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- เผยแพร่เมื่อ 13 ก.ย. 2020
- De Quervain's Tenosynovitis is a painful condition that affects the area on the thumb side of the wrist. Symptoms include pain over that area when you rotate your forearm, pick things up or try and do a pushup.
An easy test to see if you have DeQuervain's tenosynovitis is Finkelstein's test. However sometimes it can give a negative test (it isn't' painful) but you still have the problem.
In some cases the pain will come with wrist extension and on weight bearing. It’s important to rule out other causes of wrist pain like fractures and ligament tears.The pain is caused by irritation to the tendon as they pass under tight tissues into the wrist.
Here is what is in the video:
1:00 Over view of what De Quervain's Tenosynovitis is and how to test for it.
2:00 Exercise 1 - whole arm stretch on floor to help loosen muscles of arm and wrist.
2:20 Exercise 2 Whole arm stretch kneeling
3:07 Exercise 3 Supination Exercise using a resistance bar
3:40 Exercise 4 strengthening with a resistance bar.
4.25 Exercise 5 Forearm stretch with rotation
5:33 Exercise 6 Forearm massage
Follow these 6 steps through and you will start to notice a change. Don't worry if it is painful when you do the exercises. But you will know if you have over done it if the wrist is more painful the next day...that is a sign of increased irritation.
You can buy the resistance bar at: www.dmoose.com/
If you are looking for more rehab exercises and stretches be sure to subscribe to the channel
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Wow. Nothing like advice from someone who has treated their own condition successfully.
Thank you. Very useful techniques. I’ve been suffering from this for half a year.
Thank you so much for this. I’ve been struggling with this for about 6 years. I’m going to try all this. Thank you so much!
Stretches in the beginning was extremely painful but was relived immediately with more mobility. This was the best treatment I have researched. Thank you!
This has been ruining my ability to do all of my hobbies, work out, and even work comfortably for 3 months. Starting these stretches immediately, thanks for sharing something more useful than “wear a brace and ice it”
Keep us updated on how it goes.
Did it work?
@@TundeAkinjobireplying cause I need an answer as well
Did it work?
@@Hjexecutivetravel for some days
Month ago I feel pain on my wrist and the PT assisting me DQT ,so thank you for sharing this , I will try this ! New subs.from Philippines
very affective and with quick result thank you for the comfort you are giving
I’m glad it worked for you.
Thank you ! Out of dozens of other videos, this one, by far, helped me the most.
Yes, it’s very effective
Thank you. You give hope.
Thx this was of great help.
For the first time in a few months that I have a a full night sleeping. The shoulder stretch alone, solving half of the problems. Thank you thank you thank you thank you.
Something completely different than all other DQT videos, thank you very much Ed. I'm trying all of them (made a list of all stretches and applying them one by one) and adding yours to my list as well. Slowly getting better. I'm glad that you don't only address the forearm but also do overall stretches.
Well, I had it and they worked for me!
THANK YOU for this video. I finally was able to figure out what has been going on with my hand and arm thanks to what you shared in this video. Now going to get busy with your recommended exercises. Please pray they work. This pain is not fun! Bless you!
I've been struggling with De Quervains for almost 2 years now and this video has been the answer to all the google searches. Thanks man, you've earned a new subscriber.
Boom, you are welcome!
how many times did you do this per day?
@@lutzer21 3 sets every day for 6 minutes, 1 week whole and the swelling went down. Its going to show due to the tissue scarring/wear&tear but the mobility of your wrist will be back to normal. Hope this helpz.
@@aonrapper thanks for the reply! did you get an increase in pain when you first started doing the exercises?
I am having now for 2 months and really struggling with it
Thanks Ed
Thank you for this video!! I got de quervains when 2022 started. Followed other videos, but yours gave me significant relief. I just tried it once and I have less pain putting my thumb accross my palm.
That makes me happy. Thank you for sharing.
most helpful video ...Thank You
Thank you.
Thanks very much for your advice.
You are most welcome
Thank you so much
THANK YOU ED!! Wow, I've been struggling with De Quervain for 6 months now... unable to workout during COVID. After practicing the stretches once, I am already able to close my hand on my thumb...
You are welcome!
Of all the videos I've watched this one was so clear and concise. Thanks. I'm going for my third injection and will use these techniques to hopefully heal up. Great vid.
