Physiotherapy Treatment of De-Quervain diseases

De-Quervain diseases 

Defination: Inflammation of the tendon sheaths of abductor pollicis longus and extensor pollicis brevisat the point where they cross styloid processof radius.

Etiology

·         Most common in females

·         And in old age people.

Causes

·         Repeated movements (radial deviation) of wrist which causes repeated friction and cause microtrauma.  

·         Sign and symptoms

·         Pain and tenderness over base of thumb and in anatomical snuff box

·         Swelling

·         Painful wrist movements with weakness of grip

Special test

·         Finkelstein test( http://www.brainyphysio.com/2014/04/normal-0-false-false-false-en-us-x-none.html )

Treatment

·         Drugs therapy to decrease pain and inflammation

·         Physiotherapy

·         Surgical treatment

Physiotherapy treatment

·         Ice massage in early stage to reduce pain

·         Small hand splint in functional position with immobilization of thumb to restrict the movement.

·         Later, ultrasound and deep heating modality to reduce inflammation, pain and increase healing process.

·         Kinesio-taping to reduce pain, swelling and for fast healing.

·         Mulligan taping for stabilization and immobilization.

·         In the surgical cases post-surgical physiotherapy is required.