Dextrose Prolotherapy Treatment in De Quervain Tenosynovitis: Case Reports

บทคัดย่อ

De Quervain tenosynovitis is a condition commonly found in patients presenting with wrist pain. The initial treatment typically involves rest, splinting, medication, and physical modalities. However, some patients do not show a favorable response to these treatments. In this report, we present two patients with chronic tenosynovitis of the first dorsal compartment whose condition did not improve with initial treatment. Both patients received ultrasound-guided injection with 1.5-2 ml 25% dextrose therapy (50% dextrose 0.75-1 ml + 1% lidocaine 0.75-1 ml) as their treatment. Their condition significantly improved, eliminating their symptoms to the point of almost complete resolution, allowing them to be able to return to their daily activities. Therefore, dextrose prolotherapy could be considered as a treatment option for de Quervain tenosynovitis.