Glad it was helpful!
@johnladd any process?
Wow you have helped me so so much! I was scheduled for first compartment syndrome wrist surgery. My hand specialist never mentioned any of this to me. I cancelled my surgery and I’ve been doing these exercises that you show and within 3 days…..the pain is gone!!!!
That’s amazing. The trouble with surgeons is that they think everything can be fixed with surgery!
Thank you! Mine was a-typical as well, took forever to get diagnosed. Standard exercises didn’t touch it. Would love another video on how to strengthen after the inflammation has gone down.
Yes I'm still short of a diagnosis. Alternate diagnosis is that I'm old and silly and have arthritis so inject it with cortisone. Baaa.
Thank you! I have been a massage therapist for 31 years and I’m really struggling with this. I should probably retire but I’m not ready to😌
First thanks for the info - very helpful. Questions: how often should you do this? Daily? 2x daily? Also does ice help any after you do physical activity like lift weights or golf?
Literally, I did these exercises and got relief from the pain in my left wrist area, especially the last one where you press in between those bones. I honestly can’t believe it because I’ve been suffering for about a month or so until now. Thanks!
You are welcome I’m glad you learnt how to fix yourself!
How are you feeling now
I have no pain in the left wrist now. I did have to do it a few times throughout the month, but I just realized that I’ve had no trouble with it for months now.
@@cdcd4358 I answered above.
@@HummingbirdConversations thank you for your reply back all the best
Been struggling with this since the end of January this year.i am currently splinting 24/7 like told to.I finished a months worth of PT it helped with rotation and bending wrists up and down but my thumb is still a huge issue.To the touch it’s a tingling sensation.I will try these and see if it works.keep yall updated.
Also I’m not able to bend my thumb/wrist vertically or able to do day to day tasks like putting a bra on,changing at times,cooking,using scissors or scrolling on my phone without it hurting or tensing up and feels like it’ll get inflammed
I tried it and it helpful thank u for sharing this video❤️
Excellent, I"m happy for you.
Ill try this i hope it will help. Ive been suffering for almost a year now..
Wow. i stretched the fronts 4:50 and got instant relief. Thank you for you video and for relieving my suffering.
You are welcome, thank you for letting me know.
Me too. Those stretches are FANTASTIC
Thank you very mach
You are welcome
Super Ed. Thank you. I liked that quite a bit.
108ashtangi you are welcome. It helped me a lot!
Holy shit. No pain after one session 🥲
I will do this everyday. Thanks you brother. You are my hero. Love from Poland
How is your pain now?
Thank you. This is driving me crazy
Glad to help
This spots are bang on for my injury and find releof with the therapy you have suggested don't you recommend using splint and emobilze the thumb ?
This helped me !😭 Thank you brother
I’m glad it helped
Really good video! Question: if you have this condition on both thumbs, any suggestions on how to accomplish the massaging portion of this?
You can use an item of some sort that provides comfort to massage.
Long story short. A month ago my husband and I went rock climbing, came home and was hurting, still had pain in the left wrist and its been about a month. Starting looking online to see what I may have and Dequervains seems like what I have, especially after doing the test. I am a bit worried because I also have a newborn and I constantly have to hold him and the pain is strong. I try resting it but I have to hold/pick up my baby. How can I rest my wrist better? Or should I just try therapies?
Hi Ed, very encouraged by the comments here. I’m experiencing bad thumb pain on the palm side of both hands and now it’s spread into my forearm on one side and it’s very painful. I’m pretty active, rock climb, play basketball and ride motorcycles. But I’m slightly embarrassed to say I think it’s come from my other passion - playing video games. One fighting video game in particular.. lots of fast repetitive actions over n over. Not good!!! That with phone use (which has gone way up due to lockdown boredom) I think has done it. I also play guitar (again maybe repetitive straining) Do you think I’ve diagnosed correctly? And is this the vid for me? Thanks so much
video games ruined my wrist, i’m about to throw in the towel cus my wrist!😭
Do we have to wait for the swelling to reduce before doing this exercise
Just got diagnosed with this. Its agony to move my wrist and have those bolts of pain shoot through my arm. I can barely attempt the Finklestein test cause the slightest bend and its pain level 10.
