Related Experiment Videos
[Orthopedic treatment of nocturnal acroparesthesias in primary care]
J A Ferrús Ciriza1, A Leoz Iparraguirre, N Lorente Guadalix
1Centro de Salud de Gonzalo de Berceo y de Joaquín Elizalde, Logroño.
Objective:
To report the experience gained from the systematic use of a splint immobilising at night the flexion or extension of the carpus of patients affected by nocturnal acroparaesthesiae.
Design:
Descriptive, observational study.
Setting:
Two urban Health Centres.
Patients Or Others Participants:
Twenty-two patients were studied. These were 6 men and 16 women who attended during the period from June 1991 and June 1992 because of nocturnal acroparaesthesiae in the area innervated by the median nerve.
Interventions:
The treatment used was to immobilize with a splint the flexion and extension of the carpus during the night. After three weeks the results were evaluated.
Measurements And Main Results:
Disappearance of the symptomatology occurred in 8 cases (36.4%). In 10 cases (45.5%), the intensity or frequency of the acroparaesthesiae lessened and in the remaining 4 (18.2%) the symptoms persisted. No significant differences in the therapeutic results could be shown when the patients were grouped in line with clinical or exploratory findings.
Conclusions:
On account of the absence of side-effects, its low cost and its being accessible and bloodless, we recommend this treatment as the initial model of therapeutic intervention in Primary Care, while other diagnostic and/or therapeutic possibilities are considered.