Finkelstein Test | De Quervain's Tenosynovitis

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. This is the original version of the Finkelstein Test which assesses for de quervain's tenosynovitis of the thumb.

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You are awesome! You teach pretty much all the tests that I've ever searched for. You should also make videos where you combine the tests to differentially diagnose the diseases that are most common or severe (requiring rapid treatment).

probios
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Very educational, thank you very much! Greetings from Ushuaia, Argentina

franciscoluisbarrera
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I finally passed my MCQ board exam, I have to say thank you guys so much for using the shortest words to express the whole theory

edward
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is it possible to have De Quervain's radial Tenosynovitis without having pain in Finkelstein Test ? I've been diagnosed with this but I conducted the test myself and didn't have extra pain. I've been resting for 2 months now without workout or Handball and it's starting to get better however I've been required to take anti-imflamatory treatment for a week at some point because I was scared it would heal fast enough.
The pain I have is when I apply force with my thumb extended, like resting on my hand flat on the ground or gripping a handball ball was extremelly painful (and caused the injury in the first place.)

PhONiX
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I got this I'm 21 I cook, and got it so bad. I did nothing for months til I found out what it was, I could not do shit with my dominant hand. Had to drive, eat, buckle up, dress, with my left hand because it hurt so intensely to grab things, I went like that for months. And it clicked painfully when my thumb rotated. I got a splint from urgent care. Then a real bone doctor gave me a steroid shot and it's better already. It hasn't come back but I was researching whether it can or not. Thanks for this! The pain was exclusive to the wrist and base of my thumb on the thumb side on my main hand. I was doing eggs a lot at my job, a ton of mixing scrambled eggs lol (I miss the eggs, they where better than doing everything with no staff b/c corona)
But yeah I told my work I can't do eggs for a while, I needed help carrying things that weighed nothing because it was the simple movement of grabbing something that gave me sharp intense pain. It came out of nowhere and left like the wind after my shot thankfulky

hales
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Fab video - great production and very clear explanation, thanks

sdparsons
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This new Content Cop is really weird, different from Ian's usual.

Ethereally
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I can push my wrist and thumb down as in the video without pain. But if I lift upward it causes severe pain on the underside of the wrist towards the thumb. What does that mean?

donwilliams
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your videos are awesome. Thank you guys

artiagrawal
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Thanks for all your helpful and easy to understand videos! You guys are great.

gossa
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I love your videos! They are really easy to understand!

kevindarthchicken
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Thank you Sooo much for this video! it really helps a lot people!!! Haha :D

tomtenthij
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Thank you babe. I love your videos. Good demonstration and examples, keep it up😊

missyb
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I slept on my wrist one night and now good been hurting for like a month. First day my hand was swollen and even had pain up to my elbow. I did good test and the last step is what caused pain. This serious?

AF-uxup
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nicely explained ... easily understood.. doing great job 👍

drnilayrao
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Question please. Aside from the pain I feel when I move my thumb or wrist in certain ways, when I stretch my thumb out, I feel something popping near the base. Also when I twist my wrist, I feel something popping on the top side of my wrist. Is this common with this condition? I have had x-rays done and they are negative for any fractures or breaks. Thanks

SlapNSniff
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Hello sir, thank u so much for sharing this video....it's really helpful .Can u plzz do make videos on theraband grades n orthotics prescription.

reshmajg
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Great video! I was diagnosed with De Quervain's a week ago and given a splint to wear all day (except when eating and bathing) and told to use ice 4 to 6 times daily and also take Aleve tablets a day (Naproxen 220mg: - 2 pills in the morning and 2 at night - total of 880mg per day) until I see the orthopedist again (2 weeks from my original appointment).
MY question - Are NSAID's (Naproxen in my case) really required for treatment IF I do not have pain at all during the day? I am concerned about POTENTIAL Aleve side effects such as risk of bleeding etc. E.g. in my case, I can lift objects with the 'bad' hand and turn a door knob without that hand pain. Moving my thumb in all directions also does not hurt. Only when I 'twist' / extend my hand to the outside, as part of the test, I start to feel the discomfort.... I would rather avoid the Naproxen if possible, unless it will help heal my tendon / sheath / condition for long run EVEN if I am not experiencing any discomfort / pain during the day.

eurodudenj
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What happens if u have the same pain through 3 of these tests?

farose
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What if I feel pain when pushing my hand up instead of down?

dylan
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