How long should the stretch should be for, and how many at a time and day?
do eccentric rubber band exercises help?
Has anyone tried dry needling to facilitate healing? I have for the last month and it is helping, but also painful. I’m excited to try these stretches to speed things up.
what if you cannot open your thumb from your hand because each times you open it , wrists ligaments are moving on the radius bone causing tons of pains
I have this shit on both my hands...😢...soon a year. Am quite stiff now after using "bandage" for this condition...so stretching wrists towards the floor pains alot...and hard to massage the right muscles or hold when i have two thumbs with this...situtiation seems hopeless...but i will try! If i do all stretch and not the flexibar...will that be enough or do i have to get the bar?
It took 3 weeks for me to get cured...i have had it for almost a year...accupuncture twice a week for a total of 3...and no longer have it...finally!
Hello can u plzz guide me to cure my de quervain plzz plzz
But Did you do what this video says? Or are you telling us that only with acupuncture it healed?
Tested negative for carpel tunnel . This may be my problem. Driving me nuts
I’m here because l read the diagnosis on the hand Dr’s report.
His idea to use a Dexamethasone Sodium Phosphate Injection Solution in Physical Therapy sent my friend into 😳🥴😡 poison chemicals heart palpitations.
So glad you posted this video.
She says she will opt out of the side effects toxic solution in favor of this whole-listic exercises 🙌🏽🙋🏽♀️.
She asks me to thank you from the bottom of her heart.
You Sir, are a genius.
hey, very helpful, thank you. can you link your "resistance bars"? i can't find them at amazon.
They are by a company called DMoose but also you can google Theraband Flexbar and find something similar.
thank you very much
Massage wise you should triggerpoint the shoulder and probably bicep
thank you so much, i was having a hard time thinking how can i streghten and streches those muscles, ´cause i´m hypermovile so... when i rotated my elvows really feel the strech, but how many secod must i do them? as well reps and times per day, i guess that one and build to two times at day will work. thanks you so much
It is really individual, but a good middle road is 10 movements in each position.
@@EdPaget thanks, btw cn i use ice and heat? also i dotn have a resist bar here so can i do this with a water bottle?(1l)? thnak you.
Hi Ed, I am experiencing similar symptoms whilst also failing the finklestein test which almost every video and article uses to identify dequerveins.
This is the first thing I’ve seen that says it isn’t necessarily the case. Mine comes at random times but I’ve been experiencing it since February and it’s been getting in the way of my training and generally just making my life more miserable than usual.
I can’t even type with my right hand thumb anymore and so I’m using my index finger.
I will do these stretches regularly now. I’m wondering how long it took yours to heal after these stretches?
All the best and hope you managed to keep yours away.
Not long once I got into it. But I had it for a year or so before. Eventually it was diagnosed with an MRI.
Thank you, excellent, will try your exercises x
i have pain and swelling in wrist on thumb side but do not feel pain in holding, i feel pain in extention such as doing pushups and when i tested frenklin test it tests positive but by doing some de quervain disease exercise and ice thearipy i cured that pain so my question is that after how many days i should perform exercise (pushups) again?
Nice info but i wish mine also gets cured soon
If you are consistent with the exercises it will change.
Literally have this on both of my wrists right now. Hopefully this helps, really don't want surgery on both sides
Let us know how this exercise works for you.
@@EdPaget thanks, today was my first day trying them and it's provided some relief but the pain comes back, especially on the right side
@@ThrowyaXup be patient, it may takes weeks or even months but it will get better.
how is your pain now? did these exercises help you?
@@lutzer21 it provides temporary relief, I actually started using a heat massager to really get into those forearm muscles. It's been 3 months and unfortunately it hasn't cured my pain completely, so I've been using this therapy daily along with anti inflammatories to manage the pain and discomfort
Thanks for this video! I've had wrist/thumb pain for a few months and suspected De Quervain's after performing the Finklestein test. I was hoping resting the tendons would resolve it, but it wasn't getting any better and was affecting my grip. After doing these stretches for just one session I feel much better and while I still feel pain it is much less severe. Hopefully doing these stretches for a few weeks will remove it entirely.
You are welcome!
After doing this for a month, any results?
