Effective Physical Therapy for de Quervain's Tenosynovitis
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- เผยแพร่เมื่อ 18 พ.ค. 2024
- In this video I provide a basic definition of de Quervain's Tenosynovitis, how to self diagnose the condition and provide an effective Physical Therapy treatment strategy to help you resolve this issue!
Be sure to subscribe and share with anyone who you feel could benefit from free Physical Therapy related to de Quervain's Tenosynovitis
Not sure if you have de Quervain's Tenosynovitis? Check out this video for self diagnosis! • What's Causing Your Ha...
This is an exciting time! Less pain and an improved quality of life could be coming soon!
I hope you or a loved one finds benefit with the video.
Flaticon images used for icons.
0:00 Introduction
0:34 de Quervain's-what?
1:22 How do we know if its de Quervain's Tenosynovitis?
2:18 Six helpful exercises for de Quervain's Tenosynovitis
6:01 Critical Points
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Not sure if you have de Quervain's? Check out this video for self diagnosis! th-cam.com/video/whEzew4TzDY/w-d-xo.html
I hve no pain in thumb but due to RA positive the bone of my thum from the is deformed wth in a week please tell frm these exercise can the shape of my effected thumb be reshaped to origional pisition ???? Plese answer please please please
@@iqranaz4360Hi, in my experience I have not been able to correct the position of the joint with this condition. You could potentially have the best success with in person therapy. I wish the best for you and feel free to let me know if any other questions. 🙌
Tried this yesterday, feeling better today. Will keep doing them. Having DQT for 3 months now.
Happy to hear about the immediate improvement. Best wishes for continued success. Feel free to let me know if any questions🙌
I can confirm this actually works!😅 I’ve had DT for 6-months and was getting fed up. I tried these exercises for about a week and a half and the difference is staggering. Granted the first few days doing this was painful but I stopped if it went above a 7 in pain. I also found doing cardio that doesn’t aggravate the thumb and keeps it fairly static (peloton bike for example) greatly helps too as it increases the blood flow. Thank you son much for the advice, legend. 👊🏾
Thanks for sharing your experience and so happy to hear about your success with the program!🙌well done! Best wishes to you on your life path and let me know if you ever have any questions🤩
The best video on the topic. Tks
Thank you very much! Let me know if you have any other topics you’d like me to cover in an upcoming video. Best wishes to you! 😊
Thank you for the video!
Absolutely! I hope it’s super helpful for you! Let me know if any questions🙌
I have this problem. Thank you so much for the help.
Happy to help! Feel free to let me know if any questions along your healing journey 🤩
❤ Thank you! My test is positive. 😢 I definitely have it.
Hope your stretching excercises will help. 🙏
Best wishes for success with the program! Be sure to let me know if you have any questions along your healing journey.
after so many silly "help" videos this felt so good
very helpful
thank you so much
Happy to hear that you found it helpful. Always feel free to let me know if you have any particular questions.
Good examples I will sure try them. Thanks
Your very welcome I hope you find great value with the exercises! Please let me know if you have any questions😃
Really helped me. Thank you.
So happy to hear this! 🤩 Feel free to let me know if any questions! 🙌
These will be helpful with all the gardening and rock work I’m doing. Thank you again!
Absolutely! I'll keep them coming! So much PT info to share with the world!
Thank you. I will try these exercises
Great! hope you have quick progress with the program. Feel free to let me know if any questions 🙌
Very helpful to me
Immediately felt relief
Happy to hear this Justin!🙌Feel free to let me know if any questions. Best wishes to you!
I had this almost FOR 2 months because of volleyball until now Im still in pain,i tried different exercises its getting better but slowly, I will try this I hope this will be more effective and will relieve the pain of my thumb and wrist in a short period of time but im willing to do it everyday and consistent to do the exercises .I want to be ok and healed from this painful DQ because it affects my work.tHANK YOU JONDPT. GODBLESS U....
