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Can Physiotherapy Exercises Effectively Treat De Quervain’s Tenosynovitis Issue?

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Posted on Fri, 8 Dec 2023
Question: HI



in october 2017 I had De Quervain’s Tenosynovitis issue,



issue root cause: we had a shower in bathroom ,shower handle which helps in changing the hot to cold and cold to hot is very short and very tight.



Four months timeframe I used to apply pressure of the thumb daily to shower handle.)

then i got affected with the issue



I took acemiz mr and rest ant ice packs for 10 days .and still pain is somewhat there when I tried to grip something.

First time :

I went to doctor and he took x ray and nothing he found .



He told to take ultrasound for 4 days and rest the wrist.



After that I took care for 1month and pain almost got relived.



Second time :

And then my baby bended backwards while she is in my hands . then again it started to hurt a lot.



Again I went to one more orthopedaic at my home,he took x ray again and nothing issues he found.he prescribed ultrasound for 4 days and told that it is a ligament issue will take few months to get relived.

I asked if some stretching are there to gain strength in muscles

He told nothing is there



Important note: when I went for physiotherapist in XXXXXXX first time physiotherapist prescribed some exercises



Given below exercises she preferred:

https://www.healthline.com/health/de-quervains-tenosynovitis-exercises#wrist-flexion



Exercise 5: Wrist flexion

Exercise 6: Wrist extension

Exercise 7: Wrist radial deviation strengthening





My 3 questions



Is this exercises really help a lot which physiotherapist preferred?



Is any more exercises in the link I given will be useful for my issue.?



https://www XXXXXXX in/Life-Handheld-Ultrasound-Massager-Relief/dp/B01N445E73/ref=cm_cr_arp_d_product_top?ie=UTF8



https://www XXXXXXX in/Ultracare-Portable-Ultrasound-Massager-Shoulder/dp/B0153FDCCY/ref=cm_cr_arp_d_product_sims?ie=UTF8



I saw some online ultrasound devices online is companies are worth?



I find difficult to got physios in my job routine and stomach is not accepting painkillers
doctor
Answered by Dr. Aashish Raghu (9 hours later)
Brief Answer:

Answers to your queries

Detailed Answer:

Hi,

Answers to your questions -

1) Yes, Physiotherapy is very essential to help in the recovery of DeQuervain tenosynovitis. Strengthening of the makes involved is good.

2) No need to add any other exercises. Although I feel surgery will help in the relief because you are having severe symptoms. Have you tried using thumb spica splint at night?

3) Yes, Ultrasound massager by Ultracare brand can be used as mentioned.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Aashish Raghu (15 minutes later)
Hi Doctor,

now the symtoms got reduced,but resting is hard to follow ,now i feel pain lightly in between,

but i need to very careful the problem is my stomach is not accepting pain killers.
so i thought of having ultra care machine in between when i feel pain,not to use pain killers .

so any multivitamin tablets would speed up recovery process .

in dec last i had second time physio after that i am very careful after that ,
when lifting my baby also i am careful,

so iam thinking of ways to recover faster.




ttps://www XXXXXXX in/SportSoul-Wrist-Support-Thumb-Wrap/dp/B011M96TLQ/ref=sr_1_3?s=hpc&ie=UTF8&qid=0000&sr=1-3&keywords=wrist+bands&dpID=41GsbxGFEVL&preST=_SY300_QL70_&dpSrc=srch


https://www XXXXXXX in/support-Elastic-Support-Protector-Sleeve/dp/B076CVYGJH/ref=sr_1_1?s=hpc&ie=UTF8&qid=0000&sr=1-1&keywords=wrist+support+elastic&dpID=31pe%252B6z5fKL&preST=_QL70_&dpSrc=srch

https://www XXXXXXX in/Arsa-Medicare-Support-Compression-Protector/dp/B01MY95HSN/ref=sr_1_2?s=hpc&ie=UTF8&qid=0000&sr=1-2&keywords=wrist+support+elastic&dpID=51qreUinjwL&preST=_SX300_QL70_&dpSrc=srch
which one can i use or any one them is fine
doctor
Answered by Dr. Aashish Raghu (11 minutes later)
Brief Answer:

Thumb spica splint

Detailed Answer:

Hi,

You can take Efficient plus multivitamin Tablet once a day for 3 months.

You can purchase this thumb spica splint from this link

Cheetah Thumb Spica Splint (Uni) https://www XXXXXXX in/dp/B00I8LKZ8A/ref=cm_sw_r_cp_api_i_FXKKAb67P5T2J.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Aashish Raghu (7 hours later)
Hi DOctor,

thanks for info,

ultra ssound dosage or how many days i need to do normally or XXXXXXX .

some basic dosage about ultra sound can you tell me,

i cannot find efficeint plus in my area or 1mg website i normally use,
can you suggest any?

with regardds XXXXXXX
doctor
Answered by Dr. Aashish Raghu (20 minutes later)
Brief Answer:

Needs Physiotherapist to decide

Detailed Answer:

Hi,

The duration and intensity of the ultrasound therapy is best decided by an experienced Physiotherapist.

Do consult one before you start using it because there are many variables based on your skin and symptom severity which only your Physiotherapist can examine you and decide.

You can take Becosules Tablet which is a multivitamin.

Hope I have answered your query.

Take care

Regards,
Dr Aashish Raghu, Orthopaedic Surgeon
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5482 Questions

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Can Physiotherapy Exercises Effectively Treat De Quervain’s Tenosynovitis Issue?

Brief Answer: Answers to your queries Detailed Answer: Hi, Answers to your questions - 1) Yes, Physiotherapy is very essential to help in the recovery of DeQuervain tenosynovitis. Strengthening of the makes involved is good. 2) No need to add any other exercises. Although I feel surgery will help in the relief because you are having severe symptoms. Have you tried using thumb spica splint at night? 3) Yes, Ultrasound massager by Ultracare brand can be used as mentioned. Hope I have answered your query. Let me know if I can assist you further.