Comparative Evaluation of Finger Splint, Paraffin, and Peloidotherapy Interventions in the Management of Trigger Finger A Prospective, Randomized, Controlled Study

What this Trial Is About

Researchers are studying trigger finger, a condition affecting finger movement, in adults aged 18 to 75 years. The study aims to compare the effects of three different treatments a static finger splint, paraffin bath therapy, and peloidotherapy, all combined with home exercise programs. Patients with specific grades of trigger finger will be included, and the study is designed as a prospective, randomized, controlled trial with blinded assessments to evaluate treatment outcomes. Participants will be randomly assigned to one of three groups. One group will use a static finger splint that blocks the proximal interphalangeal joint continuously for 6 weeks, combined with home exercises. The second group will receive paraffin bath therapy for 20 minutes daily over 15 sessions within 3 weeks plus home exercises. The third group will undergo peloidotherapy at 45C for 20 minutes daily over 15 sessions within 3 weeks, also combined with home exercises. All patients will receive education about the disease and activity modifications. Participants will be evaluated at the start, after 3 weeks, and after 6 weeks. Assessments include pain intensity using a visual analog scale, trigger finger severity by Greens classification, hand function via the Michigan Hand Outcomes Questionnaire, patient global improvement, and ultrasound measures of tendon and pulley thickness and effusion. Compliance with splint use and exercises will be monitored, and any treatment side effects will be recorded. Patients will avoid analgesic or anti-inflammatory medications during the study and prior to assessments.

Comparative Evaluation of Finger Splint, Paraffin, and Peloidotherapy Interventions in the Management of Trigger Finger