You are awesome! You teach pretty much all the tests that I've ever searched for. You should also make videos where you combine the tests to differentially diagnose the diseases that are most common or severe (requiring rapid treatment).
is it possible to have De Quervain's radial Tenosynovitis without having pain in Finkelstein Test ? I've been diagnosed with this but I conducted the test myself and didn't have extra pain. I've been resting for 2 months now without workout or Handball and it's starting to get better however I've been required to take anti-imflamatory treatment for a week at some point because I was scared it would heal fast enough. The pain I have is when I apply force with my thumb extended, like resting on my hand flat on the ground or gripping a handball ball was extremelly painful (and caused the injury in the first place.)
I can push my wrist and thumb down as in the video without pain. But if I lift upward it causes severe pain on the underside of the wrist towards the thumb. What does that mean?
@@FOURTEEFIVE After getting an MRI the orthopedic Dr. said I have a partial TFCC tear, mild carpel tunnel and symptoms of De Quervain's Tenosynovitis. There wasn't enough damage to need surgery. If I sleep with my hand bent weird I'll have wrist pain the next day. Sleeping with a hand brace on made a huge difference. Still have some minor pain from the TFCC tear every once in a while.
I got this I'm 21 I cook, and got it so bad. I did nothing for months til I found out what it was, I could not do shit with my dominant hand. Had to drive, eat, buckle up, dress, with my left hand because it hurt so intensely to grab things, I went like that for months. And it clicked painfully when my thumb rotated. I got a splint from urgent care. Then a real bone doctor gave me a steroid shot and it's better already. It hasn't come back but I was researching whether it can or not. Thanks for this! The pain was exclusive to the wrist and base of my thumb on the thumb side on my main hand. I was doing eggs a lot at my job, a ton of mixing scrambled eggs lol (I miss the eggs, they where better than doing everything with no staff b/c corona) But yeah I told my work I can't do eggs for a while, I needed help carrying things that weighed nothing because it was the simple movement of grabbing something that gave me sharp intense pain. It came out of nowhere and left like the wind after my shot thankfulky
I slept on my wrist one night and now good been hurting for like a month. First day my hand was swollen and even had pain up to my elbow. I did good test and the last step is what caused pain. This serious?
wow i see why it’s called blackberry thumb. I have this condition rn and after speaking to a doctor they told me that it was probably caused by my phone
Same here! I've been wearing this stupid thumb/wrist brace for a month or better, now, and this shit STILL won't go away! You had any luck? Spoiler: I typed this comment with my Galaxy S10. 🤷♂️🤣
Question please. Aside from the pain I feel when I move my thumb or wrist in certain ways, when I stretch my thumb out, I feel something popping near the base. Also when I twist my wrist, I feel something popping on the top side of my wrist. Is this common with this condition? I have had x-rays done and they are negative for any fractures or breaks. Thanks
@@fhdz22 I personally used rock tape and put it on my wrist to solve the issue I had. Their really wasn’t much I could do. I work where I have to do the same movements over and over again throughout the entire day so rock tape was the only thing I could use to fix it
Great video! I was diagnosed with De Quervain's a week ago and given a splint to wear all day (except when eating and bathing) and told to use ice 4 to 6 times daily and also take Aleve tablets a day (Naproxen 220mg: - 2 pills in the morning and 2 at night - total of 880mg per day) until I see the orthopedist again (2 weeks from my original appointment). MY question - Are NSAID's (Naproxen in my case) really required for treatment IF I do not have pain at all during the day? I am concerned about POTENTIAL Aleve side effects such as risk of bleeding etc. E.g. in my case, I can lift objects with the 'bad' hand and turn a door knob without that hand pain. Moving my thumb in all directions also does not hurt. Only when I 'twist' / extend my hand to the outside, as part of the test, I start to feel the discomfort.... I would rather avoid the Naproxen if possible, unless it will help heal my tendon / sheath / condition for long run EVEN if I am not experiencing any discomfort / pain during the day.
