De Quervain Tenosynovitis (DQT) Management & Treatment
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- Опубліковано 19 тра 2024
- DISCLAIMER: This content (the video, description, and comments) is intended for general education and demonstration purposes and is not intended as medical advice or a treatment plan. Please use your common sense while performing the exercises. This content is not intended to be used to self-diagnose or self-treat any health or medical condition. Please do consult with your healthcare professional before doing anything contained in this content. You agree to indemnify and hold harmless Woodbine Physiotherapy and its officers for any and all losses, injuries, or damages resulting from any and all claims that arise from your use or misuse of this content. Woodbine Physiotherapy makes no representations about the accuracy or suitability of this content. Use of this content is at your sole risk.
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DQT - also known as the "Mommy's thumb" or "Blackberry thumb" is a common cause of pain in the thumb side of your wrist. This is usually related to repetitive strain of the thumb tendons under the retinaculum sheath. The two main tendons affected are APL (Abductor Pollicis Longus) and EPB (Extensor Pollicis Brevis).
2 Tests to Identify and confirm DQT
a) Palpation Test ( static & thumb movement)
b) Finkelstein Test ( gripping thumb in your fist and adduct the wrist)
Management Progression is listed below.
1) Early Stage - lots of pain and tenderness with little movement
a) Rest
b) Splinting with Thumb Spica Splint
c) Activity modifications - breastfeeding, picking up the baby etc.
d) Medical management - Advil, Tylenol, Voltaren EmuGel, Cortisone
Injection
e) Massage of the muscles INSTEAD of directly on the tendons
2) Intermediate Stage - pain occurs with certain movements and when you
need to use more force.
a) ROM ( Range of Motion) Exercises
b) Stretching exercises of the thumb and the wrist
c) "Finkelstein" Stretch with thumb in the grip
3) Late Stage - pretty much pain-free but feels weakness
a) Rubber band exercises - Abduction & Extension
b) Gripping and squeezing exercises
DQT usually takes a few months to recover as the cause is usually a gradual onset with repetitive use so be patient with your recovery process and don't give up too quickly.
The irony of me thumbing up this video with my pain thumb is priceless. Hands down this is the best video I found on this subject. Thank you
Hands down, Thumb up 🙂
I totally agree!
Such an incredibly helpful video. Toronto locals are so lucky to have you!
WOW... THIS IS THE BEST VIDEO I HAVE SEEN ON DE QUERVAINS SYNDROM...ITS MONTHS I AM SUFFERING & NO DOCTOR WANTS TO SEE ME BECAUSE OF COVID & ALL THEY PRESCRIBE IS ANTI INFLAMATORY, WHICH RELIEVE A LITTLE BUT NOT CURED AT ALL...THANK YOU FOR THIS VIDEO...YOU RE AWESOME...THANK YOU SOO MUCH!!
Great video. I had issues a few years ago and couldn’t fix it for nearly 2 years. As a professional musician it was absolutely horrendous. I occasionally get tiny flare ups and the information in this video is not only informative but also very helpful to treat the issue.
This is SO helpful, especially when you acknowledge it’s not practical to use a splint or brace while caring for a baby. Thank you for so many angles and details!
In the early stages you will feel the clicks,then as u get better they will go.
By far THE MOST THOROUGH and helpful video on the subject. My thumb and wrist and I thank you from the bottom of my heart.
This is the most helpful video I have seen on this subject. Thank you very much!
I just stumbled on this in a search for answers. You described my condition exactly. I’ve been suffering five months. I think I initially irritated the area trying to open a stuck window. It’s the kind you use two thumbs to push the springs inward and lift. I’m going to try your technique. I’m praying it works. I will save this video. Thank you!
thank you so much! my wrist has been hurting for SOOOO long and no doctor can help! you learn the best stuff online!
update?
Thank you for sharing your expertise....doing my best to avoid surgery for DQT but the pain has been very persistent for a couple of months now.
Thank you so much ..for sharing this...with God mercy my thumb pain will be healed... thanks be to God...
I love how clear you explain everything, and the how you broke it down for everyday use and explained when I should actually start the exercises!
I'm an artist and I've pushed myself too much without breaks last month, which caused my tendons to ache, and it caused me so much fear and stress. My friend lost use of his right hand for months because of serious inflammation and I was scared that would happen to me too. This video helped me understand it a lot more, thank you!
Thank you for posting this. Your explanation and instructions are excellent. Most appreciated!
Truly the best information I've found! Thank you so much!
WOW this is the best practical info I have found on this subject. Thank you!
I just had my steroids injection few days ago, but the pain is so severe today, glad saw this video, exercises showed here are very helpful. Thank you 😊
Bingo! My right wrist has been hurting for the past 2 months, before finding this video, I didn't even know what I was looking for. Now I not only know what caused the pain, but also learned how to self treat it and how to strengthen the wrist.
