De Quervain's tenosynovitis is that the inflammation of joints on the face of the wrist at the base of the thumb. These tendons incorporate the extensor pollicis brevis and the abductor pollicis longus tendons.
The most usual cause of the disease is overuse injury between the wrist and frequently occurs in people who regularly utilize a strong grasp combined with ulnar deviation of the wrist .
In extreme phase physiotherapy treatments are splints to support both the thumb and the wrist at practical position, identify the aggravating actions and indicate alternative postures to prevent this moves. Massage transversely within the tendon. Instruct the individual to perform tendon-gliding exercise to prevent adhesions.
Cryotherapy is advised to decrease the redness and edema. Phonophoresis with Ultrasonic massage utilizing non steroidal anti- inflammatory gel or Iontophoreis. Indicating activity modifications for decrease the strain and strain within the joints.
In chronic stages, thermal rhythms such as short wave diathermy can be used. Transverse friction massage is put within the joints. Splinting the associated joint to break the joints that are involved. Evaluate the bio-mechanics of this operational action that provoking the indicators and design a program to recover a balance in the duration, endurance and strength of the muscles.