What is De Quervian’s Tenosynovitis?
De Quervain's tenosynovitis is a painful condition affecting the tendons on the thumb side of the wrist. It is characterized by pain and swelling near the base of the thumb, often exacerbated by movements such as grasping or twisting. Physical therapy is a key component in the management of De Quervain's tenosynovitis, aiming to reduce pain, decrease inflammation, and restore function.
What is De Quervian’s Tenosynovitis?
The initial phase of physical therapy focuses on reducing inflammation and pain. This may involve the use of ice, gentle compression, and modalities such as ultrasound or electrical stimulation. The therapist may also recommend the use of a thumb spica splint to immobilize the wrist and thumb, allowing the tendons to rest and heal.
As symptoms improve, the rehabilitation program progresses to include gentle range-of-motion and stretching exercises to maintain mobility and prevent stiffness. These exercises are performed carefully to avoid aggravating the condition. Strengthening exercises for the muscles of the wrist and thumb are gradually incorporated to provide better support for the joint and reduce the stress on the affected tendons.
The final phase of rehabilitation focuses on functional activities and exercises that mimic daily tasks or work-related movements. The physical therapist will also provide education on ergonomic adjustments and techniques to prevent recurrence, such as modifying hand positions during activities that strain the wrist and thumb.
With a comprehensive and individualized physical therapy program, most individuals with De Quervain's tenosynovitis can achieve significant relief from symptoms and return to their normal activities with improved comfort and function.