De Quervain's Tenosynovitis | What is it? How do you treat it?

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De Quervains Tenosynovitivis an important condition to recognise and manage as physiotherapy can have a really dramatic effect on improving patient outcomes. Learn about the pathophysiology, risk factors, assessment, diagnosis and treatment with Khalid!

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I had this in BOTH wrists and it was an excruciating experience. What solved it for me was 1.) Cease the activity that's causing it 2.) massaging the top of the forearm and the meaty part of the thumb to relax the tightness on the tendon 3.) Time

FLAMINGBABYHEAD
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Phenomenal display, the best visual guide I have seen yet.

J-sk
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i just started a job at usps as a clerk and the main bit of it is throwing heavy packages into bin's, this presented itself after a week of doing so and it seems to be getting worse. Now I am not sure what the F to do because im sure if I cant perform my job I will be let go, this is depressing

deeezuz
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I'm a 53 year old bloke who fell over 5 or 6 months ago and this presented itself in mid June.

Jasonm
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I slept on my wrist wrong one night and have had this pain ever since. That was about a month an a half ago. This condition describes the pain I am feeling best. Is this a condition that can be cause by one isolated incident of minor trauma such as sleeping on the wrist incorrectly?

prettykitty
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Do you have suggestions for how to modify holding a pen? Writing is painful, within the first sentence my hand cramps up and get sharp zings through my wrist

funsized
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great video but as a construction worker with this condition I still don't know if it will get better in 6-12 weeks after starting this job or not. There are a lot of suboptimal positions that my hand and wrist are strained under while screwing and carrying drywall.

tothemax
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I got this myself from wringing out my hand-washed clothes every day for 2 weeks on a camping trip. Tried conservative treatment first (incl. thumb splint) but one year later had no improvements, so I got a steroid injection. Then it was gone within 2 days. I didn't feel it for a few years, but then I did feel it again recently after practicing a certain hand grip with martial arts, which puts a lot of stress on these tendons. So it still seems to be a somewhat vulnerable spot on my left hand. Maybe I should work on consistent progressive exercises to gradually strengthen the tendons again.

timothyvanpelt_cyclist
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Thank you for sharing this information, found it helpful in understanding why my wrist particularly under the thumb section has gotten more painful in the last 4-6 weeks. I'm a first time mom, baby is 3 months old yesterday. GP simply said I have tendonitis, get a sport wrist support and take painkillers. Nothing further just a link to the NHS website on wrist pain. 😢

nataliemcmasters
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I didn’t suffer from this as a mother however I AM suffering from it as a grandmother!

lilylowsky
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hey. Im 15 and have this. although I had it before for a bit but later it disappeared. I got it back recently and im curious. Is clicking a common symptom? and is this likely needed for surgery at my age? or is it likely to go eventually?

yukimodz
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Im a 20 yr massage therapist and for the first time in my career I have this. Definitely not just for new mums. I think texting with iphones has played into this alongside over loading my dominant thumb while working. I did a steroid shot after 2 months of pain. Within 24 hrs.. all pain was gone and remained gone even while working for 6 weeks. Sadly the pain returned so i had 2 PRp injections to flood the area 3 weeks ago. Time will tell if it helps strengthen the area but so far i have daily pain. What I don’t understand is if i lay down, and upon waking… i have the most pain and then that intensity subsides throughout the day. Any idea why? That rubber band move looks like itd cause more pain and inflammation. Any other exercises to strengthen the surrounding area?

christy_tice
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I scrubbed my floors yesterday and woke up unable to move my wrist or straighten my fingers. Severe redness and swelling in the lower thumb down into the wrist. I deal with pain better than most but the redness and warm to the touch is concerning.

angiek
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I can feel this pain on my both hand please help what should I do

priyascreation.
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My left hand is affected. Im single, no kids and i use mybright hand more as its my predominant hand. The pain is unbearable and i have no idea how or why i got this. I wear a brace everyday and go to physical therapy 3 times a week. Nothing is making it improve. Im getting extremely frustrated as the pain takes me out

anissamr
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I helped hubby lift something, that weighed maybe 30 lbs. (on my end.) This was 5 months ago! I’ve had my wrist splinted ever since. It’s not broken, but a very painful lump is growing. I can’t even use my wrist to pull my covers up, over me! I thought it would eventually heal, but it’s getting worse, not better. I wonder if this is the culprit, since I already have RA, and OA. (I’m only 47, small frame, never been overweight a day in my life.) Since I have some AI diseases, I suffer from swelling, I’m interested to see if this is the case. I finally made an ortho appointment, and go tomorrow!

OnlyJalenPhd
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Haha this is very particular to my case because I am a pregnant woman who is also a massage therapist. I only have a week left of work but hopefully I can subside inflammation before baby comes (in 2 months) because I wouldn’t want to continuously have this problem from now until 6-12 months of baby…😳 I’d imagine it may be difficult since I still get swelling (edema) in my hands and feet

WoWGirl
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I have pain in right wrist, I am a mother of one year old baby. How much time it takes to be cured by anti inflammatory medicine. When to start phsio exercise, after curing the pain completely? Does UST and SWD physiotherapy will help in this.

ank
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I’m facing this pain from thumb to wrist soon after my delivery. It’s been 7 months I’m having severe pain and I also had that steroid injection in tendon but soon after that my pain came back
I can’t even write using my thumb what should I do

MyLittleSpoonfull
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I think I've developed this injury after straining my wrist while boxing. Punched the pad at the wrong angle and felt a shooting pain through my hand and through my wrist. 6 months on and am still in extreme pain. Painkillers and exercises haven't helped. I think it might be a hairline fracture

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