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Overcoming De Quervain's Tenosynovitis

tenosynovitis

Fortunately, individuals suffering from this condition can find relief through a combination of physical therapy and chiropractic care. In this blog post, we will explore how these two therapies work together to alleviate the symptoms of De Quervain's tenosynovitis and improve overall wrist health.

Understanding De Quervain's Tenosynovitis

De Quervain's tenosynovitis is commonly associated with repetitive hand and wrist movements, such as texting, typing, gardening, or carrying heavy objects. The condition primarily affects the tendons of the abductor pollicis longus and extensor pollicis brevis, which extend the thumb away from the hand.

The symptoms of De Quervain's tenosynovitis include pain and tenderness on the thumb side of the wrist, swelling, difficulty gripping objects, and a snapping sensation when moving the thumb. Without proper management, the pain can become chronic, limiting one's ability to perform everyday tasks.

Role of Physical Therapy

Physical therapy plays a crucial role in the treatment of De Quervain's tenosynovitis. A licensed physical therapist will conduct a comprehensive evaluation to assess the extent of the condition and develop a personalized treatment plan. Here are some ways physical therapy can help:

  1. Restoring Range of Motion: Physical therapists use various stretching and range-of-motion exercises to improve flexibility and decrease stiffness in the affected wrist and thumb. This helps reduce discomfort and enhances the joint's overall functionality.

  2. Strengthening Exercises: Strengthening exercises are essential to stabilize and support the affected wrist and thumb. Therapists will guide patients through targeted exercises to strengthen the muscles surrounding the tendons, helping to alleviate strain on the inflamed area.

  3. Manual Therapy: Hands-on techniques such as massage and joint mobilization can aid in reducing inflammation and promoting healing. Manual therapy also enhances blood flow, which is vital for tissue repair.

  4. Ergonomic Guidance: Physical therapists can provide valuable advice on ergonomics and proper body mechanics to prevent exacerbating the condition. Learning correct postures and movements can significantly reduce strain on the affected wrist.

Role of Chiropractic Care

Chiropractic care focuses on the musculoskeletal system and its impact on overall health. Chiropractors can be beneficial in managing De Quervain's tenosynovitis in the following ways:

  1. Spinal Alignment: Chiropractors examine the spine to identify any misalignments or subluxations that may contribute to wrist and hand issues. Adjustments can correct these misalignments, which may indirectly alleviate pressure on the affected tendons.

  2. Nerve Compression Relief: Sometimes, nerve compression in the neck or upper back can contribute to wrist pain. Chiropractic adjustments can help relieve this pressure, leading to reduced discomfort in the wrist and thumb.

  3. Rehabilitation Exercises: Chiropractors may recommend specific rehabilitative exercises that complement the physical therapy plan. These exercises can aid in improving wrist stability, strength, and flexibility.

  4. Lifestyle Recommendations: Chiropractors often provide lifestyle advice to patients, which may include dietary changes, stress management techniques, and exercises to do at home to support the healing process.

Conclusion

De Quervain's tenosynovitis can be a painful and limiting condition, but the good news is that effective treatment options are available. By combining the expertise of physical therapists and chiropractors, individuals with this condition can experience significant relief and improved wrist function. Early intervention, proper exercises, and ergonomic adjustments are key to overcoming De Quervain's tenosynovitis and getting back to a pain-free and active lifestyle. If you suspect you have this condition, don't hesitate to seek professional help from a physical therapist and chiropractor to start your journey towards recovery.

Author
Dr. Justin Foltz Founder of Pittsburgh Physical Medicine and practicing chiropractor for over 12 years.

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