Best wishes to you for success with the program! Feel free to let me know if you have any questions 🙌
Thx sir ji 🙏
Absolutely! I hope it was very helpful for you🙌Feel free to let me know if any questions🤩
Very helpful 👍☺️
Happy to hear this!🤩Feel free to let me know if any questions🙌
OMG, I’m glad I stumbled upon your video. I definitely have DT by doing the Finkelstein’s test. My wrist and thumb are so sore with sharp pain in the morning. But with your exercise, my pain goes away immediately. I have an Ortho appt today. Also, I didn’t want to miss work so I’ve been doing the exercises you showed so I can still go to work. Thanks for sharing your expertise. New subscriber to your channel.
I am so happy to hear about your benefit with the video! Thanks very much for sharing, I’ll keep them coming. Be sure to let me know if you have any other topics you’d like me to cover in an upcoming video!😃
@@JonDPTMayo it’s funny because my coworker just told me (right this minute ) she has the same pain in the exact location and I told her to watch your video.
@@eniloracg.1063 Awesome, thanks for passing it along! I hope it’s really helpful for her as well🙌So nice to hear some positive feedback😃
It is very stubborn indeed! Very useful exercises, I do them before violin practice (I cant avoid the practice anymore, its been more than a month since I got de quervain)
Great to hear you have found them helpful! Power of PT!😃Feel free to let me know if you have any questions🙌
@@JonDPTMayo I’ll keep that in mind😊 thanks very much🙏🏻
Very helpful
So happy to hear this! 🙌 Let me know if any questions 😀
Yes, I will, thank you
@@carolingasia1906 🙂
Hey followers was this video helpful? What are your thoughts?
Hi Dr. Jon, i am a dental assistant for 11yrs and diagnosed with DQ this yr. it's an on/off for me,my pain starts after lunch when i feel like my hand is too tired. It got triggered again bcoz i was assisting a wisdom tooth surgery.
@@ILovePlayingZeldaGamesOnSwitch Yes I find DQ a common issue among dental assistants, the exercises should really help with your issue😃Feel free to let me know if any other questions🙌
Didn't know the name then, but I believe I may have had QT 22 years ago from holding a home phone for too long. I recall constantly massaging and pulling my thumb. It aggravated me for about 6 months.
Going on a month now, I've developed a new wrist problem. I was using myit's
Check this out: th-cam.com/video/whEzew4TzDY/w-d-xo.html and let me know if any of the descriptions match your symptoms. Let me know if any questions 🙌
Hoping this exercise will help for me,I am a massage therapist and I think I have DT coz my wrist is pain,new subcriber ! Thanks for sharing this vedio
I hope you find great value with the program! 🤩 Let me know if you ever have any questions 🙌 Best wishes to you for a quick recovery!
Pat will try this for his post surgery wrist pain
Sounds great let me know how it goes!
hi i recently diagnosed with DQ. just fitted a custom thumb spica splint. i would try your exercise. new subscriber here.
Thanks for subscribing and I wish you the best success with the program😃Be sure to let me know if you have any concerns or questions with the exercise program!
Great video Sir... I'm diagnosed with DQ when consulted with Ortho... He suggested me a surgery.. But i am afraid of undergoing surgery and I've littile time taking rest post surgery... I'll try your exercises...I hope it can fully wipe out my pain...Than you
Best wishes for success with the program!🙌let me know if any questions
How did it go I’m In The same situation
Same I'm scared to surgert thats why i want do this exercises to fix my pain i have 4 months have De quervains its to hard everyday to work
I can legit feel my tendon move in a weird spot like it’s not attached to anything it reminds me of how tmj feels how it locks. When I do one of these movements
Well sorry to hear that and feel free to let me know if you have any questions for me I’d be happy to help! 🙌
JonDPT - Thank you for this ! I recently jacked my left wrist bad doing a lot of extremely hard twisting motions with both hands, trying to remove sprinklers from underground that had been there for a couple decades... I have extreme pain in this left wrist, now, for over 7 weeks... Heating pad seems to relieve some of it. Some CBD/THC balm seems to help a little also... I would love to try these exercises, but the pain especially if I move my left thumb even a little, towards my palm is really a 10+++... Will I ever get some relief from the pain, so I may be able to try these exercises, or do I just have to make it hurt like hell to try to make better??? Please advise.... I need both my hands working 120% almost every day... I hope and pray every day my Right wrist/hand does not break on me.... Thank you so much for all your help! Loved your very well made, informed, educational, video ! Guess my biggest question is - will the pain ever get to a level that I can then try to do these things you prescribe???? God Bless you and yours !! Fran Danco
Hi there! Sorry to hear about your pain. It sounds like based on you pain rating that you may have significantly injured the tendon. If it does not progress you may want to meet with your MD to discuss and possibly get an MRI to confirm. I have personal pain rules as PT and one is no pain about 5/10 with exercise. So the answer is no, you shouldn’t be working through 10+ pain. If any movement of the thumb toward the palm is a 10+ I would recommend further examination and to meet in person with a hand therapist whether PT or OT to have an appropriate HEP be developed for you. Hope this helps and let me know if any other questions. Best wishes to you! 🙌
Dr Jon, thanks for your excellent videos. I actually have a lot of pain on the joint bone right above the wrist near the bottom of the hand on both sides of the thumb. Is this considered DeQuervain Tensonivytis? If not, are there other exercises to help with that? My ortho doc keeps giving me steroid shots and they don't work. Thanks for putting out these videos.