My thumb pain only hurts to put pressure on it like doing a pushup or bench pressing/over head pressing. It does not hurt to do anything else (texting, rotating the thumb, etc. do not hurt) and I don't feel discomfort in my wrist and did not feel any pain during these tests. Could this be De Quervain's Tenosynovitis or something else?
It's more related to repetitive activities that include thumb abduction and extension. With the hook grip you're doing the opposite. However, literature is controversial regarding the causative factors and any repetitive activities involving grasping, pulling, pinching or pushing may cause it. So yeah, general lifting might be a risk factor, besides using a computer mouse intensively, piano-playing, knitting,. golf, bowling etc. Additionally, pregnancy seems to be a risk factor as well as fluid changes and hormal changes.
Hello Physiotutors, thank you for this video. I get a lot of pain in step 2 of this test. But no pain in step 3 (original version) and also no pain using Eichoff's test. Basically as soon as I clench my thumb in the wrist, there is no pain. Is this normal ? My doctor was a bit confused by this. Have you encountered a case like this before ? Would really appreciate your input. Thanks
@@Arunkumar-bg5xk hey! Before I even found this test I was experementing with my thumb placement and I am the same. With my Thumb held close to my hand the pain lessens and I can do the wrist movement, almost like holding my thumb in immobilises the painful tendon or muscle whatever is causing pain. Anyway, how did you go with recovery and did you find out what it was? thankyou!
@@FOURTEEFIVE i found the tendonitis expert on google and followed his steps. It's basically a lot of stretching and icing every single day for a good 2 months. And one day like magic it goes away.
@@chadfriel2068 oh if you meant wrist exercises, tried that but it doesn't make much difference. In fact, it is rather painful at times. I had another injection a few weeks after the comment. If it still hurts in the coming months, I would most likely have to undergo a surgery. I was working as a technician but since the injury, I'm currently working on security line that requires a less use of my hands.
try this th-cam.com/video/ieio16_2Ou0/w-d-xo.html and this one is okay. The key is to go slowly. it might take 10 or 20 minutes to get a good release. th-cam.com/video/KZzxMbnhDv0/w-d-xo.html
@@asxnkmb I would not recommend wrist exercises. your wrist muscles in your forearm are already strong likely from your job. I'd recommend soft tissue release techniques to decrease the tension. a good 30 minute massage on your forearm should help a lot. but it's tough to find Massage Therapists that are knowledgeable enough to spend 30 minutes on the forearm. there are over 20 different muscles that would likely need work. Good luck, hope you don't have to do surgery, but in some cases it is helpful
It was neg for all 3 on my but I have nerve and dull pain between 1&2nd MC joints at rest with saddle jt flexion, abduction and opposition to 5th digit, and slow and painful circumduction for my non-dominant hand. But I'm an MT so much repetitive mvmt but I would expect both hands to be affected. What else could it be?
Hey ! @physiotutors. I am DPT 3rd year student in Pakistan's 1st physiotherapy school JPMC karachi. I have cravings about Knowing all the disorders and disability related to MSK and Neuro. When i was doing internship at Physiotherapy clinic, i assest in treating a patient with De-qurvein tenosinovitis. At that time i hav'nt enough knowledge to deal with. We were just using pain modalities. US. Contrast therapy. Patient completes his 7 days sessions in a month. He always complain of lots of pain. He brings a K-Tap and asks us to apply that. 😀We use steroidal injection to reduce the pain. I dont remember whether that was steroidal or any else. But well now i know how to check the syndrome. Please tell us how to treat it well? And how much type and degrees of this syndrom is? And for how long it goes to clear? And what are risk factors? Please make an video on it. Thankyou !
This new Content Cop is really weird, different from Ian's usual.
It’s all about that advertiser friendly content ;)
Good pull.
