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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Autores principales:	S Mohammadi Jami, S Khafri, M Bahrami Feraydoni
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2020
Materias:	nsaid corticosteroid trigger finger. Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/c6b703eba5354925a58a51195e386fbe
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spelling	oai:doaj.org-article:c6b703eba5354925a58a51195e386fbe2021-11-09T10:15:55ZComparison of Methylprednisolone Injection Versus Diclofenac Injection in Treatment of Trigger Finger1561-41072251-7170https://doaj.org/article/c6b703eba5354925a58a51195e386fbe2020-03-01T00:00:00Zhttp://jbums.org/article-1-9544-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND 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.S Mohammadi JamiS KhafriM Bahrami FeraydoniBabol University of Medical Sciencesarticlensaidcorticosteroidtrigger finger.MedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 22, Iss 1, Pp 275-282 (2020)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	nsaid corticosteroid trigger finger. Medicine R Medicine (General) R5-920
spellingShingle	nsaid corticosteroid trigger finger. Medicine R Medicine (General) R5-920 S Mohammadi Jami S Khafri M Bahrami Feraydoni Comparison of Methylprednisolone Injection Versus Diclofenac Injection in Treatment of Trigger Finger
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.
format	article
author	S Mohammadi Jami S Khafri M Bahrami Feraydoni
author_facet	S Mohammadi Jami S Khafri M Bahrami Feraydoni
author_sort	S Mohammadi Jami
title	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_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_sort	comparison of methylprednisolone injection versus diclofenac injection in treatment of trigger finger
publisher	Babol University of Medical Sciences
publishDate	2020
url	https://doaj.org/article/c6b703eba5354925a58a51195e386fbe
work_keys_str_mv	AT smohammadijami comparisonofmethylprednisoloneinjectionversusdiclofenacinjectionintreatmentoftriggerfinger AT skhafri comparisonofmethylprednisoloneinjectionversusdiclofenacinjectionintreatmentoftriggerfinger AT mbahramiferaydoni comparisonofmethylprednisoloneinjectionversusdiclofenacinjectionintreatmentoftriggerfinger
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Comparison of Methylprednisolone Injection Versus Diclofenac Injection in Treatment of Trigger Finger

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