Effect of Sida rhombifolia L. Oil Poultice in Patients with Trigger Finger Grade 2

Main Article Content

อารีซัน วาแต
Kamolwan Klubdee
Sansanee Sapaeaing
Supreeya Wisutthicho
Chuanchom Khuniad
Sirirat Sirirat Sriraksa
Sareening Yeeteh
Orawan Chaipakdee
Mareena Surong


The symptoms of trigger finger typically include stiffness, pain, and a sensation of locking or catching when bending or straightening the finger. Oil poultice can reduce joint stiffness, pain and muscle stress. However, there has been no report on the use of oil poultice for trigger finger treatment. This is a quasi-experimental research that has been approved by the ethics committee for research in human subjects. The aim of this study was to compare the pain levels and finger motion ranges, before and after treatment, and assess the satisfaction of selected patients. The participants were 20 trigger finger patients specifically selected as per specified criteria. Each patient was given an oil poultice of Sida rhombifolia L. (ya khatmon in Thai) twice a week for 1 month and had their conditions followed up 2 weeks and 1 month after finishing the treatments. A pain score evaluation and measurements of finger motion range using a goniometer were conducted before and after the treatments. The patients were given a questionnaire to self-assess their satisfaction with the treatments. The data were analyzed with descriptive statistics and paired sample t-test. The results revealed that oil poultice could significantly decrease pain levels and increase the degree of finger flexion (p < 0.05). But after the poultice was discontinued, the pain levels were higher and the finger flexion degrees were lower. In conclusion, oil poultice can be an alternative way to treat trigger finger phase 2. Patients should receive the therapy continuously and reduce risk factors that make symptoms worse.


Download data is not yet available.

Article Details

Original Articles


Jittakoat Y, Sornpaisarn S, Makakate M. Division of complementary and alternative medicine, Department

for Development of Thai Traditional and Alternative Medicine, Ministry of public health. Assessment of

the effectiveness of artificial fibrosis surgery in trigger finger patients [internet]. 2014. [cited 2019 Feb

. Available from: https://thaicam.go.th/wp-content/uploads/2019/06/ผ่าตัดผังผืด.pdf (in Thai)

Pataradool K. Trigger finger [Internet]. 2015. [cited 2019 Jan 19]. Available from: http://ortho2.md.chula.ac. th/

index.php/2014-06-09-04-08-48/ความรู้สู่ประชาชน/37-โรคนิ้วล็อค-โดย-อ-นพ-กวี-ภัทราดูลย์.html (in Thai)

Hormchun W. A comparison of the effects of Idiopathic trigger finger by triamcinolone acetonide injection. The Thai Journal of Orthopaedic Surgery. 2012;3(1-2):16-20. (in Thai)

Rerkyen P, Luenam S. Nursing care for patients with trigger finger. Journal of The Royal Thai Army Nurses.

;15(2):166-72. (in Thai)

Damapong P. Trigger finger [internet]. [cited 2019 Jan 19]. Available from: http://www.elahs.ssru.ac.th/


Hs5mCfx3hvVNJWzVpoemgkvF5zTYjCeahGnxSvWJq6Hkfg (in Thai)

Suwannarat W, Prommanon Y, Wongsuwan W, Lathaisong K, Chokdeesrichan C, Makhon N, Yowthid J.

Preliminary study for developing treatment guideline of musculo-skeletal disorders in Thai traditional medicine

[internet]. Final report, Faculty of Abhaibhubejr Thai Traditional Medicine, Burapha University; 2019. 11 p. (in Thai)

The Foundation under the royal patronage of Her Royal Highness Princess Maha Chakri Sirindhorn. Royal Thai

massage for trigger finger treatment [internet]. 2010. [cited 2019 Jan 19]. Available from: http://www.thaiarthritis.org/people_2010_01.php?fbclid= (in Thai)

Tangsukruethai P. Massage therapy for trigger finger. Journal of Mohanamai. 2008;18(1):60-2. (in Thai)

Wanachewin O, Boonmaleerat K, Pothacharoen P, Reutrakul V, Kongtawelert P. Sesamin stimulates osteoblast

differentiation through p38 and ERK1/2 MAPK signaling pathways. BMC Complementary and Alternative

Medicine. 2012;12(1):71-9.

Dinda B, Das N, Dinda S, Dinda M, SilSarma I. The genus Sida L. A traditionalmedicine: Its ethnopharmaco logical, phytochemical and pharmacological data for commercial

exploitation in herbal drugs industry. Journal of Ethnopharmacology. 2015;176:135-76.

Boonnuch C, Katesumpun Y, Udompunthurak S, Pooliam J, Pollathep P. Sample size in quantitative research.

Bangkok: Faculty of Medicine Siriraj Hospital, Siriraj Hospital; 2011. (in Thai)

Sirijaruwong S, Klaphajone J, Sananpanich K, Tongprasert S. Pilot Study of Clinical Outcomes and Satisfaction

on Metacarpophalangeal Splint in Patients with Trigger Fingers: A Randomized Control Trial. Journal of

Thai Rehabilitation Medicine. 2012;22(3):80-8. (in Thai)

Thai traditional Medicine Foundation, college of Ayurveda. Thai traditional therapeutic massage and

Royal court massage. 1st ed. Bangkok: Usa Printing Co., Ltd.; 2012. (in Thai)

Athletic training & sports medicine center, University of West Alabama. Goniometry of the cervical spine

[internet]. 2019. [cited 2019 October 24]. Available from: http://at.uwa.edu/gon/cspine.htm

Khuniad C, Didsakorn J, Kongtem P, Promsuwan P, Nummuang R, Pumjan S, Puakchai W. The study on

effectiveness of court-type traditional Thai massage and combined with Sida rhombifolia L. oil poultices in

knee osteoarthritis treatment. UBRU Journal for Public Health Research. 2019;8(2):166-75. (in Thai)

Khuniad C, Hattiya P, Dissaro S, Kamsri J. The effectiveness of Sida rhombifolia L. oil poultices for reducing

knee pain in knee osteoarthritis patients. Proceedings of the 28th National Conference of Thaksin University;

May 8-9; Songkhla. Thailand. 2018. p. 1228-34. (in Thai)

Phitak T, Pothacharoen P, Settakorn J, Poompimol W, Caterson B, Kongtawelert P. Chondroprotective and

anti-inflammatory effects of sesamin. Phytochemistry Journal. 2012;80:77-88