Successful Treatment with Tokishakuyakusan for de Quervain Disease and Carpal Tunnel Syndrome after Delivery

Yuzo Fukushima; Atsuko Shiota; Yasushi Takushima; Ryousuke Fujita; Toshiko Toda; Tae Funakoshi; Junichiro Miake

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Successful Treatment with Tokishakuyakusan for de Quervain Disease and Carpal Tunnel Syndrome after Delivery

VernacularTitle:出産後のドケルバン病・手根管症候群に対する当帰芍薬散での治療経験
Author: Yuzo FUKUSHIMA ¹ ; Atsuko SHIOTA ² ; Yasushi TAKUSHIMA ³ ; Ryousuke FUJITA ⁴ ; Toshiko TODA ⁵ ; Tae FUNAKOSHI ⁶ ; Junichiro MIAKE ⁷
Author Information

1. Fukushima Orthopedic Clinic
2. Kagawa Prefectural University of Health Sciences
3. Department of Gynecology, Michigami Hospital
4. Department of General Medicine, Tottori Municipal Hospital
5. Department of Gynecology, Matsue Cooperative Society Clinic
6. Funakoshi Pain Clinic
7. Division of Molecular Pharmacology, Tottori University Hospital
Keywords: after delivery; de Quervain disease; carpal tunnel syndrome; tokishakuyakusan
From:Kampo Medicine 2019;70(3):236-239
CountryJapan
Language:Japanese
Abstract: De Quervain disease and carpal tunnel syndrome are major problems that occur after delivery. During pregnancy, hormone confusion readily causes inflammation of tendons ;furthermore, overuse of hands during care of other children contributes to symptom onset. We report four cases of de Quervain and carpal tunnel syndrome occurred after delivery. All patients were women, aged 33-39 years. All patients breast-fed after birth. One patient was diagnosed with de Quervain disease, two were diagnosed with carpal tunnel syndrome, and one was diagnosed with de Quervain disease accompanied by carpal tunnel syndrome. All patients received tokishakuyakusan ;thereafter, their pain decreased, but slight numbness from the carpal tunnel syndrome remained. Drugs that can be used during breastfeeding are limited ;however, tokishakuyakusan can be prescribed safely and effectively.