This inflammation and swelling are usually the result of trauma to the tendon from repetitive twisting motions. The result is pain at the base of the thumb and extending into the lower arm. The swollen tendons and their coverings rub against the narrow tunnel through which they pass. Physiotherapy treatment can help to stretch and strengthen the affected area. A sheath, or covering, surrounds the tendons that go to your thumb. A tendon is a strong band of tissue that attaches muscle to bone. Touch the tip of your thumb to the tip of your little finger. In rheumatoid arthritis ra, flexor tenosynovitis is characterized by inflammation of the flexor tendon and the. The modified eichoff maneuver, commonly called the finkelstein s test. A case study approach was utilized in this article to demonstrate many of the available medical and occupational therapy modalities to. This irritation causes the lining around the tendon to swell, changing the shape of the lining and making movement of the tendons difficult. Pain and swelling due to diffuse tenosynovitis or triggering due to a nodule at the a1 pulley14. You will be told when to start these exercises and which ones will work best for you.
A case study approach was utilized in this article to demonstrate many of the available medical and occupational therapy modalities to treat this condition. It develops when the abductor pollicis longus apl and extensor pollicis brevis epb tendons around the base of the thumb become swollen, often causing inflammation to develop. You may do these exercises when it is not painful to move your hand. It causes pain at the thumb side of your wrist where the base of your thumb meets your forearm. This compartment contains the abductor pollicis longus. There may be swelling and thickening of the sheath and it becomes very painful to move the thumb. As an inflammatory condition, icing is critically important. Place your hand on a flat surface, with your palm up. Pain is typically increased with gripping or rotating the wrist. These structures can thicken, resulting in a stenosing tenosynovitis. Jason pirozzolo provides information on this common condition, and our friends.
Use the following stretches and warm ups to promote blood flow, increase tissue malleability and prepare your joint for more advanced progressions. Each flexor tendon and its sheath run through a fibroosseous tunnel fig. It can be associated with pregnancy and rheumatoid disease. Dequervains tenosynovitis is inflammation of the sheath the synovium that. Once you can carry out the stage 1 exercises with no pain, add a small weight and increase the repetitions to 1020 times every 2 hours. It is just as important to stretch the wrist as well as the tendons of the thumb. Once your symptoms are better, work to prevent the condition from happening again. During this time, the splint can be removed to carry out the following exercises.
Dequervains tenosynovitis is inflammation of the sheath the synovium. This can be due to a thickening of the soft tissues that make up the tunnel or an increase in the amount of soft tissue within the tunnel. Dequervains syndrome causes pain along the thumb side of the. Use your other hand to gently stretch your thumb and wrist downward until you feel the stretch on the thumb side of your wrist. A prospective casecontrol study was conducted to analyze the most common risk factors for dq. You may do all of these exercises when the initial pain is gone. Physiotherapy department dequervains tenosynovitis. Inflammation is usually aggravated by repetitive thumb movements and twisting motions of the wrist, causing the tendons of the thumb to rub against their surrounding sheaths. Hand wrist exercises max superspecialty ortho clinic. You may have pain when you move your wrist or pick things up. Dequervains tenosynovitis dequervains tenosynovitis. Dequervains tenosynovitis inflammation of the tendons of the thumb. Its always important to start your rehabilitation exercises by slowly warming up the injured or aggravated joints.
This surrounds the two tendons that are involved in moving the thumb. Here are some examples of exercises for you to try. Lift your thumb away from your palm to make a c shape. Pagonis t, ditsios k, toli p, givissis p, christodoulou a. Lifting the baby with your wideopen thumbs can easily lead to mommy thumb.
It is a painful irritation of the tendons on the thumb side of the wrist. Repetitive activities requiring sideways movement of the wrist while gripping the thumb eg. The word tendinosis refers to a swelling of the tendons. On their way to the thumb, the apl and epb tendons travel side by side along the inside edge of the wrist. The exercises may be suggested for a condition or for rehabilitation. Learn simple exercises to help achieve lasting recovery. In rheumatoid arthritis ra, flexor tenosynovitis is characterized by inflammation of the flexor tendon and the synovial lining of the tendon sheath. Our telemedicine options include virtual video visits, telephone checkins, and patient portal communication. Dequervains pronounced dehkervanes tenosynovitis,also known as dequervains tendinitis and dequervains disease,is a condition that is caused by inflammation of tendons of the thumb at the wrist, characterized by pain and swelling in the thumb and wrist areas.
The cause of tenosynovitis in many cases the cause is. This can be due to a thickening of the soft tissues that make up the tunnel or an. The inflammation causes the compartment a tunnel or a sheath around the tendon to swell and enlarge, making thumb and wrist. Over the last decade, texting has become more popular, and people are having more of these symptoms. If symptoms do not improve, surgery may be an option. The condition occurs when the tendons of the thumb at the wrist become inflamed, often following repetitive use. Department of rehabilitation medicine newyorkpresbyterian.
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