Objective To evaluate the clinical effect of the treatment of the herbal-cake-separated moxibustion combined with the surround needling for stenosing tendovaginitis of radial styloid. Methods Fifty patients with stenosing tendovaginitis of radial styloid were randomly divided into the control group and the treatment group

with 25 patients in each group. The treatment group received the combined treatment of herbal cake-separated moxibustion and surround needling

once every other day

7 times treatment totally. The control group was treated with Voltaren Gel

three times a day for 2 weeks

with 3 months’ follow-up visit. Visual Analog Scale（ VAS）

and Cooney wrist joint rating scale were measured before and after treatment and during follow-up visit. The effective rate was evaluated after treatment. Results In the treatment group

22 cases were cured（ 88. 0%）

3 cases improved（ 12. 0%）

and no case showed no effect. In the control group

15 cases were cured（ 60. 0%）

3 cases improved（ 12. 0%）

and 7 cases showed no effect（ 28. 0%）. The total effective rate in the treatment group was 100%

which was significantly higher than 72% of control group（ P < 0. 05）. VAS of two groups after treatment and during the follow-up visit was significantly decreased compared with before treatment（ P < 0. 05）. VAS of treatment group after treatment and during follow-up visit was significantly lower than the control group（ P < 0. 05）. Pain

function

grip strength

range of motion

flexion/extension activity and total score of Cooney wrist joint rating scale of two groups after treatment and during follow-up visit were significantly higher than before treatment（ P < 0. 05）. The index of treatment group during follow-up visit was significantly higher than control group（ P < 0. 05）. Conclusion Compared with external application of Voltaren Gel

the combined treatment of herbal cake-separated moxibustion and the surround needling can significantly reduce pain and improve the functions of the wrist joint for stenosing tendovaginitis of radial styloid

with ideal clinical efficacy.