Hüma BÖLÜK ŞENLİKCİ, Özden YILMAZ, Hüseyin NAZLIKUL

Dirençli de Quervain tenosinovitinin lokal anestezik ile tedavisi (nöralterapi): Olgu sunumu

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.

Anahtar Kelimeler:

De Quervain tenosinoviti, Lokal anestezik, Nöralterapi

Management of resistant de Quervain tenosynovitis with local anesthetic (neural therapy): A case report

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.

Keywords:

de Querivain tenosynovitis, Local anesthtetic, Neuraltherapy,

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