Emily R Howell1. 1. Ashbridge's Health Centre, 1522 Queen St. East, Toronto, ON M4L 1E3; dremilyhowell@hotmail.com.
Abstract
OBJECTIVE: This case study was conducted to evaluate the conservative management of a patient presenting with right sided wrist and thumb pain diagnosed as De Quervain's tenosynovitis/tendinopathy. CLINICAL FEATURES: A 49-year-old female warehouse worker and recreational cyclist with right-sided De Quervain's tenosynovitis/tendinopathy that began after a long-distance cycling trip. INTERVENTION AND OUTCOME: Treatment included ultrasound, soft tissue and myofascial release therapy, tool assisted fascial stripping or "guasha", acupuncture, mobilizations and kinesiology taping. Home advice included icing, rest, wrist bracing, elevation and eccentric rehabilitation exercises. The positive outcome was a complete resolution of the patient's complaint. SUMMARY: This case demonstrates how De Quervain's disease is a challenging condition to treat with conservative methods and can be aggravated with new exacerbating factors as treatment continues. In this case, the addition of the active care (including eccentric exercises and self-care) helped to reinforce the passive care given in the office and accelerate the recovery.
OBJECTIVE: This case study was conducted to evaluate the conservative management of a patient presenting with right sided wrist and thumb pain diagnosed as De Quervain's tenosynovitis/tendinopathy. CLINICAL FEATURES: A 49-year-old female warehouse worker and recreational cyclist with right-sided De Quervain's tenosynovitis/tendinopathy that began after a long-distance cycling trip. INTERVENTION AND OUTCOME: Treatment included ultrasound, soft tissue and myofascial release therapy, tool assisted fascial stripping or "guasha", acupuncture, mobilizations and kinesiology taping. Home advice included icing, rest, wrist bracing, elevation and eccentric rehabilitation exercises. The positive outcome was a complete resolution of the patient's complaint. SUMMARY: This case demonstrates how De Quervain's disease is a challenging condition to treat with conservative methods and can be aggravated with new exacerbating factors as treatment continues. In this case, the addition of the active care (including eccentric exercises and self-care) helped to reinforce the passive care given in the office and accelerate the recovery.
Entities:
Keywords:
De Quervain’s disease; chiropractic; exercise; rehabilitation; tendinopathy; tendinosis; tenosynovitis
Authors: Bionka M Huisstede; Marienke van Middelkoop; Manon S Randsdorp; Suzanne Glerum; Bart W Koes Journal: Arch Phys Med Rehabil Date: 2010-02 Impact factor: 3.966