Welcome to episode 118 of The Optimal Body Podcast
DeQuervains Syndrome- Wrist Pain or Thumb Swelling?
Pain or swelling around the thumb side of your wrist? This PT Pearl gives you the rundown of what might be happening! Dr. Jen & Dr. Dom dive into what DeQuervains Syndrome and the tendons associated with it. Also known as Gamer’s thumb and Mother’s thumb, Dr. Dom coins the term “Mellenial’s Thumb,” discussing the association between the use of technology and DeQuervian’s syndrome. Furthermore, they explain the use of Finkelstein’s Test and potentially modifying it as a part of the treatment protocol. They present the latest understandings around DeQuervains Syndrome, shifting away from a condition that is caused solely by inflammation. Nonetheless, they give you the rundown on traditional treatment protocols of pain management through splinters and injections, and the importance of moving from passive treatment modalities (e.g ice. rest. injections) to active modalities to create long-term true change. Learn how to make the most of your rehabilitation by asking the right questions to your health insurance company, educate yourself about the syndrome, and empower yourself with the understanding and approach to addressing your tendencies and symptoms!
What You Will Learn in this PT Pearl:
0:42– What is DeQuervain Syndrome?.
2:46 – Prevalence of DeQuervain Syndrome.
3:10 – Finkelstein’s Test.
5:55 – Shifting away from ‘itis.’
6:13 – How to approach sensations with the DeQuervain Syndrome?
9:14 – Shots & Injections.
11:38 – Shots & Injections aren’t your long-term solution.
12:09 – Addressing Insurance Protocol.
13:00 – Surgical treatment.
14:01 – (P)Rehabilitation.
16:14 – More than just the thumb.
To Watch the PT Pearl on YouTube, click here: https://www.youtube.com/docjenfit/watch/
Research Citations
Akhtar, M., Gillani, S., Nadeem, R. and Tasneem, M. (2020). Methylprednisolone Acetate Injection with Casting versus Casting alone for the Treatment of De-Quervain’s Tenosynovitis: a randomized controlled trial. Journal of the Pakistan Medical Association, (0), p.1. https://jpma.org.pk/article-details/10049?article_id=10049
Cushman, D.M., Carefoot, A., Lisenby, S., Caragea, M., Fogg, B. and Conger, A. (2020). A systematic review of the efficacy of corticosteroid injections of tendon sheaths, excluding stenosing tenosynovitis of the wrist and hand. American Journal of Physical Medicine & Rehabilitation, Publish Ahead of Print. https://journals.lww.com/ajpmr/Abstract/9000/A_systematic_review_of_the_efficacy_of.97848.aspx.
OrthoInfo. (2013). De Quervain’s Tendinosis – Symptoms and Treatment – OrthoInfo – AAOS. [online] Available at: https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis.
Physiopedia. (2011a). De Quervain’s Tenosynovitis. [online] Available at: https://www.physio-pedia.com/De_Quervain%27s_Tenosynovitis.
Patel, K.R., Tadisina, K.K. and Gonzalez, M.H. (2013). De Quervain’s Disease. Eplasty, [online] 13. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3723064/.
Urits, I., Smoots, D., Anantuni, L., Bandi, P., Bring, K., Berger, A.A., Kassem, H., Ngo, A.L., Abd-Elsayed, A., Manchikanti, L., Urman, R., Kaye, A. and Viswanath, O. (2020). Injection Techniques for Common Chronic Pain Conditions of the Hand: A Comprehensive Review. Pain and Therapy, 9(1), pp.129–142. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203307/
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