Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2024; 12(19): 3971-3977
Published online Jul 6, 2024. doi: 10.12998/wjcc.v12.i19.3971
Combination of manual lymphatic drainage and Kinesio taping for treating pigmented villonodular synovitis: A case report
Yan-Ping Qu, Wei Jin, Ben Huang, Jie Shen
Yan-Ping Qu, Wei Jin, Ben Huang, Jie Shen, Department of Rehabilitation Medicine, Shanghai Eighth Peoples Hospital, Shanghai 200235, China
Author contributions: Qu YP was responsible for the writing of this report; Jin W contributed to the outcome assessments; Huang B contributed to the performance of manipulative therapy; Shen J contributed to establish the rehabilitation program; All authors have read and approved the final manuscript.
Supported by Shanghai Municipal Health Commission, No. 20214Y0078; and The Key Discipline Construction Project, No. SHXHZDXK202321.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All of authors declare that we have no conflicts of interest in this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jie Shen, MD, Chief Physician, Department of Rehabilitation Medicine, Shanghai Eighth Peoples Hospital, No. 8 Caobao Road, Shanghai 200235, China. jenny.shenjie@163.com
Received: February 28, 2024
Revised: April 30, 2024
Accepted: May 17, 2024
Published online: July 6, 2024
Processing time: 122 Days and 3 Hours
Abstract
BACKGROUND

Pigmented villonodular synovitis (PVNS) is a benign proliferative disorder that affects the synovial joints, bursae, and tendon sheaths. To date, few studies have reported on the treatment of postoperative pain and edema in patients with PVNS. Herein, we present the case of a woman who developed pain and edema in the left lower limb 1 wk after synovectomy and arthroscopic partial meniscectomy and was unable to walk due to limited flexion and extension of the left knee.

CASE SUMMARY

A 32-year-old woman underwent synovectomy and arthroscopic partial meniscectomy successively and was treated with a combination of manual lymphatic drainage (MLD) and kinesio taping (KT) in our hospital to alleviate postoperative pain and edema. The following parameters were assessed at 2 wk post-treatment and 1 wk post-discharge follow up: suprapatellar circumference, infrapatellar circumference, visual analog scale score, knee range of motion, pittsburgh sleep quality index score, hamilton anxiety rating scale (HAMA) score, and hamilton depression rating scale (HAMD) score. After treatment, the postoperative pain and edema in the patient’s left knee were effectively relieved, resulting in improved sleep quality and remarkably attenuated HAMA and HAMD scores.

CONCLUSION

Combined MLD and KT may be an effective approach for relieving postoperative pain and edema in patients with PVNS.

Keywords: Pigmented villonodular synovitis; Manual lymphatic drainage; Kinesio taping; Postoperative pain; Edema; Case report

Core Tip: We report the case of a 32-year-old woman who was diagnosed with pigmented villonodular synovitis (PVNS) and had undergone synovectomy and arthroscopic partial meniscectomy; however, her daily life activities were severely affected by pain and swelling after surgery. She was treated with a combination of manual lymphatic drainage (MLD) and kinesio taping (KT) to relieve postoperative pain and edema. After 2 wk, her pain and edema were markedly alleviated, and her knee flexion function gradually improved. This case indicates that the MLD and KT combination treatment may effectively relieve postoperative pain and edema in patients with PVNS.