Hi there, it doesn’t sound exactly like de Quervains. I’m glad you reached out I’m always here for questions. Check out this video,
“How to Treat and Prevent Thumb Pain” th-cam.com/video/c618po7i73M/w-d-xo.html
and I have three other hand related videos which may be helpful.
-Less Hand Pain in your Life
-Best Hand and Finger Health Tips
-Treat and Prevent Carpal Tunnel Symptoms
Feel free to get back to me in a few weeks and please let me know if you’ve noticed any progress and I can further direct you from there. Best wishes for success with you rehab!😃
Dr Mayo, thanks very much for getting back to me. I shall look at the videos you recommended and try the exercises for a few weeks and get back to you. It is very thoughtful of you to put out these videos especially when some of us can't get relief from either ortho or medicine.
@@ycy7283 Well I am honored to be able to share the knowledge and power of PT! I am here anytime and happy to answer your questions😃Let me know how it goes with the program🙌
Hi Sir I have trigger finger in my thumb and nodules there, what exercise and treatment should I do? Thanks
Great video sir... hope this exercise will help me🤞
But does exercise increases inflammation???
Hi there! Yes I hope you experience great benefit as well! Feel free to let me know if any questions🙌
@@dishankiguradwar9127 If you are having active pain the area is most likely already inflamed. The purpose of the exercise is not to avoid inflammation. The purpose is to stimulate greater blood flow to the area to help rehabilitate the synovial sheath of the tendon. Please let me know if any other questions. Best wishes to you for success!
@@JonDPTMayo sir, previously few days back I had excruciating pain over some part but it decreases. Over time....but now I hav slight but noticable pain at tendon region...so should I continue your exercises...please clarify it...
@@dishankiguradwar9127 If pain is more than a 5/10 with all exercises then I would recommend to make them easier for yourself by not moving so far during the exercise and/or applying less pressure to the tendon with the other hand. I would expect some pain early on with the program but should not be even moderate in intensity. Definitely not severe. Let me know if you have any other follow up questions.
Thank you so much😊 I feel my thumb is very weak please post some exercise
Absolutely happy to help! This may be helpful for you 🙌 th-cam.com/video/c618po7i73M/w-d-xo.html
I fell electric longboarding over a year ago and probably should have gone to the doctors but was stubborn. I randomly stumbled on this and thought I'd see, even though it doesn't usually hurt anymore, but gets a twinge with certain movements, and this test definitely triggered it. Is it normal to get this from a fall? I was going like 25 mph, and was lucky all things considered. Just wondering if it can be from acute injury, or if it might be something else causing it. Thanks for the great video and information!
Yes DQ can be related to acute trauma during a fall. If the test recreates your familiar symptoms then you are most likely on the right track. Best wishes to you with the program and feel free to let me know if you ever have any other questions. 🙌
Thanks for this do ice it after or heat compress?
Hi there! How long have you had your symptoms?
Hi, I just came across your video. As of today I am 2 and half weeks post op from the DQ surgery. Do you have any exercises to help after surgery?
