During this time, the splint can be removed to carry out the following exercises. With the other hand, the affected thumb is gently moved away from the table then replaced slowly and smoothly. This movement should be repeated 5 to 10 times. With the other hand, the affected thumb is moved away from the fingers, then brought back in line with them.
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It affects two thumb tendons called abductor pollicis longus and the extensor pollicis brevis. These tendons are responsible for moving the thumb backwards and sideways. Symptoms can come on gradually or suddenly with an associated incident.
Repeated workplace tasks that require hand or thumb movements such as wringing, grasping, pinching and squeezing. Inflammatory conditions like rheumatoid arthritis Hobbies like gardening, gaming, racket sports, music, drawing Scar tissue from a previous injury in the same area.
The subjective assessment will include activity levels, work place and lifestyle risk factors, aggravating and easing factors and the location of pain. Whilst the physical assessment will include observation, palpation of structures, range of movement and grip strength.
This involves creating a fist with the hand, then tilting the hand away from the thumb. A positive result is pain on the thumb side of the wrist. Treatment Non-operative management aims to relieve pain and symptoms and decrease any inflammation present.
During the early stages of rehabilitation your Physiotherapist may place you in a thumb spica splint to reduce repetitive loading and irritation on the area and decrease inflammation. Your physiotherapist will also discuss activity modification with you.
Your GP may additionally prescribe anti-inflammatory medication to help ease pain and inflammation in the early phases. Once the pain and inflammation has settled, you will be guided by your physiotherapist through a range-of-motion and strengthening exercise program to gradually return you to work, sport or your normal activities.
Physiotherapy treatment may also include massage, ice therapy, strapping, hands on stretching or therapeutic ultrasound. Surgery is a last resort and only considered for individuals who have had the condition for a prolonged time, is severe in nature and has attempted conservative treatments with no success. References: Papa, J. The Journal of the Canadian Chiropractic Association.
American Associtation for Hand Surgery. Sage Journals. Doi: Blog by Ebony Roberts Physiotherapist Share via:.
De Quervain’s Tenosynovitis by Ebony Roberts (Physiotherapist)
Gukasa Good clinical results for rotator cuff repair were achieved by using an arthroscopic suture bridge technique in patients with long-standing calcific tendinitis. In contrast, in hearts receiving equal volumes of saline or BM multipotent stem cells delivered in the same manner, there was no evidence of calcification. The commonly occurring position of calcification in the calcific tendinitis of the shoulder is said to be the supraspinatus tendon. To evaluate the clinical and radiographic results from arthroscopic surgical treatment of the rotator cuff in patients with calcifying tendinitis. The real component of impedance and the dissipation factor turned out to be lower in tendinitis than in intact tissues.