Yep, sore like a BITCH. 😹😹😹
You are awesome! You teach pretty much all the tests that I've ever searched for. You should also make videos where you combine the tests to differentially diagnose the diseases that are most common or severe (requiring rapid treatment).
@physiotutors: yes pls do make videos of differential diagnosis
is it possible to have De Quervain's radial Tenosynovitis without having pain in Finkelstein Test ? I've been diagnosed with this but I conducted the test myself and didn't have extra pain. I've been resting for 2 months now without workout or Handball and it's starting to get better however I've been required to take anti-imflamatory treatment for a week at some point because I was scared it would heal fast enough.
The pain I have is when I apply force with my thumb extended, like resting on my hand flat on the ground or gripping a handball ball was extremelly painful (and caused the injury in the first place.)
I can push my wrist and thumb down as in the video without pain. But if I lift upward it causes severe pain on the underside of the wrist towards the thumb. What does that mean?
me too! did you find anything out or how did your recovery go?
@@FOURTEEFIVE After getting an MRI the orthopedic Dr. said I have a partial TFCC tear, mild carpel tunnel and symptoms of De Quervain's Tenosynovitis. There wasn't enough damage to need surgery. If I sleep with my hand bent weird I'll have wrist pain the next day. Sleeping with a hand brace on made a huge difference. Still have some minor pain from the TFCC tear every once in a while.
Very educational, thank you very much! Greetings from Ushuaia, Argentina
I got this I'm 21 I cook, and got it so bad. I did nothing for months til I found out what it was, I could not do shit with my dominant hand. Had to drive, eat, buckle up, dress, with my left hand because it hurt so intensely to grab things, I went like that for months. And it clicked painfully when my thumb rotated. I got a splint from urgent care. Then a real bone doctor gave me a steroid shot and it's better already. It hasn't come back but I was researching whether it can or not. Thanks for this! The pain was exclusive to the wrist and base of my thumb on the thumb side on my main hand. I was doing eggs a lot at my job, a ton of mixing scrambled eggs lol (I miss the eggs, they where better than doing everything with no staff b/c corona)
But yeah I told my work I can't do eggs for a while, I needed help carrying things that weighed nothing because it was the simple movement of grabbing something that gave me sharp intense pain. It came out of nowhere and left like the wind after my shot thankfulky
I slept on my wrist one night and now good been hurting for like a month. First day my hand was swollen and even had pain up to my elbow. I did good test and the last step is what caused pain. This serious?
Has it gotten better?
@@fhdz22 yes but not completely healed.
Getting surgery on tuesday because of this .. pretty scared
Good Luck with the Surgery!
wow i see why it’s called blackberry thumb. I have this condition rn and after speaking to a doctor they told me that it was probably caused by my phone
Same here! I've been wearing this stupid thumb/wrist brace for a month or better, now, and this shit STILL won't go away! You had any luck?
Spoiler:
I typed this comment with my Galaxy S10. 🤷♂️🤣
Does it hurt a lottt? Like my mother kinda has this and it hurts her like mf....what say?
I finally passed my MCQ board exam, I have to say thank you guys so much for using the shortest words to express the whole theory
Nice Edward! We are proud of you 👏🏼 stick with us now that you’re board certified
Question please. Aside from the pain I feel when I move my thumb or wrist in certain ways, when I stretch my thumb out, I feel something popping near the base. Also when I twist my wrist, I feel something popping on the top side of my wrist. Is this common with this condition? I have had x-rays done and they are negative for any fractures or breaks. Thanks
Thanks for this Amazing explanation
It has been 4 months now....need help
Love this channel! Super helpful!
Fab video - great production and very clear explanation, thanks
What if I feel pain when pushing my hand up instead of down?
That also my question, did you find out what the problem was?
@@fhdz22 I personally used rock tape and put it on my wrist to solve the issue I had. Their really wasn’t much I could do. I work where I have to do the same movements over and over again throughout the entire day so rock tape was the only thing I could use to fix it
What happens if u have the same pain through 3 of these tests?