Hi Traci, if you are recovering from DQ surgery I highly recommend getting into see an outpatient orthopedic hand therapist ASAP to ensure your hand can be evaluated and cared for most effectively. Best wishes for your recovery!🙌
Does acupuncture work as alternative treatment? I have QT these last 2 months
I have never read any evidence based studies that prove the effectiveness of acupuncture for DQ. I have found the exercises to be the most effective type of treatment. Best wishes to you and your success! 🙌 Feel free to let me know if any other questions!
Thanks for these! I get some tingling in my thumb whenever I apply pressure, but it doesn't hurt. Is that normal for DQT?
Hi there, hmm that sounds more like carpal tunnel dysfunction and more specifically median nerve dysfunction especially if your numbness is on the palmar side of your thumb. Check this out and see if it’s more helpful for you🙌 th-cam.com/video/lNdTEUqSogc/w-d-xo.html
it gave relief but after one day the wrist swollen a little bit so i stop the exercises and immobilize it.
Hi. Sounds like the area is highly aggravated so yes rest, avoiding painful activities and icing is recommended. I would attempt only the easiest (first) exercise demonstrated in the video in a few days or week and see if you have better success. Feel free to let me know if you have any questions🙌
Thank you Doctor, can we use heat on it also
Hi, because DQ is an inflammatory condition you want to avoid using heat alone for this issue. Focusing upon inflammation reducing strategies will give you more benefit and relief. Feel free to let me know if any other questions🙌
@@JonDPTMayo thank you
@@mellis7342 😊
Hey jon how much pressure to apply and is it ok to use ice and heat i use ice after every session. Thanks.
Hi, I would recommend a moderate amount of pressure. More specifically to maintain pressure that will allow you to keep pain less than 5/10 throughout the exercise program if possible. If it’s a chronic issue heat may be better, ice if more acute. Feel free to let me know if you have any other questions. Best wishes to you! 🙌
@@JonDPTMayo Thank you so much
when you say dont do things that recreate the pain---all these exercises create the familiar pain. Do them anyway?
Yes at first one will usually have pain with the majority of the movements. The goal is to only move as far as you can while keeping pain less than a 5/10 if possible. Feel free to let me know if you have any other questions. 🙌
Exercise 2.19 to 5.35
But some say it hurts cause the tendon is stuck in a stretched out position and need to relax so how can it get better by stretching it out even more?
The purpose of this program is to increase blood flow. By improving the blood flow the tendon has better chances of healing. Feel free to let me know if any other questions.
I have pain in that exact spot, but it hurts more if I move the wrist up in the test… ???
Hmmm, interesting. Sounds more compression related. Do you have any numbness or tingling?
Interestingly, I came back to mention I massaged the area last night and the reason I didn’t have pain moving it down was because it was barely moving. Now I can actually move it down, it is exactly as you described. Which isn’t good, but at least I can do the exercises… thanks!
@@monalisadiva Happy to hear about the improvement. Feel free to let me know if any questions. Best wishes to you!
Does massaging the area help break down the scar tissue?
Yes it does! Massage can be very helpful! Highly recommended😊
Thanks for the video but mine hurts entirely too bad to do that.
I am sorry to hear this. Have you ever seen a certified hand therapist?
Sir I got injury in this part during workout with heavy weight. Can I apply this exercise?
Hi. It depends. If your pain with exercise is above a 5/10 even with restricted range of motion then it’s possible you may have damaged a tendon and you will want to rest until you can perform the exercises with less than 5/10 pain. Be sure to let me know if any other questions. Best wishes to you! 🙌
Do u think accupanture and pt is good for dq?
Yes absolutely! Although western medicine cannot explain acupuncture very well I have still seen amazing things! Best wishes to you!
@@JonDPTMayo thank u doc. Because I already have try the DQ injection only have some improvement but still the same. Do u recommend for second injection.
Usually from what I have seen the first injection is the most helpful. If you still have pain you will experience greater progress if you can regularly perform the exercises that I demonstrate in my video. Let me know if any other questions!🙌
@@JonDPTMayo okeys thx for the response doc:)
I’ve started having this intense pain about 5 days ago. It is worse at night and wakes me up. Is it ok to do these now when the tendons are inflamed?
