In rheumatoid arthritis ra, flexor tenosynovitis is characterized by inflammation of the flexor tendon and the synovial lining of the tendon sheath. If symptoms do not improve, surgery may be an option. In rheumatoid arthritis ra, flexor tenosynovitis is characterized by inflammation of the flexor tendon and the. 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. A case study approach was utilized in this article to demonstrate many of the available medical and occupational therapy modalities to treat this condition. Physiotherapy department dequervains tenosynovitis. There may be swelling and thickening of the sheath and it becomes very painful to move the thumb. It is a painful irritation of the tendons on the thumb side of the wrist. 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. Dequervains syndrome causes pain along the thumb side of the. Pain is typically increased with gripping or rotating the wrist. Its always important to start your rehabilitation exercises by slowly warming up the injured or aggravated joints. During this time, the splint can be removed to carry out the following exercises.
On their way to the thumb, the apl and epb tendons travel side by side along the inside edge of the wrist. Dequervains tenosynovitis is inflammation of the sheath the synovium. A sheath, or covering, surrounds the tendons that go to your thumb. These structures can thicken, resulting in a stenosing tenosynovitis. Use the following stretches and warm ups to promote blood flow, increase tissue malleability and prepare your joint for more advanced progressions. Hand wrist exercises max superspecialty ortho clinic. Our telemedicine options include virtual video visits, telephone checkins, and patient portal communication. If you start treatment early, your symptoms should improve within four to six weeks. The swollen tendons and their coverings rub against the narrow tunnel through which they pass. The exercises may be suggested for a condition or for rehabilitation. Touch the tip of your thumb to the tip of your little finger. Over the last decade, texting has become more popular, and people are having more of these symptoms.
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 condition occurs when the tendons of the thumb at the wrist become inflamed, often following repetitive use. Pain and swelling due to diffuse tenosynovitis or triggering due to a nodule at the a1 pulley14. Dequervains tenosynovitis inflammation of the tendons of the thumb. Learn simple exercises to help achieve lasting recovery. Jason pirozzolo provides information on this common condition, and our friends. This inflammation and swelling are usually the result of trauma to the tendon from repetitive twisting motions. This can be due to a thickening of the soft tissues that make up the tunnel or an. You may do these exercises when it is not painful to move your hand. The word tendinosis refers to a swelling of the tendons. The modified eichoff maneuver, commonly called the finkelstein s test. You will be told when to start these exercises and which ones will work best for you.
Department of rehabilitation medicine newyorkpresbyterian. The cause of tenosynovitis in many cases the cause is. Place your hand on a flat surface, with your palm up. A tendon is a strong band of tissue that attaches muscle to bone. This surrounds the two tendons that are involved in moving the thumb. Use your other hand to gently stretch your thumb and wrist downward until you feel the stretch on the thumb side of your wrist. It is just as important to stretch the wrist as well as the tendons of the thumb. Here are some examples of exercises for you to try.
You may have pain when you move your wrist or pick things up. Dequervains tenosynovitis dequervains tenosynovitis. Pagonis t, ditsios k, toli p, givissis p, christodoulou a. Physiotherapy treatment can help to stretch and strengthen the affected area. This compartment contains the abductor pollicis longus. As an inflammatory condition, icing is critically important. It can be associated with pregnancy and rheumatoid disease. 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. Lifting the baby with your wideopen thumbs can easily lead to mommy thumb. A prospective casecontrol study was conducted to analyze the most common risk factors for dq. The inflammation causes the compartment a tunnel or a sheath around the tendon to swell and enlarge, making thumb and wrist.
Summit medical group is making it easier than ever for patients to seek care while limiting exposure to covid19. Swelling of the tendons, and the tendon sheath, can cause pain and tenderness along the thumb side of the wrist. If this condition isnt treated, it can permanently limit your movement or cause the tendon sheath to burst. It causes pain at the thumb side of your wrist where the base of your thumb meets your forearm. You may do all of these exercises when the initial pain is gone. This irritation causes the lining around the tendon to swell, changing the shape of the lining and making movement of the tendons difficult. Repetitive activities requiring sideways movement of the wrist while gripping the thumb eg. 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.673 1144 618 368 725 86 1116 375 421 600 1214 13 1247 723 905 1195 158 105 824 950 809 834 702 1366 1027 1216 1448 1023 99 254 805 854 1539 769 1199 217 88 222 767 472 609 127 1078 364 676 210 331 626 521 930