Welcome to our channel, where we provide in-depth insights into musculoskeletal health. In this detailed video, we focus on De Quervain's tenosynovitis, a condition that leads to pain and dysfunction in the thumb and wrist.
What is De Quervain's Tenosynovitis?
De Quervain's tenosynovitis is a painful condition affecting the tendons located on the thumb side of the wrist. It involves inflammation of the tendons that control thumb movement, specifically the abductor pollicis longus and extensor pollicis brevis. This condition often arises due to repetitive hand and wrist motions, making it particularly common among individuals who engage in activities requiring gripping or twisting.
Key Symptoms:
Pain and Discomfort: Typically felt at the base of the thumb, which may radiate up the forearm.
Swelling: Noticeable swelling near the base of the thumb.
Difficulty with Thumb Movements: Challenges in activities such as gripping, twisting, or pinching.
Catching Sensation: A feeling of catching or snapping when moving the thumb.
Causes and Risk Factors:
De Quervain's tenosynovitis is often linked to:
Repetitive Hand Movements: Common in professions or activities that require frequent gripping, such as typing, gaming, or manual labor.
Hormonal Changes: Increased prevalence in postpartum women due to hormonal influences.
Previous Injuries: History of wrist injuries can predispose individuals to this condition.
Underlying Conditions: Associated with conditions like rheumatoid arthritis.
Diagnosis:
In this video, we discuss the various diagnostic approaches, including:
Physical Examination: Overview of classic tests such as Finkelstein's test and wrist hyperflexion.
Imaging Studies: The role of ultrasound in assessing tendon condition and any anatomical variations.
Rehabilitation Strategies:
We provide a detailed rehabilitation program, which includes:
Exercises: Specific exercises to strengthen the thumb and wrist, including resisted thumb extension and abduction, finger abduction, and more.
Pain Management: Tips on using ice and NSAIDs to alleviate discomfort.
Bracing and Taping: Guidance on using supportive devices effectively without full immobilization.
Conclusion:
De Quervain's tenosynovitis can significantly impact daily activities, but with proper diagnosis and management, most individuals can achieve relief and restore function. Join us as we explore this condition in detail, empowering you with knowledge and practical strategies for recovery.
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Timeline:
0:00 Start
0:09 Introduction
0:50 Common Presentation
1:39 What causes this condition?
2:16 Acute vs Chronic Cases
3:19 Rehabilitation Exercises
5:40 Putty Rehabilitation Exercises
7:07 Pain & Loading Parameters
8:18 Diagnosis
8:55 Taping/Splinting/Bracing
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Disclaimer
The information provided in this video is intended as general information and not a substitute for individual medical advice regarding your medical condition. To the extent permitted by law, neither Performance Sport & Spine, nor any of our officers, employees, agents or related bodies corporate will be liable in any way (including for negligence) for any loss, damage, costs or expenses suffered by you or claims made against you through your use of, or in connection with, this video or information supplied or offered to be supplied on this video. Although we use our best efforts to provide accurate information and other materials on this video, the video is provided “as-is”. To the extent permitted by law, all warranties, conditions and representations provided about or by this video are excluded.