For any personal health or rehab questions we recommend to consult with our partners at yourphysio.online for a remote physiotherapy consultation.
Great video! I was diagnosed with De Quervain's a week ago and given a splint to wear all day (except when eating and bathing) and told to use ice 4 to 6 times daily and also take Aleve tablets a day (Naproxen 220mg: - 2 pills in the morning and 2 at night - total of 880mg per day) until I see the orthopedist again (2 weeks from my original appointment).
MY question - Are NSAID's (Naproxen in my case) really required for treatment IF I do not have pain at all during the day? I am concerned about POTENTIAL Aleve side effects such as risk of bleeding etc. E.g. in my case, I can lift objects with the 'bad' hand and turn a door knob without that hand pain. Moving my thumb in all directions also does not hurt. Only when I 'twist' / extend my hand to the outside, as part of the test, I start to feel the discomfort.... I would rather avoid the Naproxen if possible, unless it will help heal my tendon / sheath / condition for long run EVEN if I am not experiencing any discomfort / pain during the day.
Only a year later, no not needed it is just for pain control
You are doing great job
Thanks a lot
Thanks a lot!
Hello sir, thank u so much for sharing this video....it's really helpful .Can u plzz do make videos on theraband grades n orthotics prescription.
+Reshma J G hey reshma,ur welcome and thank you for following us! Puh, Not really on top of our list but we will see what we can do...
Physiotutors yes, I do follow ur all videos, it's really very helpful.😊😊 Thank you.👍👍👍
Thank you Sooo much for this video! it really helps a lot people!!! Haha :D
Dang my doctor really skipped all the steps and did the last one but I had to grip my thumb. I very much cried
great review on Finkelstein test
I thoght Finkelstain test was the test that you described in Echoff's Video
Yeah, like we mention in the video - there has been a confusion for years.
your videos are awesome. Thank you guys
Thanks!
Thought it was going to be a reference to a Cheech and Chong skit.
Is the Finkelstein test a ulna nerve test or a radius nerve test?
nice
Flexor tendon cut h kaise pata kre
nicely explained ... easily understood.. doing great job 👍
Good to hear and thanks for the compliment and for subscribing Nilay!
My thumb pain only hurts to put pressure on it like doing a pushup or bench pressing/over head pressing. It does not hurt to do anything else (texting, rotating the thumb, etc. do not hurt) and I don't feel discomfort in my wrist and did not feel any pain during these tests. Could this be De Quervain's Tenosynovitis or something else?
sounds like something else. Check your technique and ideally have a local physio check out your individual case!
I love your videos! They are really easy to understand!
+Kevin Nair Awesome! Good to hear, feel free to spread the word!;)
is this condition likely to present in an athlete who uses a hook grip while weight training??
It's more related to repetitive activities that include thumb abduction and extension. With the hook grip you're doing the opposite.
However, literature is controversial regarding the causative factors and any repetitive activities involving grasping, pulling, pinching or pushing may cause it. So yeah, general lifting might be a risk factor, besides using a computer mouse intensively, piano-playing, knitting,. golf, bowling etc.
Additionally, pregnancy seems to be a risk factor as well as fluid changes and hormal changes.
what kind of doctor do I go to for this test?
Physical therapist / physiotherapist
Orthopedic doctor
Technical guruji
dikke legende met dkke bicep
Thanks for all your helpful and easy to understand videos! You guys are great.
No worries Gloria, happy to help and thanks for following!
How to treat it?
The spelling is questionable :)
thank you so much
Ur welcome1
Definition 2 of Finkelstein: a small willy
Lad 1: mate how did you get on last night?
Lad 2: ah mate my finkelstein couldn’t hack her
😂
Thnku so much
This was helpful, thanks!
