Dr. Gleiser Jacobo

Aleve Clinic, Bogota, Colombia

Hilterapia^®  efficiency in handling the post surgical pain after the release of the carpal tunnel. Descriptive observational study.

A descriptive observational study was made to evaluate the efficiency of a new option of treatment, the high power laser therapy (Hilterapia^®) in handling a frequent pathology as the pain in the palm of the hand after the open release of the carpal tunnel (pillar pin).

Pillar pain is a painful condition present in early stages in up to 41% of the patients after the transverse ligament release. This percentage diminishes with time, but has not yet had a therapeutic, efficient and non invasive treatment.

Thirteen patients were evaluated after being operated by three different surgeons with a standard open carpal release technique. After six months of surgery, they still presented a persistent and incapacitating pain that could be attributed to a pillar pain.

All patients were summated to eight sessions of Hilterapia^® treatment with the HIRO^® 3.0 equipment (ASA S.r.l., Vicenza, Italy). The energy applied in the painful area of the hand was 600 Joules. Two different parameters were evaluated: pain scale and grip strength, both affected by the pathology of pillar pain.

The study shows a tendency to diminish the pain and to improve the grip strength and the hand functioning. This can be attributed to the use of Hilterapia^®, which opens a therapeutic way to its use in this type of condition.