Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 24955
  Title Treatment of wrist and metacarpal phalangeal joint effusion related to rheumatoid arthritis with therapeutic ultrasound: A case report
URL http://www.cjaonline.com.au/index.php/cja/article/view/167
Journal Chiropr J Aust. 2017 ;45(3):Online access only p 229-235
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Objective: To discuss the management of a patient with rheumatoid arthritis treated with therapeutic ultrasound and chiropractic interventions.

Clinical Features: A 32-year-old female with rheumatoid arthritis complained of bilateral wrist and hand stiffness along with joint effusion. She was also seeing her rheumatologist, who prescribed methotrexate. She had decreased grip strength and difficulty holding heavy objects in her hands.

Intervention and Outcome: She had been coming into the clinic for approximately 2 years to receive high-velocity low-amplitude adjustments to her wrists, thoracic and lumbar spine and both sacroiliac joints. Therapeutic ultrasound to her wrists was added to her treatment plan while eliminating the wrist adjustments. She was treated over the course of 8 weeks with 1 treatment per week. The ultrasound was performed for 3 minutes at 0.6 watts/cm2, with a 50% duty cycle to both wrists and the 1st and 2nd metacarpal phalangeal joints. Her grip strength, and pinch grip test improved and her joint effusion decreased.

Conclusion: Therapeutic ultrasound helped control this patient’s wrist and hand.

Author keywords: Rheumatoid Arthritis; Therapeutic Ultrasound

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text. Download the PDF.


 

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