![]() Specific activities that may incite complaints include wringing a washcloth, gripping a golf club, lifting a child, or hammering a nail. This pain is exacerbated by motion and activity requiring ulnar deviation with a clenched fist and thumb metacarpophalangeal (MP) joint flexion. Patients present with complaints of pain and inflammation in the region of the radial styloid. The etiology of this disease is due to repetitive and continued strain of the APL and EPB tendons as they pass under a thickened and swollen extensor retinaculum. Ultimately, the patient was able to return to work pain free.ĭe Quervain’s tenosynovitis predominantly impacts the abductor pollicis longus (APL) and the extensor pollicis brevis (EPB) tendons, which pass through the first dorsal compartment of the wrist. The patient was provided with a splint postoperatively and initiated occupational therapy for edema and scar management, therapeutic exercise, and desensitization. At that point, surgery was discussed and performed to release the first dorsal compartment as well as the sub-compartment. Although conservative care assisted the patient with her symptoms initially, she returned with increased pain and discomfort after 2 months time. ![]() Conservative care involved anti-inflammatory medication and corticosteroid injections as well as occupational therapy to include splinting, activity modification, modalities, manual treatment, and therapeutic exercise. The patient was diagnosed with de Quervain’s tenosynovitis and conservative care was initiated. A 34-year-old right hand-dominant female who works in a daycare facility presents with radial side wrist pain during lifting activity for the past 4–6 weeks. A case study approach was utilized in this article to demonstrate many of the available medical and occupational therapy modalities to treat this condition. De Quervain’s tenosynovitis is an overuse disease that involves a thickening of the extensor retinaculum, which covers the first dorsal compartment.
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