I'm bookmarking this video.
Thank you so so much for helping me getting rid of the pain.
Hi dear i cant left my wrist where can i contact you??
Thank you very much, sir! This is greatly helpful for those who have DQT. Before trying it on my mom, I researched the anatomy of the hand. My goodness, it seemed like the area where it swells pinpointed where the APL and EPB are located. So, I tried the test on my mom to see if it hurts, and yes, she said it does. I also tried the stretches and exercises on my mom, and they helped decrease the pain. Thank you!
With my first massage only, my complete hand was pain free ! Of course, I will have to repeat that 3 times a day forca few weeks. Thousand thanks from an old Swiss dude!
Keep em' comin' and thanks for all of the help!!
Thank you so very much! You have helped me avoid surgery!
What a wonderful video and explanation!! The best i have ever seen on this topic!! You are helping soooo many people with all your work! Thank you from the heart :)
Thank you for this... Both of my wife left and right thumb to wrist are very sore after giving birth to our 1st child we will try this exercises ..😊
Excellent presentation. Thank you.
Thank you for this video. I’ve been suffering recurrent pains diagnosed as such. I’ve been looking for exercises like these. Very helpful and will try to employ them
Sprained wrist
update?
Best advice I have seen. Thank you.
Thanks for this thorough and succinct explanation. I'm so glad I found you! 💫
update?
excellent video! The therapist clearly explains the causes for the condition, points out the anatomical parts involved and demonstrates and explains therapeutic exercises. Best and most comprehensive video on
this topic that I have found. Thank you
update?
Very informative! Fie the last 3 years my Wrist, and thumb have been on absolute fire 🔥 I'm hoping these help.. either way THANK YOU SIR!!
This video is helping me the most, I've suffered for 4 months now and those exercises are really working, thanks
So glad to hear this. I have been in pain since 4/23/21 and opted our of the De Quervain Release for now. So will give it a try!
@@joballiviero4277 update ?
@@tryxodus1483 update on you?
Thank you, great explanation, well done and God bless you always
This helps me soooooo much! Thanks for this 🙏🥺🤗
Really helpful, clearly explained and showed how to excise, thank you!
Very nicely explained video. Helped a lot in my thumb pain.. 👍
Very comprehensive. Thank you
Superb.
Thanks.
Thank you very much for this video.
Thanks for great information, OH tried some of your test and it was hurting very much!. And thanks for training tips 👍🏽👍🏽💕💕
Excellent !! U were simple n correct -on dot!!👍
Great excersies will deff try these thank u very helpful dec 2023 will keep u updated 👍🏻👍🏻👍🏻
I just wanted to say thank you so much it really helped I have not as much pain since I'm message at the way you said it it's amazing thank you
Thank You, well done 👍🏻! 😊
Big thanks! Just recently felt pain in the palm near my thumb (where the Thenar muscles are as you mentioned) from climbing! Will hopefully get back to it eventually after 2~3 weeks of wearing a splint! (not at my max climbing level ofc)
Thank you so much this video it helps me alot. Just now the doctor told me i have de querveins tenosynovitis
Great advice. Thank you very much.
So methodical and well explained. Awesome.
Simple , easy and effective thank you.
Great advice ! THANK YOU! I am a massage therapist and on my busy days I end up with sore 👐, doing this exercise have definitely helped.
Thank you so much this has been very helpful.
Great stretching techniques!
Thank you so very much. Very helpful.
This was such a helpful video, you're the bomb
update?
Thank you so much for this information!
thank you so much. this is very helpful!
Thank you so much.
Excellent video.
My wrist was so annoying and painful. Couldn’t move my wrist with basic motion without pain. I put a towel over my wrist and then ran it under hot/warm water for around 10-15 mins. Pain was reduced significantly and 10 mins later my pain was gone. Btw Mines come n go but this time I might of stretched my wrist n a weird position. Too painful for most exercises but I appreciate you time and effort .
Just what I was looking for.
Thank you for this. Is it normal for the tendon sleeve itself to swell also? If not, I might have a bone spur on my wrist… it’s larger than on the other hand and it’s freaking me out.
Did some DIY installing 9 door seals, each one with 5 self taping screws. The following week I had this Dequav@#$@... 😢 syndrome. Almost 3 months now, 2 splinters later its a little better now, but can flare up for no apparent reason and then its back to zero.
But compared to the first days I'm confident it will be gone in 3 months.
