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DeQuervain Tendinopathy Hand Therapy



“Working with a knowledgeable hand therapist can make the difference between success and failure in complex hand surgical cases. The therapist extends the continuum of our care, as well as functioning as coach and trainer for our patients.”

Marybeth Ezaki, MD, Past President, American Society for Surgery of the Hand

In Phoenix Rehab, our senior hand therapists are experienced licensed and dedicated therapists (physiotherapists and/or occupational therapists) who specialized ONLY in the rehabilitation, treatment and management of painful fingers, hands, wrists, forearm & elbow conditions, because of interest, passion and expertise.

DeQuervain tendinopathy involves the tendons that run along the thumb side of the wrist.

These tendons anchor muscle to bone, and the tendons associated with this condition help to pull the thumb out and away from the palm.

These tendons travel under a “tunnel,” known as the first dorsal compartment, as they approach the base of the thumb. The patient will typically notice aching or sharp pain in this area as wrist and thumb motions move the tendons back and forth under the tunnel.

What are the symptoms of DeQuervain tendinopathy?

Most of the time, pain will be noted along the thumb side of the wrist, and can extend down the thumb or up the forearm.  Patients will complain of pain when reaching across the palm with the thumb, pinching or with movements of the wrist.

A twisting motion, such as wringing out a washcloth, can also create pain.

What causes DeQuervain tendinopathy?

DeQuervain tendinopathy, also known as DeQuervain tendonitis or DeQuervain tenosynovitis, is thought to be from thickening and narrowing of the first compartment tunnel, or may occur because of inflammation or degeneration of the tendons of the first compartment.

This restricts the thumb tendons from gliding freely and smoothly through the tunnel.

It can be associated with overuse, or in some situations...it may develop for no apparent reason.

Often new mothers will develop DeQuervain tendinopathy, thought to be caused by swelling and hormonal changes that occur with pregnancy and delivery, as well as the activities associated with mothering eg

  • lifting and putting baby down
  • feeding
  • changing
  • showering

What is the treatment for DeQuervain tendinopathy?

Treatment for DeQuervain’s can be surgical or conservative (non-operative).

Conservative treatments your doctor might recommend include anti-inflammatory medications or a steroid injection into the painful area as well as provide a referral to our senior hand therapists for evaluation and hand therapy.

Surgical intervention might be recommended for severe symptoms lasting six months or longer that's persistent, unresolved or chronic.

Surgery involves an incision to open up the first compartment tunnel to restore smooth gliding of the thumb tendons (termed as a "release").

Fortunately, most patients do not need surgery and can be successfully treated conservatively.

What can a hand therapist do for me?

Our senior hand therapists can provide conservative treatment for DeQuervain tendinopathy.

We help the patient determine which activities aggravate the symptoms and help with activity modification. We may recommend a custom-fabricated orthosis, for the wrist and thumb to provide rest for the injured tissues.

Following surgery, hand therapy is important to restore range of motion and return the patient to full activity.

Patients may also receive the following hand therapy treatment modalities:



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Phoenix Rehab Physio Services

Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.



HAND THERAPY & CUSTOMIZED SPLINTING

Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, usually will benefit / require Hand Therapy to

  1. manage and decrease hand pains
  2. improve range of motion, strength and dexterity
  3. increase the function of their hand following injuries or post-operations

Commonly treated hand pain injuries includes



REFORMER CLINICAL PILATES & WELLNESS PILATES

Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.

It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.



TRADITIONAL CHINESE MEDICINE (TCM)

  • Cupping TCM
  • Auricular Therapy TCM
  • Herbal TCM Medicine & Supplementation



DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY

Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to accelerate recovery and  shorten downtime / recovery period required.

It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.

Read the benefits of regular deep tissue release therapy here.



ALTERNATIVE THERAPIES

All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

do Tell Your Family, Friends And Colleagues About Us =)

We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself.

We prefer not to rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

book an appointment today
(or check your pains / injuries)

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