Physical Therapy for Wrist Tendinitis

Physical Therapy for Wrist Tendinitis Blog

Wrist tendinitis, sometimes called De Quervain’s syndrome (or De Quervain’s Tenosynovitis) is an inflammation that causes swelling and pain in the wrist and lower thumb area. It is a frequent diagnosis among people who produce the same type of movements throughout the day with the wrist and the hand. Repetitive strain injury is what this syndrome called. Some physicians consider this disease a wrist tendinitis. Medical science says this condition has also been associated with rheumatoid arthritis as well as pregnancy.
Using woodworking tools as well as even a computer mouse can add to this diagnosis over time. If you love hammering, using screws or even knitting, you most probably will face De Quervain’s syndrome sooner or later.

The symptoms that may bother you in this case are:

  • thumb pain
  • side wrist pain
  • gradual or sudden ache in the wrist area
  • brisk wrist gestures that cause abrupt sharp pain sensation
  • swelling in the area
  • painful or problematic attempts of moving the wrist
  • snaps when moving the thumb
  • numbness of index finger or the thumb.

Rest as well as ice can temporarily alleviate aches, but unless treated, symptoms will return with repetitive activities.
Physical Therapy Treatment for Wrist Tendinitis As with many repetitive strain injuries, muscle imbalances often contribute to wrist tendinitis. Overworking some muscles to the neglect of opposing muscles can place strain on joint structures like ligaments, tendons and nerves that can lead to joint pain and deterioration. Stretching tight muscles while strengthening weak opposing muscles often helps resolve RSIs.

Physical therapy for wrist tendinitis is directed at relieving pain and restoring normal function. Your therapist is likely to take a multimodal approach to treating your wrist tendinitis.

Some treatment options include:

  • ultrasound
  • soft tissue mobilization
  • muscle stimulating techniques
  • stretching techniques
  • myofascial release
  • grip and thumb strengthening exercises
  • splinting to rest and relax the thumb and wrist
  • education on activity modification

Wrist Tendinitis Treatment in NYC If you are suffering from wrist tendinitis, the joint pain specialists at NYDNRehab can help. The rehab team combines cutting edge technologies with years of hands-on experience to diagnose and treat your wrist tendinopathy. At NYDNRehab, we don`t just treat your symptoms, we get to the source of your pain and correct it. Do not suffer needlessly from wrist tendinopathy. Call NYDNRehab today, and discover why we are the very best joint ache specialists in NYC.

 

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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