Hajvalie G, Ebrahimi Takamjani I, Sarrafzadeh J, Owliaee P. Report of Combined Electroacupuncture and Progressive Exercise Rehabilitation in a Patient with De Quervain's Tenosynovitis. Avicenna J Clin Med 2026; 32 (4) :250-255
URL:
http://sjh.umsha.ac.ir/article-1-3263-en.html
1- Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
2- Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran , ebrahimi.pt@gmail.com
3- Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran & Student Research Committee, Iran University of Medical Sciences, Tehran, Iran
Abstract: (94 Views)
Background: De Quervain's tenosynovitis affects the first dorsal compartment of the wrist. While conservative treatments are usually the first option, about 20%-30% of cases are resistant to conservative treatments. Electroacupuncture with structured exercise may help reduce pain and improve function. This case report evaluates its effectiveness.
Case Presentation: A 32-year-old male bank employee with clinically diagnosed De Quervain's tenosynovitis received 12 sessions of electroacupuncture over 4 weeks. Treatment included stimulation at LI4, LI10, and local tender points with a 10 Hz frequency for 20 minutes per session, combined with a progressive exercise program that advanced from isometric to eccentric exercises. Significant improvements were observed after the intervention. Visual analogue scale scores decreased from 9/10 to 1/10. Thumb range of motion improved notably: abduction increased from 20° to 45°, and flexion from 25° to 50°. The patient returned to full occupational duties without limitations.
Conclusion: In this case report, the combined protocol of electroacupuncture and progressive exercise rehabilitation appeared to be an effective way to treat resistant De Quervain's tenosynovitis. This method targets pain relief through electroacupuncture and tissue healing via progressive loading, indicating possible synergistic effects that need further investigation in controlled trials.
Type of Study:
Case Report |
Subject:
Physical Therapy