Scribd Logo
Upload

Welcome to Scribd!

  • 22 views

    Pde Quer Vain S

    Uploaded by

    heidy
    DeQuervain's tenosynovitis is inflammation of the tendons of the thumb. It causes pain and swelling near the base of the thumb that worsens with thumb and wrist movements. While the cause is often unknown, overuse is a risk factor. Diagnosis involves a physical test and potentially ultrasound imaging. Treatment includes rest, splinting, anti-inflammatory medications, physiotherapy exercises, and potentially steroid injections or surgery. Physiotherapy focuses on gentle exercises and activity modification to reduce symptoms over time.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Pde Quer Vain S

    Uploaded by

    heidy
    22 views8 pages
    DeQuervain's tenosynovitis is inflammation of the tendons of the thumb. It causes pain and swelling near the base of the thumb that worsens with thumb and wrist movements. While the cause is often unknown, overuse is a risk factor. Diagnosis involves a physical test and potentially ultrasound imaging. Treatment includes rest, splinting, anti-inflammatory medications, physiotherapy exercises, and potentially steroid injections or surgery. Physiotherapy focuses on gentle exercises and activity modification to reduce symptoms over time.

    Original Description:

    de quervains

    Original Title

    11303 Pde Quer Vain s

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    DeQuervain's tenosynovitis is inflammation of the tendons of the thumb. It causes pain and swelling near the base of the thumb that worsens with thumb and wrist movements. While the cause is often unknown, overuse is a risk factor. Diagnosis involves a physical test and potentially ultrasound imaging. Treatment includes rest, splinting, anti-inflammatory medications, physiotherapy exercises, and potentially steroid injections or surgery. Physiotherapy focuses on gentle exercises and activity modification to reduce symptoms over time.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    22 views8 pages

    Pde Quer Vain S

    Uploaded by

    heidy
    DeQuervain's tenosynovitis is inflammation of the tendons of the thumb. It causes pain and swelling near the base of the thumb that worsens with thumb and wrist movements. While the cause is often unknown, overuse is a risk factor. Diagnosis involves a physical test and potentially ultrasound imaging. Treatment includes rest, splinting, anti-inflammatory medications, physiotherapy exercises, and potentially steroid injections or surgery. Physiotherapy focuses on gentle exercises and activity modification to reduce symptoms over time.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 8

    Oxford University Hospitals

    NHS Trust

    Physiotherapy Department
    DeQuervains tenosynovitis
    inflammation of the
    tendons of the thumb
    Information for patients
    DeQuervains tenosynovitis is inflammation of the sheath (the
    synovium). This surrounds the two tendons that are involved in
    moving the thumb. The tendons run between the wrist and the
    thumb. There may be swelling and thickening of the sheath and
    it becomes very painful to move the thumb.

    The cause of tenosynovitis


    In many cases the cause is unknown. It is more common in
    women, particularly after pregnancy. Overuse of the tendon,
    particularly repetitive movements used at work or in a sport, are
    likely to make the pain and inflammation worse. It can also be
    brought on by a simple strain.
    .
    Swollen synovium
    (part of the tendon sheath)

    Inflamed tendon

    What are the symptoms?


    The main symptoms are pain and swelling near the base of
    the thumb. Movements involving the thumb and wrist such as
    pinching, grasping or wringing make the pain worse.

    page 2
    How is the condition diagnosed?
    Finkelsteins test is a simple way of diagnosing DeQuervains. It
    can be performed by placing your thumb in the palm of your
    hand and making a fist around it, then bending your wrist
    towards your little finger (see picture). If this makes the pain by
    the base of your thumb worse, the test is considered positive.

