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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain In Wrists Thumb And Elbow

About three weeks ago I started getting pains in both wrists, my thumbs and one elbow. More recently there has been a swelling on wrists and hands. Most mornings I find it difficult to do anything requiring strength with hands or wrists and rather painful. This wears off to some extent as the day progresses. I am a male aged 75 years, very fit and not overweight. I have high blood pressure controlled by medication, Haemochromatosis controlled by periodic venisection and Dupuytren s Conractures. Could this be anything other than arthritis? For example RSI due to computer use and frequent cycling with multiple gear changes engaging thumbs or accumulation of iron in the joints due to haemochromatosis? Many thanks
Thu, 7 Jul 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

thank you for providing the brief history.

As you have Dupuytren's contracture, along with this you use your thumb more I suspect it to be de quervain:s tenosynovitis. the de Quervain's Tenosynovitis is a hand condition affecting a patient's ability to control movement of their thumb. There are two tendons which control thumb movements. These tendons are housed in a small tunnel or sheath which is lined with a soft, smooth tissue layer called synovium.

Trying out simple exercise for the hand and fingers should be beneficial. using hot water fermentation should help to ease pain as well.

Regards
Jay Indravadan Patel
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Suggest Treatment For Pain In Wrists Thumb And Elbow

hi, thank you for providing the brief history. As you have Dupuytren s contracture, along with this you use your thumb more I suspect it to be de quervain:s tenosynovitis. the de Quervain s Tenosynovitis is a hand condition affecting a patient s ability to control movement of their thumb. There are two tendons which control thumb movements. These tendons are housed in a small tunnel or sheath which is lined with a soft, smooth tissue layer called synovium. Trying out simple exercise for the hand and fingers should be beneficial. using hot water fermentation should help to ease pain as well. Regards Jay Indravadan Patel