Thank you! It helped a lot.
give this guy a like guys! 20k vuews and 500 likes, ugh. this guy deserves more attention
Grazie mille
Thank you sir God bless you really very helpfull
Thank you so much
Thanks for this helpful video. I got de Qervains tenosynovitis from my waitressing job, carrying trays laden with 4-5 thick ceramic dinner plates laden with food to diner's tables. People are so ignorant and lazy, they would see you struggling to balance the tray and with the other hand place the heavy plate in front of them as they lean back or tap on their phones. I got got so much pain and trigger thumb as well doing that for 6 hour shifts. Fuk that, now I just place the edge of the tray on the edge of the table and say 'if you don't mind, please take the plates and pass them around' and stand there till they do. Most do, but some act huffy, but I find if I wear the thumb brace, they all comply.
Nice VDO,Also want know about ring and middle finger pain,pl show....thank you..
do i need to rest 1st in the acute stages or i can just start the exercises with extreme pain?
thankyou for this its useful
This is SO helpful. I have "grandma's thumb". ;-) Thank you!!
Me too! 👵😧
❤❤❤ Thank you!!!
Wow! I just did the massage part and pain went away
Thank you so much for explaining in such a perfect way. I wish I can meet you in Edmonton,but you are in Tronto. I Am taking my massage therapist course right now and I’m very worried 😢about my career due to (thumb) Dequervain’s Tenosynovitis.please reply me I’m just looking for any kind of help. Thank you
Thank you
38 weeks pregnant, and i definitely have this ! I tried both of the tests in this video and both were very painful. Hopefully it goes away postpartum.
Did it go away? I had mine when I was 35 weeks pregnant (right hand), den left hand started when I was 37 weeks pregnant. Now after giving birth, my both hands still hurts so bad.. hard to get up from bed especially after C-sect.
@@Vlynlow09 hi , yes it went away a few weeks after I gave birth.
@@kalyce2509 nice! After how long?
Thanks a lot😢
Thank You!
I developed this injury in both thumbs and wrist from my job
Very useful bro I like it
How many times will do this? Like everynight? Every other day?
Thank you for sharing. It really helps.
I had an injury on my wrist when I was playing in the field and collided with my friend and fell down, since then I had pain in my wrist, at the beginning, it was mild pain in the wrist but later the pain moved to the scapula. now after many years I still have pain in my scapula, I can not move my left toe normally, and can not move my left-hand thumb normally. Can you please diagnose? thank you so much
I have this condition for five months already, and I started taking high frequency magnet training at the hospital a week ago, I really hope it will help, still not feeling the improvements... has anyone overcome this disease? How long did it last for some of you?
Everytime I move bend my wrist how long should you rest your wrist before the exercises? My wrist is not fractured or broken because I got a X ray any advice?
Can someone update your situation after trying these tips? Thank you.
OMG this is the exact issue I’m having and it’s crazy because this just started two days ago when I noticed the pain it’s in my left thumb area and the pain is in the side of my wrist right below my thumb area
What if it hurts when RAISING the hand during the finklesteins test? Still DQT?
Hi, I've tried the exercise you do here. My wrist/thumb hurts worse than it did. Feels like electritcy going through my hand. Its my right hand. Am I doing something wrong? Or what can I do different?
Does stretching cause more inflammation??
Im guitar player and have been struggling with this condition. Trying to rest it but it's been hard.
I've been following your instruction for two weeks, and it's now much worse. Should I continue doing this or follow other videos where the Doctors are saying to wrap it up for several weeks?
i have been wearing splints for month. i didn't do exercises right off the bat. felt too soon. now i'm starting with them. feels a lot healthier
@@TheWebkid70 update?
But if the problem is that your tendon is stretched out and never go back to released how can stretching it even more help?
Very clear I feel empowered to take charge of my own well being
I hope this can help me suffer in Hard pain
Which medicine is best for this pain 😪?
I have no idea what is causing me to have De Quervain's, but I've been diagnosed with it twice in the past 9 months. I don't have a baby and I don't even own a cell phone. I hope this program of rest, stretch, and strengthen will help. Otherwise, I'll have to have surgery, and I'm rather not do that!
How this problem will be cured.I have same problem from last 1 year
When I stretch on my tendon muscle.., everytime I move my thumb round in circles… I feel it clicking.. there’s a click everytime I move my wrist in circles n the same when I do with my thumb.. what are the clicks??
Same here
I have the CLICKS too ...good question thx
Me too... Any answers?
What is that anti-inflammatory rub you said at 6:28 ?? The captions had trouble translating your accent..
it's voltaren
I knew from my twenties I have a malformatiin of my dumbbone or muscle. I don't realy know it is always been and I am used to it.
When move your dumb from the second joint like inwards .. I can not do that.
It has some flex but vert little, thats why texting on my phone with only using my dumb is not possible because I can not bend that part, just the top bends.
I wore my brace religiously.