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Pain in thumb movement and hand
It's been 05 months but no one able to diagnose same..many physiotherapy session done...nothing releive swelling or hand movement..condition is De Quervain's tenosynovitis as per every doctor...we're fed up now...actually no one knows the answer..his working right hand is not functional at all..Please help me if anyone know what is the best...some say tens is not good... some say hot pack...some say wearing brace is not good..Please help us
Answers (11)
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To provide the best treatment plan, I need to understand your past medical history and current concerns in detail. Based on that, I will suggest personalized physiotherapy solutions to help you recover effectively and achieve your health goals.
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1- Do MRI
2- Take ultrasound , laser only for 20days
3- apply ice every 1hr once 5mints
4- take anti inflammatory drugs as per ortho
5- wear a splint for de quavarens
6- try myofascial trigger release
7- apply volini cream
8- REST .
9- IF NOT put steroid injection as per orthos .
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If the doc found it as De-quervain, then there is only option you can do is to follow dr.s advice.
Wear Thumb splint, avoid weight lifting or working with the hand, icing/hot pack tiwce a day.
In Physiotherapy only US and IR can be given to reduce pain but if it's not effective then i suggest you to take pemf sessions. Thus will help reduce the pain and repairs the damaged nerve or else have to go through surgery.
I have done many cases, healed all of them with just needling and pemf sessions.
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First Identify the cause causing slowing of healing like :
Blood sugar levels, vit D3 deficiency , VIT B12 deficiency , thyroid etc.
Identify the cause of pain like residual Stiffness or inflammation?
Treatment: stiffness - only HP & exercises
If inflammation - US & brace
Plan a treatment accordingly.
Next Steps
Can book a consultation
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Hello , first you have to understand that pain mangement modalities are not a only solution for de quervain's synovitis , you should go through proper rehabilitation, that is the permanent solution for that , it's take certain months, here I will mention a protocol, try to understand and get proper physio rehab any near by physiotherapist.
Phase-wise Rehabilitation:
Phase 1 (0-2 weeks):
1. Pain management
2. Gentle range of motion exercises
3. Isometric strengthening
Phase 2 (2-6 weeks):
1. Progressive strengthening
2. Dynamic stretching
3. Mobilization techniques
Phase 3 (6-12 weeks):
1. Advanced strengthening
2. Functional activities (e.g., gripping, twisting)
3. Return to sports or activities
Consult a physiotherapist experienced in treating De Quervain's tenosynovitis to develop a personalized rehabilitation plan.
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Hi
Please get ultrasound therapy and hot pack
Brace is essential and should be wear all the time
Please don’t so any stretching exercises just try to keep in neutral position .
Need to know more information like what mode of work, what type of activity is disturbing the movement.
Next Steps
Please do consult online.
Health Tips
Avoid weight bearing if possible.
Thanks
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According to my understanding this conditions is a chronic conditions.
Please use contrast bath.
That is TAKE TWO BUCKETS IN ONE BUCKET PUT HOT WATER AND IN OTHER BUCKET PUT COLD WATER( ICE COLD WATER) .
THEN DIP YOUR HAND IN HOT WATER FOR 3 MINS AND NEXT REMOVE THE HAND AND DIP IN COLD WATER FOR 2 MINS.
Do this for 3 time a day
Next Steps
Consult a physiotherapist
Health Tips
resting the hand helps
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You need to relieve your swelling first , reduce the work and provide rest to the joint , while maintaining the strength
Next Steps
For reducing swelling go with the modalities like ultrasound and hot pack. You can also do compression bandages that will help. To reduce the work and decrease the load , there is Taping used , while to maintain your strength you to have so active exercise and stop stretching your tendon
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Dr. Jacob Roshan Mathew (PT)
Physiotherapist
21 yrs exp
Bangalore
Taping the thumb could help. Also wrist the thumb mobilization will help.
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Dr. Avijit Das (PT)
Sports and Musculoskeletal Physiotherapist
4 yrs exp
Kolkata
Hi I need to see the condition and to check some clinical movement.
Next Steps
Please take an online consultation for best diagnosis and treatment.
Health Tips
Wrist joint splint.
Rest.
Follow up after 1 wk.
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Ms. Shefali Gandotra (PT)
Physiotherapist
20 yrs exp
Jammu
Moist heat, splint usage will help. Ultrasonic n TENS will improve ur condition
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