Thanks 😊
You’re welcome Rahima
Hello Physiotutors, thank you for this video. I get a lot of pain in step 2 of this test. But no pain in step 3 (original version) and also no pain using Eichoff's test. Basically as soon as I clench my thumb in the wrist, there is no pain. Is this normal ? My doctor was a bit confused by this. Have you encountered a case like this before ? Would really appreciate your input. Thanks
You're welcome - no we haven't to be honest. Don't think you have de Quervain's then, but impossible to tell from afar!
The doctor's had a hard tome with the diagnosis too. Its been more than 6 months but I get a 8/10 pain in Step 2.
It hurts so bad to grab with it. I couldn't use my dominant hand to do jack shite for months
@@Arunkumar-bg5xk hey! Before I even found this test I was experementing with my thumb placement and I am the same. With my Thumb held close to my hand the pain lessens and I can do the wrist movement, almost like holding my thumb in immobilises the painful tendon or muscle whatever is causing pain.
Anyway, how did you go with recovery and did you find out what it was? thankyou!
@@FOURTEEFIVE i found the tendonitis expert on google and followed his steps. It's basically a lot of stretching and icing every single day for a good 2 months. And one day like magic it goes away.
Had the steroid injection for this and several months later, pain comes back. Hurts trying to grip anything
what do you do for work? you might require some soft tissue therapy
@@chadfriel2068 oh if you meant wrist exercises, tried that but it doesn't make much difference. In fact, it is rather painful at times. I had another injection a few weeks after the comment. If it still hurts in the coming months, I would most likely have to undergo a surgery.
I was working as a technician but since the injury, I'm currently working on security line that requires a less use of my hands.
try this th-cam.com/video/ieio16_2Ou0/w-d-xo.html
and this one is okay. The key is to go slowly. it might take 10 or 20 minutes to get a good release.
th-cam.com/video/KZzxMbnhDv0/w-d-xo.html
@@asxnkmb I would not recommend wrist exercises. your wrist muscles in your forearm are already strong likely from your job. I'd recommend soft tissue release techniques to decrease the tension. a good 30 minute massage on your forearm should help a lot. but it's tough to find Massage Therapists that are knowledgeable enough to spend 30 minutes on the forearm. there are over 20 different muscles that would likely need work. Good luck, hope you don't have to do surgery, but in some cases it is helpful
It was neg for all 3 on my but I have nerve and dull pain between 1&2nd MC joints at rest with saddle jt flexion, abduction and opposition to 5th digit, and slow and painful circumduction for my non-dominant hand. But I'm an MT so much repetitive mvmt but I would expect both hands to be affected. What else could it be?
Thank you very much ¥👍
Ur welcome, thanks for following!
Hey ! @physiotutors. I am DPT 3rd year student in Pakistan's 1st physiotherapy school JPMC karachi. I have cravings about Knowing all the disorders and disability related to MSK and Neuro. When i was doing internship at Physiotherapy clinic, i assest in treating a patient with De-qurvein tenosinovitis. At that time i hav'nt enough knowledge to deal with. We were just using pain modalities. US. Contrast therapy. Patient completes his 7 days sessions in a month. He always complain of lots of pain. He brings a K-Tap and asks us to apply that. 😀We use steroidal injection to reduce the pain. I dont remember whether that was steroidal or any else. But well now i know how to check the syndrome. Please tell us how to treat it well? And how much type and degrees of this syndrom is? And for how long it goes to clear? And what are risk factors? Please make an video on it. Thankyou !
Thank you babe. I love your videos. Good demonstration and examples , keep it up😊
Treatment pls ❤️❤️❤️❤️
Bracing and corticosteroid injection
Absolutely fabulous, thanks
Glad you enjoyed it
Let's turn to God let's repent and ask for forgiveness,let's study God's word. Theseasonorg explains the whole bible God bless.
The Bible is a lie Jesus was a hoax
@ShepherdsChapelonYT - You're brainwashed. Start thinking for yourself and quit spreading your fantasies on TH-cam.
I couldn't even wait for the instructions after getting my hand in place lol :(