Abstract
" Pillar pain" is a relatively frequent complication after surgical release of the median nerve at the wrist. Its etiology still remains unknown although several studies highlight a neurogenic inflammation as a possible cause. Pillar pain treatment usually includes rest, bracing and physiotherapy, although a significant number of patients still complain of painful symptoms two or even three years after surgery. The aim of this study was to investigate the efficacy of low-energy, flux density-focused extracorporeal shock wave therapy (ESWT) in the treatment of pillar pain. We treated 40 consecutive patients with ESWT who had pillar pain for at least six months after carpal tunnel release surgery, and to our knowledge, this is the first study that describes the use of ESWT for treating this condition. Our results show that in all of the treated patients, there was a marked improvement: the mean visual analogue scale (VAS) score decreased from 6.18 (±1.02) to 0.44 (±0.63) 120 d after treatment, and redness and swelling of the surgical scar had also decreased significantly.
| Original language | English |
|---|---|
| Pages (from-to) | 1603-1608 |
| Number of pages | 6 |
| Journal | Ultrasound in Medicine and Biology |
| Volume | 37 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - Oct 2011 |
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Keywords
- Carpal tunnel syndrome
- Extracorporeal shock waves
- Pillar pain
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Radiological and Ultrasound Technology
- Biophysics
Cite this
Extracorporeal Shock Wave Therapy in Pillar Pain After Carpal Tunnel Release : A Preliminary Study. / Romeo, Pietro; d'Agostino, M. Cristina; Lazzerini, A.; Sansone, Valerio C.
In: Ultrasound in Medicine and Biology, Vol. 37, No. 10, 10.2011, p. 1603-1608.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Extracorporeal Shock Wave Therapy in Pillar Pain After Carpal Tunnel Release
T2 - A Preliminary Study
AU - Romeo, Pietro
AU - d'Agostino, M. Cristina
AU - Lazzerini, A.
AU - Sansone, Valerio C.
PY - 2011/10
Y1 - 2011/10
N2 - " Pillar pain" is a relatively frequent complication after surgical release of the median nerve at the wrist. Its etiology still remains unknown although several studies highlight a neurogenic inflammation as a possible cause. Pillar pain treatment usually includes rest, bracing and physiotherapy, although a significant number of patients still complain of painful symptoms two or even three years after surgery. The aim of this study was to investigate the efficacy of low-energy, flux density-focused extracorporeal shock wave therapy (ESWT) in the treatment of pillar pain. We treated 40 consecutive patients with ESWT who had pillar pain for at least six months after carpal tunnel release surgery, and to our knowledge, this is the first study that describes the use of ESWT for treating this condition. Our results show that in all of the treated patients, there was a marked improvement: the mean visual analogue scale (VAS) score decreased from 6.18 (±1.02) to 0.44 (±0.63) 120 d after treatment, and redness and swelling of the surgical scar had also decreased significantly.
AB - " Pillar pain" is a relatively frequent complication after surgical release of the median nerve at the wrist. Its etiology still remains unknown although several studies highlight a neurogenic inflammation as a possible cause. Pillar pain treatment usually includes rest, bracing and physiotherapy, although a significant number of patients still complain of painful symptoms two or even three years after surgery. The aim of this study was to investigate the efficacy of low-energy, flux density-focused extracorporeal shock wave therapy (ESWT) in the treatment of pillar pain. We treated 40 consecutive patients with ESWT who had pillar pain for at least six months after carpal tunnel release surgery, and to our knowledge, this is the first study that describes the use of ESWT for treating this condition. Our results show that in all of the treated patients, there was a marked improvement: the mean visual analogue scale (VAS) score decreased from 6.18 (±1.02) to 0.44 (±0.63) 120 d after treatment, and redness and swelling of the surgical scar had also decreased significantly.
KW - Carpal tunnel syndrome
KW - Extracorporeal shock waves
KW - Pillar pain
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UR - http://www.scopus.com/inward/citedby.url?scp=80052913818&partnerID=8YFLogxK
U2 - 10.1016/j.ultrasmedbio.2011.07.002
DO - 10.1016/j.ultrasmedbio.2011.07.002
M3 - Article
C2 - 21856074
AN - SCOPUS:80052913818
VL - 37
SP - 1603
EP - 1608
JO - Ultrasound in Medicine and Biology
JF - Ultrasound in Medicine and Biology
SN - 0301-5629
IS - 10
ER -