COMPARATIVE STUDY OF ULTRASOUND AND LASER THERAPY FOR TREATMENT OF STENOSING TENOSYNOVITIS

Volume : VI, Issue : I, January - 2017

Dr Amit Kumar, Dr. Piyush Mittal, Dr. Gaurang Bhabhor

Background: de Quervain�s tenosynovitis is an inflammation of abductor pollicis longus (APL) and extensor pollicis evis (EPB)

muscle tendon sheaths at the level of radial styloid process. Its conservative management includes nonsteroidal anti?inflammatory

drugs, wrist and thumb immobilization, ultrasonic therapy (US Th.) and low level laser therapy (LLLT). Literature is scanty on

comparative efficacy of US Th. and LLLT for its management. This prospective study evaluates outcome of US Th. versus LLLT

in de Quervain�s disease.

Materials and Methods: Thirty patients clinically diagnosed de Quervains tenosynovitis were included in the study and randomly

assigned to two groups.The average age was 36 years (range: 21?45 years). One group was given LLLT and the other US Th. for

a total of 7 exposures on alternate days. The clinical criteria used were Finkelstein�s test, tenderness over radial styloid (Ritchie�s

tenderness scale), grip strength, pain (visual analog scale [VAS]) and radiological criteria was ultrasonographic assessment

of change in thickness of APL and EPB tendon sheath. They were measured before commencement and at the end of seven

sessions of therapy, as per standard procedure.

Results: Significant improvement was seen within both groups in the following outcome measures assessed: Ritchie�s tenderness

scale, grip strength and VAS. Finkelstein�s test was not significantly improved in either groups. Ultrasonographic measurement of

tendon sheath diameters, the mediolateral (ML), and anteroposterior (AP) diameters was not found to be significantly different in

the US Th. group and the laser therapy group after treatment. On comp� both the groups, no statistically significant difference

was found. However, looking at the mean values, the grip strength and VAS showed better improvement in the US Th. group as

compared to the laser therapy group.