazlıkul, Hüseyin
PY  - 2020
DA  - August
DO  - 10.28982/josam.679149
JF  - Journal of Surgery and Medicine
JO  - J Surg Med
PB  - Selçuk BAŞAK
WT  - DergiPark
SN  - 2602-2079
SP  - 702
EP  - 703
VL  - 4
IS  - 8
LA  - en
AB  - De Quervain tenosynovitis is the most common reason of lateral wrist pain. Treatment consists of splinting, non-steroid anti-inflammatory drugs, and corticosteroid injections. Neural therapy (NT) is a treatment modality using injections with local anesthetics for diagnosis and treatment. Musculoskeletal disorders can be cured by NT. We herein present the management of resistant de Quervain tenosynovitis by neural therapy in a 45-year-old male patient, who was referred to our outpatient clinic with the complaint of right wrist pain lasting over 2 years. His pain was 7/10 based on visual analog scale which had gradually increased. The patient also stated that he could not lift bags and had experienced neck pain 2 years ago. He was engaged in the neural therapy program with the diagnosis of cervical discopathy and tenosynovitis. After 3 sessions he had improvement in functional outcome and pain. In the treatment of resistant de Quervain tenosynovitis accompanying cervical discopathy, neural therapy is an effective and safe method.
KW  - de Querivain tenosynovitis
KW  - Local anesthtetic
KW  - Neuraltherapy
N2  - De Quervain tenosinoviti lateral el bilek ağrısının en sık nedenidir. Tenosinovitin tedavisinde splintleme, non-steroid anti inflamatuar ilaçlar ve kortikosteroid enjeksiyonları kullanılır. Nöralterapi (NT), lokal anestezikler kullanılarak yapılan bir tanı ve tedavi yöntemidir. Kas iskelet sistemi bozuklukları NT yaklaşımıyla tedavi edilebilir. Bu vaka sunumunda dirençli de Quervain tenosinovitinin nöralterapi yaklaşımıyla yönetimi sunulmuştur.45 yaşında masabaşı işe sahip erkek hasta polikliniğimize 2 yıldan uzun süredir devam eden sağ el bilek ağrısı şikayetiyle başvurdu. Vizüel analog skalaya göre hastanın ağrısı 7/10 idi ve günden güne ağrısının arttığını ve çanta taşımada sorun yaşadığından şikayetçi idi. Hikayesinde 2 yıl önce boyun ağrısı mevcuttu. Nöralterapi programına servikal diskopati ve tenosinovit tanılarıyla alındı. 3 seans sonra hastanın fonksiyonel son durumu ve ağrısında iyileşme saptandı. Servikal diskopati ile beraber dirençli de Quervain tenosinovitinin tedavisinde nöral terapi efektif ve güvenli bir method olarak uygulanabilir.
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UR  - https://doi.org/10.28982/josam.679149
L1  - https://dergipark.org.tr/tr/download/article-file/1286552
ER  -