overuses syndromes of the wrist and hand

Question 1

discuss de quervain’s tenosynovitis

Answer 1

tenovaginitis of APL and EPB

dec function of hands

pain and swelling over radial styloid

(+) finklestein’s test

Question 2

discuss trigger finger

Answer 2

nodule formation or thickening w/in flexor tendon sheath - interferes c ROM

inflammation, redness and swelling

finger locks in flexion - unlocked by passive xt or snaps

most common in ring finger then 3rd finger

Question 3

discuss intervention scenario for protection phase

Answer 3

restore: function through controlling pain and limit adhesions

Question 4

discuss protection phase

Answer 4

pt educ - de quervain will resolve after few wks while trigger is longer and may need surgery

modalities - US, cold packs, ice packs and massage for de quervains

splinting

cross fiber massage

muscle setting

tendon gliding

Question 5

discuss controlled motion and return to function phase

Answer 5

stretching

strengthening ex

endurance ex

prevention - self monitoring and biomech assessment