Dr. Muhammad Saleem Nawaz Sandhu – Physiotherapist in Lahore

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Dr. Muhammad Saleem Nawaz Sandhu - Physiotherapist in Lahore
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De Quervain's Tenosynovitis Treatment | Johar Medicare Lahore

De Quervain's Tenosynovitis: Comprehensive Guide and Treatment in Lahore

What is De Quervain's Tenosynovitis?

De Quervain's Tenosynovitis is a painful condition that affects the tendons on the thumb side of your wrist. It occurs when the tendons around the base of the thumb become irritated or constricted, leading to swelling and pain during thumb or wrist movements. It commonly affects people who perform repetitive hand or wrist movements.

Causes

  • Repetitive hand and wrist movements (e.g., texting, gaming, lifting)
  • Overuse or strain of the wrist and thumb
  • Pregnancy-related hormonal changes
  • Rheumatoid arthritis or other inflammatory conditions
  • Direct injury or trauma to the wrist

Symptoms

  • Pain near the base of the thumb
  • Swelling on the thumb side of the wrist
  • Difficulty gripping or pinching
  • Pain that worsens with thumb or wrist movement
  • "Sticking" sensation when moving the thumb

Diagnosis

Diagnosis of De Quervain’s Tenosynovitis is mainly clinical. A simple test known as the Finkelstein test may be performed by a physiotherapist or doctor to confirm the condition. Imaging like ultrasound or MRI is rarely required unless symptoms suggest other issues.

Differential Diagnosis

  • Osteoarthritis of the thumb
  • Trigger finger
  • Carpal tunnel syndrome
  • Scaphoid fracture
  • Tendinitis of other tendons

Treatment Options

The goal is to reduce inflammation and prevent recurrence:

  • Rest and activity modification
  • Ice therapy
  • Anti-inflammatory medications
  • Thumb spica splinting
  • Steroid injections (in some cases)

Physiotherapy Management

Physiotherapy plays a crucial role in non-surgical treatment of De Quervain’s Tenosynovitis:

  • Range of motion exercises
  • Soft tissue mobilization
  • Wrist and thumb strengthening
  • Ultrasound therapy and TENS
  • Activity modifications and ergonomic advice

Precautions

  • Avoid repetitive thumb movements
  • Maintain good wrist posture during activities
  • Use ergonomic tools
  • Take frequent breaks during hand-intensive tasks

FAQs (Accordion Format)

What is the main cause of De Quervain’s Tenosynovitis?
Repetitive movements of the wrist and thumb, such as texting, lifting, or gripping, are common causes.
Is De Quervain’s common in Lahore?
Yes, it is often seen in individuals using smartphones or computers frequently, especially among housewives and office workers.
Who is the best physiotherapist in Lahore for De Quervain’s?
Johar Medicare is known for experienced physiotherapists and personalized care plans in Lahore.
How long does it take to recover?
With proper physiotherapy and rest, most people recover in 4 to 6 weeks.
Can this condition become chronic?
Yes, if not treated early, it can become a chronic pain issue requiring longer therapy.
Is splinting necessary?
Yes, splinting helps in immobilizing the thumb and reducing inflammation.
Can exercises worsen the condition?
If done incorrectly, yes. Always follow a physiotherapist’s guidance.
What exercises are recommended?
Range of motion, tendon gliding, and light strengthening exercises are useful.
Do I need surgery for De Quervain’s?
Surgery is rarely required and is reserved for severe or non-responsive cases.
Does it affect both hands?
It usually affects the dominant hand, but can affect both in some cases.
Is De Quervain’s related to arthritis?
It can be related to inflammatory conditions like rheumatoid arthritis.
Can I continue my job?
Yes, with proper rest and modified activities under guidance.
Is this condition painful at rest?
Pain usually worsens with movement, but can occur at rest in severe cases.
What is the cost of treatment in Lahore?
Physiotherapy costs vary; Johar Medicare offers affordable packages tailored to individual needs.
Can I prevent recurrence?
Yes, with ergonomic corrections, strengthening, and avoiding repetitive stress.

For expert care and physiotherapy in Lahore, visit Johar Medicare for personalized treatment of De Quervain's Tenosynovitis and other musculoskeletal conditions.

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