@@gabrielaquevedo8012 yes the tendonitis is completely gone now!
lets goooooo@@lauren-p
Are you able to do day to day things like brush your hair,use scissors,write with a pen,and pass the finklstein test? And did you do any type of shots or surgery for it? How long did it take for you to fully recover?Any advice is much needed pls and thank you 😞❤️Sorry for all the questions but this has kept be out of work and many other activities..
How should I manage this with my golf game? I have been in serious pain but it will be difficult to give up the game I love??
You can contact me at my website and we can arrange a one on one consultation for you. edpaget.com
I've been diagnosed with dqt and am questioning its accuracy as my pain is mainly in the bone in my wristwhere the tendon passes under I believe. Are there ways to get to the bottom of this so I can begin treating it accurately?
I had an MRI to diagnose mine.
Welcome. I have a thumb that does not hold the other fingers. There is nerve inflammation . Also, I can't do pronation and Rotation . And the Rotator cuff at shoulder hurts too. What do you advise me . 🌹🌹Thank you very much
I do online consultations if you would like?
@@EdPaget How and is there a way to communicate Dr. Ed
How's it going, thanks for making the video, just a question please I was with my occupational therapist yesterday & she put me in a cast, she said not to take it off for at least 6 weeks, any thoughts on that?
Thanks
Try it, if it helps great, if it doesn’t do something else.
Can I ask, what am I actually trying to do internally? Stretch the tendons? Increase the flexibility of the ‘belt’ surrounding the tendons?
This REALLY could have done with being answered.
Hi doc. In my country is difficult to find those barz. Can you suggest me anything to replace it? Pls!
No, nothing comes to mind.
@@EdPaget what about those elastic bands?
Have a cluster of rubber pipe tie them with tape or (small rubber band which are used to hold hair) then wrapped it with theraband of desired resistance
I’m 19 and my doctor said I have de quarvein, my thumb has been swollen for a couple months now and they did not tell me how to help it..hopefully this video helps!! I’m not sure how or where to ice or how to keep it elevated or anything totally clueless but it hurt and I’m tired of the uncomfortableness!
Hi! I got surgery on de quervains two weeks ago. It completely made my pain go away (which I didn't even think was possible anymore). I think on youtube it often looks like you can always solve this by yourself, but sometimes, surgery is an option! If nothing else helps!
@@hannaht3318 how long did it take to heal?
@@hannaht3318In my opinion if you had consulted with Ed you definitely been able to avoid the surgery.
trying to figure if my hand pain is this. it hurts like when i press my thumb against the inside of my hand (like just closed fingers?) its been like that for 7 months rads didnt show anything and its just another "i dont know dont use it" thinf and its like yes cool let me, a receptionist, not use one of my hands ever bonus points my dominant hand (and i did switch what i could to my left hand which didnt help...and made my left thumb start hurting again haaaa) but like itss not in my wrist/forearm is between the like second knuckle of my thumb (where it connects to hand) and the knuckle area where it connects to my wrist...so who knows not me (and an mri is like 2000$ here with insurance soo)
I had to have an MRI to diagnose mine, it was an atypical presentation.
So see a professional for a diagnosis
My pain is past my wrist joint mostly but also bottom thumb joint....what really hurts is if I knock it against something by mistake. I can close my hand around my thumb...but the slightest movement (pinky to wrist) is horrible.
That could be De Quervain’s, but also could be a couple of other things. I would recommend you see physical therapist for a diagnosis or have an MRI.
@@EdPaget Thank you! I will probably get around to it at some point....soon as I can jump of my hamster wheel for a minute 🤔
How many days a week should I be doing this routine?
Daily if possible.
Can we do this if we have a little swelling ??
Try and reduce the swelling at the same time doing the exercises. You can do that with ice, medical or natural anti inflammatories
What if you have all range of motions but your wrist bone under my thumb is stickinh out? What to do
Is it different from the other side?
@@EdPaget i have both range of motion its just the bone is sticking out like de quervain, no pain when I do push ups. No my other hand/wrist is fine and no bone sticking out.b
Recently started to suffer with this in one hand and as a yoga teacher it's a nightmare. Being able to do a push up is crucial and it's basically excruciating. Other than that though, I only really feel pain when I wake up in the morning, assuming it seizes up over night? Once I'm up and get some movement it's fine but still painful if I put my weight on it in push up position. So I'm hoping this works...