    If your symptoms dont get better after treatment, then you may
    need an ultrasound scan to diagnose the problem.

    page 3
    What is the treatment?
    Treatment may include:
    Rest it is important to limit the aggravating movements to
    reduce pain and allow time for the symptoms to settle.
    Splinting We may recommend that you wear an off the
    shelf or custom made splint. This can limit the movement of
    your thumb and helps it to rest.
    Anti-inflammatory painkillers and gels (e.g. ibuprofen) can
    reduce pain and inflammation.
    A referral to a specialist hand team/consultant/therapist may
    be required.
    Physiotherapy If your symptoms do settle, we may then
    give you some stretching and strengthening exercises to
    increase your hand function. Your physiotherapist will give you
    advice and explain what might aggravate your symptoms so
    you can avoid overusing your hand.
    Steroid injection If your symptoms are still present after
    trying physiotherapy, we may recommend that you have an
    injection of steroid and anaesthetic into the base of your
    thumb. This will help reduce the swelling and pain.
    Surgery if the pain persists despite trying the above
    treatments, the condition may be helped by an operation.

    page 4
    Exercises that can be used to help the
    condition
    Stage 1
    You may need to wear a splint
    continuously for 2-3 weeks to
    settle the pain before starting
    to move your thumb or wrist.
    1) Place your affected hand
    palm down on a table.
    Using your good hand,
    gently move your affected
    thumb away from the table.
    Slowly and smoothly bring
    your thumb back to the
    table in line with your fingers.
    Repeat 5-10 times every
    2 hours.

    2) Place your affected hand on


    the table (see picture). Using
    your good hand, move
    your affected thumb away
    from your fingers.
    Slowly and smoothly bring
    your thumb back in line with
    your fingers.
    Repeat 5-10 times every
    2 hours.

    page 5
    3) Support your forearm on
    the table with your wrist on
    the edge of the table and
    thumb pointing upwards
    Slowly lower your wrist
    (little finger first) towards
    the floor until you start to
    feel discomfort (see picture),
    then use your other hand to
    return your wrist to the start
    position.
    Repeat 5-10 times every 2 hours.
    Stage 2
    Try taking the splint off for light daily activities only.
    Once you can carry out the stage 1 exercises with no pain, add
    a small weight and increase the repetitions to 10-20 times every
    2 hours. (Reduce the repetitions back to 5-10 times every 2 hours
    if your pain returns).
    Also, begin to do these two new exercises:
    4) Place your affected hand
    flat on the table. Keep your
    hand still and move your
    thumb out to the side as
    far as feels comfortable (see
    picture). Return your thumb
    back towards your fingers.
    Repeat 5-10 times
    5) Keep your hand in the same
    position. Lift your thumb
    away from the table as far as feels comfortable and then
    bring back down.
    Repeat 10 times and increase repetitions as feels comfortable.

    page 6
    Stage 3
    Your Physiotherapist will tell you when you can move onto this
    stage.
    Increase the weights and the repetitions of the previous exercises
    as you are able.
    Start to carry out exercise 3 with full active movement of your
    wrist off the edge of the table (without the assistance of your
    good hand).
    Add wrist strengthening and gentle grip strengthening exercises
    as your pain allows, and as advised by your therapist.

    Put an elastic band around


    your fingers and thumb.
    Gently move your thumb
    against the resistance of the
    band.
    Repeat 10 times.

    page 7
    Useful telephone numbers
    Physiotherapy (John Radcliffe Hospital)
    Tel: 01865 221 540 or 01865 221 539
    Physiotherapy (Horton General Hospital)
    Tel: 01295 229 432
    Physiotherapy (East Oxford Health Centre)
    Tel : 01865 264 970
    Hand Therapy (John Radcliffe Hospital)
    Tel: 01865 231 181
    Hand Therapy (Nuffield Orthopaedic Centre)
    Tel: 01865 738 288

    If you have a specific requirement, need an interpreter,


    a document in Easy Read, another language, large print,
    Braille or audio version, please call 01865 221 473
    or email PALSJR@ouh.nhs.uk

    Huw Jones, Physiotherapist and Anne Armitage, Physiotherapist


    November 2014
    Review: November 2017
    Oxford University Hospitals NHS Trust
    Oxford OX3 9DU
    www.ouh.nhs.uk/information

    OMI 11303P

    You might also like