Comparison of Methylprednisolone Injection Versus Diclofenac Injection in Treatment of Trigger Finger
BACKGROUND AND OBJECTIVE: Trigger finger is a condition in the finger that is locked in flexion or has a heterogeneous movement and is one of the most common causes of pain in the hand; the first line of treatment is the use of corticosteroids. Due to the fact that corticosteroid injection has side...
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| Format: | Article |
| Language: | English |
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Babol University of Medical Sciences
2020-03-01
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| Series: | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul |
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| Online Access: | http://jbums.org/article-1-9544-en.html |
| _version_ | 1818931790939684864 |
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| author | S Mohammadi Jami S Khafri M Bahrami Feraydoni |
| author_facet | S Mohammadi Jami S Khafri M Bahrami Feraydoni |
| author_sort | S Mohammadi Jami |
| collection | DOAJ |
| description | BACKGROUND AND OBJECTIVE: Trigger finger is a condition in the finger that is locked in flexion or has a heterogeneous movement and is one of the most common causes of pain in the hand; the first line of treatment is the use of corticosteroids. Due to the fact that corticosteroid injection has side effects in diabetic patients, therefore, this study was performed to compare the results of injecting non-steroidal anti-inflammatory drugs (NSAIDs) as an alternative treatment instead of corticosteroid injection in trigger finger therapy.
METHODS: This double-blind clinical trial study was performed on 84 patients with trigger finger referred to Shahid Beheshti Hospital in Babol which were divided in two equal groups of 42 individuals of injections of diclofenac and methylprednisolone. The severity of the disease was compared according to the Quinnell classification (with a score of 0-4) and the rate of improvement in the two groups in the first, third, sixth weeks and third, sixth and twelfth months.
FINDINGS: The mean age in the diclofenac injection group was 52±9 years and in the prednisolone group was 53±7 years. There was no statistically significant difference between the two groups in terms of age, sex, presence of underlying disease, symptoms and duration of disease. The need for re-injection due to no improvement in symptoms was 34 patients (81%) in the diclofenac group and 20 patients (46%) in the methylprednisolone group (p=0.001). In the methylprednisolone group, the mean Quinnell rank was 1.4±0.8. The rate of recovery was higher in the methylprednisolone injection group than in the diclofenac group. From the beginning of the study to week 6th and from the beginning of the study to the 12th month, the improvement rate in the methylprednisolone injection group was significantly better than the diclofenac group (p=0.0001).
CONCLUSION: The results of the study showed that both treatments are effective in improving the symptoms of trigger finger disease. But corticosteroid injections are associated with better and faster results in long-term and short-term studies. |
| first_indexed | 2024-12-20T04:22:12Z |
| format | Article |
| id | doaj.art-c6b703eba5354925a58a51195e386fbe |
| institution | Directory Open Access Journal |
| issn | 1561-4107 2251-7170 |
| language | English |
| last_indexed | 2024-12-20T04:22:12Z |
| publishDate | 2020-03-01 |
| publisher | Babol University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul |
| spelling | doaj.art-c6b703eba5354925a58a51195e386fbe2022-12-21T19:53:37ZengBabol University of Medical SciencesMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul1561-41072251-71702020-03-01221275282Comparison of Methylprednisolone Injection Versus Diclofenac Injection in Treatment of Trigger FingerS Mohammadi Jami0S Khafri1M Bahrami Feraydoni2 1.Department of Orthopedic, School of Medicine, Babol University of Medical Sciences, Babol, I.R.Iran 2.Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran 1.Department of Orthopedic, School of Medicine, Babol University of Medical Sciences, Babol, I.R.Iran BACKGROUND AND OBJECTIVE: Trigger finger is a condition in the finger that is locked in flexion or has a heterogeneous movement and is one of the most common causes of pain in the hand; the first line of treatment is the use of corticosteroids. Due to the fact that corticosteroid injection has side effects in diabetic patients, therefore, this study was performed to compare the results of injecting non-steroidal anti-inflammatory drugs (NSAIDs) as an alternative treatment instead of corticosteroid injection in trigger finger therapy. METHODS: This double-blind clinical trial study was performed on 84 patients with trigger finger referred to Shahid Beheshti Hospital in Babol which were divided in two equal groups of 42 individuals of injections of diclofenac and methylprednisolone. The severity of the disease was compared according to the Quinnell classification (with a score of 0-4) and the rate of improvement in the two groups in the first, third, sixth weeks and third, sixth and twelfth months. FINDINGS: The mean age in the diclofenac injection group was 52±9 years and in the prednisolone group was 53±7 years. There was no statistically significant difference between the two groups in terms of age, sex, presence of underlying disease, symptoms and duration of disease. The need for re-injection due to no improvement in symptoms was 34 patients (81%) in the diclofenac group and 20 patients (46%) in the methylprednisolone group (p=0.001). In the methylprednisolone group, the mean Quinnell rank was 1.4±0.8. The rate of recovery was higher in the methylprednisolone injection group than in the diclofenac group. From the beginning of the study to week 6th and from the beginning of the study to the 12th month, the improvement rate in the methylprednisolone injection group was significantly better than the diclofenac group (p=0.0001). CONCLUSION: The results of the study showed that both treatments are effective in improving the symptoms of trigger finger disease. But corticosteroid injections are associated with better and faster results in long-term and short-term studies.http://jbums.org/article-1-9544-en.htmlnsaidcorticosteroidtrigger finger. |
| spellingShingle | S Mohammadi Jami S Khafri M Bahrami Feraydoni Comparison of Methylprednisolone Injection Versus Diclofenac Injection in Treatment of Trigger Finger Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul nsaid corticosteroid trigger finger. |
| title | Comparison of Methylprednisolone Injection Versus Diclofenac Injection in Treatment of Trigger Finger |
| title_full | Comparison of Methylprednisolone Injection Versus Diclofenac Injection in Treatment of Trigger Finger |
| title_fullStr | Comparison of Methylprednisolone Injection Versus Diclofenac Injection in Treatment of Trigger Finger |
| title_full_unstemmed | Comparison of Methylprednisolone Injection Versus Diclofenac Injection in Treatment of Trigger Finger |
| title_short | Comparison of Methylprednisolone Injection Versus Diclofenac Injection in Treatment of Trigger Finger |
| title_sort | comparison of methylprednisolone injection versus diclofenac injection in treatment of trigger finger |
| topic | nsaid corticosteroid trigger finger. |
| url | http://jbums.org/article-1-9544-en.html |
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