🤞
Did it work? Im having exactly the aame problem, cant do a single pushup
@@daniel_b07These stretches did help but what unlocked the healing process fully was my friend releasing the tendon further up my forearm with Amatsu therapy - it might not necessarily be the tendons in the immediate area of pain that are causing the problem.
Is it normal to have it in both hands at the same time? Because that's what I am going through right now
It's possible but not common.
Ok thanks for the response
This is caused by Low thyroid Period!! I was treated with only t4 and felt horrible.Found a functional medicine doctor who treated me with Armour and pain gone its been gone for years. So glad I found a doc who would do a full thyroud panel I also went to a cutting doctor.Worthless ,promises ,promises nothing till I saw the functional med doctor.I am blessed.
Yes, functional medicine doctors are the future. I'm glad the cause was found for you. Low thyroid is important for many conditions, thinning hair, weight gain, joint pain, slow digestion. But we can't say it is the cause of all these things as there might be other causes. Same goes for De Quervain's. In your case it might have been, in mine or the next person's it might not be. Keeping an open mind is the key.
Hate to break it to you, but what you had is almost certainly not de Quervains syndrome… Finklesteins test is the gold standard for this condition, and there will always be pain. I’m guessing the mri just showed swellings in the area, but that doesn’t mean it’s necessarily de Quervains. Given that there were “shooting” pains, it was most likely a nerve issue, affecting the radial or median nerve.
Possibly... and yet, a lot of the commenters who've been diagnosed WITH DQT say they've had good results with this routine.... ¯\_(ツ)_/¯
Hate to break it to you, but medicine is not rigid science. One size may fit most of the patients, but not every one. I have been diagnosed with DQTS by three different doctors, and never did I feel the pain during F test…
Can I do those exercises when my wrist in pain?Thank you!
Try and start with movements that are not painful
@@EdPaget I see,thanks a lotx
I'm really confused. I'm 17 now but I've experienced this pain on my left hand 3 years ago and I thought it just comes and goes. I did both of the tests he mentioned and the pain was excruciating. I can't even type this comment properly. I tried doing this exercise but it was too painful... Helpp I don't wanna worry my family.
Hows this coming along?
I'm on my 7th month, big bony point on the side of wrist that keeps popping and making my thumb get stuck on the open position and one spot on top of wrist that rolls, pops both burn like hell... so I'm hoping this works✨thx
Did the exercises work?
Same. It’s been popping back normal but last night it popped and burned and still stuck open.
Putting some ice after exercising is a good thing? I've been struggling with this for almost 3 years and now Im like 90% healed, Frinklestein test doesnt hurt me anymore, I can grab, I can squeeze and I can turn but I still got inflamation. Never tried these stretching exercises before and I think thats what I need! Could you give me some feedback? Thank you so much!
Try it and let me know how you get on.
@@EdPaget Hey! Thanks for replying me! Could you give me your opinion about ice after exercising? Thank you!
@@Thiago-px9ev ok, yes, 5mins on 5mins off for 3 rounds might help with the inflammation.
@@EdPaget For thermal shock purpose?
Is this all with physio alone , did u use ur hand for workouts.. Push ups?? I'm suffering the same condition with popping occasionally
what if i use my wrist at work everyday
You could try a wrist brace to stop you over using it.
everybody has their own ideas on it
Yes and this is mine.
How many days per week, and per day?
Whatever you can tolerate.
Oki. And what about the 1st stretchings that you showed? Ho many repetitions? Or is it only one per session?
@@falconyellow1303 that’s up to you, whatever feels right then slowly increase it.
did you ever wear a sling?
no, I did not.
Been with me since the end of 2019 till now. Doctors and specialists didn't help much.
Let me know how it goes
Do not get the surgery . One of the worst decisions of my life. It's fine if your elderly or inactive, I lost all strength in my hand years after. Still flare up in pain.
Wow, thanks for sharing.
It is in my thumb
I've been suffering from this for 20 years. My Dr's suggestion...wear a brace.
Try this and let us know how it goes.
You really think you can rid of this naturally?
I did.
There're some useful bits of info here, you're not executing some exercises correctly. You're not a doctor either.
Thank you for your feed back.
Correct I am not a doctor, I have 2 degrees, one in osteopathy and the other in Sport and Exercise Science.
These exercises are what worked for me.