Effect of Shock Wave Therapy on Pillar Pain After Carpal Tunnel Release in Hand Burn | ||
International Physical Therapy Conference - Cairo University | ||
Volume 3, Issue 1 - Serial Number 20241, 2025, Pages 230-238 PDF (298.6 K) | ||
Document Type: Original Article | ||
DOI: 10.21608/iptccu.2024.457057 | ||
Authors | ||
Sara El Said Ahmed Hamoud* 1; Eman Mohamed Othma1; Ashraf El-Sebaie Mohamed2; Shaimaa Mohamed Ahmed Elsayeh1 | ||
1Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Egypt | ||
2Department of Plastic surgery, Faculty of medicine Kasr Al Ainy, Cairo university, Egypt | ||
Abstract | ||
Background: Carpal tunnel release surgery is one of the most common procedures performed by hand surgeons. In burn cases, pillar pain is the more common and troublesome complication of carpal tunnel release surgery and may take several months to resolve that can affect the patients' quality of life negatively. Shock Wave Therapy (SWT) is a non-invasive treatment to reduce pain. Purpose: To find out if shock wave therapy has a therapeutic effect on pillar pain after carpal tunnel surgery in hand burn. Subjects and methods: This randomized, single blind controlled trial was conducted on fifty-two hand burned patients who had a pillar pain after carpal tunnel release, their ages ranged from 20 to 35 years. The patients were randomly recruited from The Outpatient Clinic of Burn in Mansoura Hospitals, Egypt, and were randomly assigned into two equal groups, each group consisted of 26 patients. Patients in group A (shock wave therapy group) were managed by shock wave therapy one session per week in addition to the traditional physical therapy at a frequency of three times each week while patients in group B (control group) were only managed by the traditional physical therapy at a frequency of 3 times each week. Visual analogue scale (VAS) was measured pre and post twelve-weeks of intervention. Results: After 12th week of intervention, the two groups revealed significant change in VAS. Between groups comparison revealed that there was a statistical substantial difference in the pain measures in favour of the shock wave therapy group (p< 0.001). Conclusion: Shock wave therapy is effective in improving pillar pain after carpal tunnel release in hand burn | ||
Keywords | ||
Burn; Carpal tunnel release; Pillar pain; Shock wave therapy | ||
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