The research is mixed regarding using exercise as a treatment for inflammation. If pain is more than a 5/10 with movement I would avoid those particular movements for now and focus upon other forms of inflammation reduction such a icing and NSAIDs until it settles down. Hope this is helpful let me know if any other questions.
@@JonDPTMayo It does, thank you 😊 I took an NSAID today along with icing and bracing and it’s much better. I’ll wait a week or so and do the exercises.
@@miamalone2398 Feel free to let me know if any other questions 🙌
@@JonDPTMayo Thsnk you! Will do.
@@miamalone2398 😊
Can dequvain make your whole wrist hurt to
DQ related pain is mainly felt on the thumb side of the hand .th-cam.com/video/whEzew4TzDY/w-d-xo.html check this out and see if you can find an issue that better matches your symptoms😃Hope it’s helpful be sure to let me know if any questions🙌
Can someone update your situation after trying these tips? Thank you.
Yes many of my patients have demonstrated consistent progress with with this program.
Hi. I suffering from this pain last two months.. what is the solution sir..
Hi there, I’m happy to help. In my experience the best approach is what I covered in this video. Feel free to let me know what specific questions you have after watching it. Best wishes to you!🙌
Also I don't understand by the term "cycles"
Every exercises should be done 2 times... that's what I understand.. please clarify ..thank you
By cycles I mean to rotate through the exercises. This is different than sets where one performs a number of sets of the same exercise prior to moving onto the next. Let me know if you need further clarification no worries.
@@JonDPTMayo Thank you
@@venkitesh83 Anytime! Let me know if you have any other questions I’m happy to help🙌
@@JonDPTMayo So 6 exercises with each repeated 2 times. ( total 12 times in 1 cycle) like that 2 cycles to be done right?.... but its mentioned as 10 repetitions...Kindly
I am experience it right now and it hurts the soreness
th-cam.com/video/whEzew4TzDY/w-d-xo.html check this out and see if you thinks it’s de Quervain’s or something else. Feel free to let me know if you have any questions🙌I hope it’s helpful for you
I hope I will recover from this pain soon. It’s been a month I am having pain in the wrist joint area. Still a 10% pain prevails…
Well best wishes to you for a quick recovery! Be as consistent as possible with the exercises and feel free to let me know if any questions🙌
I have De quervains for 4 mons i want to heal faster please help me doc😢
Hi, I’m happy to help! Have you been working on the exercises? How intense are your symptoms? Do you feel them all the time or only with certain activities?
@@JonDPTMayo not all the time but during my duty on work too much pain..Even every morning I wake up ican't move and too much pain too..What I can do to Fix this..Thanks
@@JonDPTMayo how the proper position to hold the pressure during do the exercise...By the way I'm from Philippines..
@@joevencarloalmazan9791 The exercises in the video are the best way to change your condition. Have you started them yet?
@@joevencarloalmazan9791 The key is to hold pressure on the involved tendon while you are moving in the different directions I show in the video. This will help to improve blood flow to help heal the area. Also try your best to avoid activities that recreate your familiar symptoms.
Sadly, even if this therapy works, I am going back in day in and day out re-injuring my thumb at my job as a dental hygienist. I would have to have constant continued therapy a few times a week and there is not enough time and money for that. Unfortunately, I need a more permanent solution, tendon release surgery. I don’t know anyone who has had therapy and had it permanently work when they are going back everyday and doing to exact same thing that causes the inflammation in the first place. Of course it would work if I quit my job, but that isn’t going to happen.
Yes it is true that repetitive activity related problems are difficult even with PT. Can you wear a brace while you work? Have you ever worn one before?
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Did you have a question for me? 😀
Thumb tucked UD. Gave me unbearable pain
Well it sounds like de Quervains then, I would recommend starting with the easier exercises and slowly working up to that level. Please let me know if any questions. Good luck to you for success with the program!
What if I can’t even put my hand in ✊🏻 this position? Lol
If pain is over 5/10 with this movement I would schedule an appointment with a hand therapist if possible. Best wishes to you for a quick recovery!😊