Background: Complex regional pain syndrome (CRPS) type 1 is a rare but disabling pain condition, usually involving distal extremities such as the wrist, hand, ankle, and foot due to either direct or indirect traumas. CRPS type 1 is characterized by a complex set of symptoms where no correlation can be identified between the severity of the initial injury and the ensuing painful syndrome. Over the years, numerous treatment strategies have been proposed for CRPS management, but therapies remain controversial. At present, no successful therapeutic intervention exists for this condition. The aim of the present study was to propose and assess the effectiveness of a rehabilitative treatment algorithm for CRPS, which is actually in use at our institution. Methods: We retrospectively reviewed all the patients that underwent physical rehabilitative treatment algorithm for hand CRPS between 2011 and 2017 at our Institution. Results: All the parameters taken into consideration, namely the Purdue Pegboard Test (PPT), Disability of the Arm, Shoulder and Hand (DASH), Visual Analog Scale (VAS), as well hand edema, were significantly improved at the end of the rehabilitation protocol. Conclusions: The results obtained in the present study demonstrated that our rehabilitation protocol was able to achieve substantial improvement in pain and quality of life scores. Thus, an early and skillful rehabilitation intervention is of paramount importance for CPRS type 1 management to achieve a stable and optimal functional recovery while preventing the onset of deformities.

Trigger finger (TF) is a common debilitating hand disorder that often results in pain and functional limitations. Currently accepted conservative treatments include splinting, nonsteroidal anti-inflammatory drugs, and corticosteroid injections. Recently, transfer energy capacitive and resistive (TECAR) therapy is emerging as a promising intervention for its potential to enhance microcirculation, reduce pain and inflammation, and stimulate tissue regeneration in various musculoskeletal conditions. However, its effectiveness for TF remains unclear. This study aims to compare the outcomes between TF conservative management with splinting alone, TECAR therapy alone, and the combined approach. Twenty-one fingers from 16 patients were included, with outcomes measured in terms of pain intensity, Green’s TF classification, frequency, severity and functional impact of triggering, and Quick-Disabilities of the Arm, Shoulder, and Hand. Assessments were conducted at baseline, at the fourth and eighth weeks after the initial treatment, and at one-month follow-up. Although all groups showed beneficial effects in all outcomes from baseline to the follow-up, the combined therapy group demonstrated statistically significant, quicker, and higher magnitude improvements in all clinical parameters compared to the single-treatment groups. By combining TECAR therapy with conventional splinting, TF patients may experience faster pain relief and functional recovery. Thus, integrating TECAR therapy into rehabilitation programs may represent a valuable opportunity for enhancing pain management and recovery in TF patients.

Article: Effectiveness of static splinting in Dupuytren’s disease - Minerva Orthopedics 2023 December;74(6):514-27 - Minerva Medica - Journals