Year: 2018 | Month: May | Volume: 8 | Issue: 5 | Pages: 428-433
De Quervain’s Tenosynovitis in Weight Lifter: A Case Report
Sajjan Pal1, Sheetal Kalra2, Sonia Pawaria1
1Assistant Professor, Faculty of Physiotherapy, SGT University, Gurgaon, India
2Associate Professor, Faculty of Physiotherapy, SGT University, Gurgaon, India
Corresponding Author: Sonia Pawaria
Objective and clinical features: A 23-year-old male weightlifter player presented complaining of right-sided wrist and thumb pain at the base of the styloid of the radius while doing twisting movement of wrist and lifting activities. Player reported that his pain started 2 month ago which increased gradually during training sessions of weight lifting. His pain was worst since 2 days when he reported to Physiotherapy OPD which affected wrist, hand and thumb activities.
Intervention and outcomes:
The combination of conservative treatment approach consisted of eccentric exercise training, Technique modification, Manual therapy, protective guard and patient education. Outcomes measures included verbal pain rating scale and a return to Activities of Daily Living (ADLs). Patient symptoms resolved and at 3 month follow up reported no recurrence of wrist pain.
Result: The described treatment regime, which involved eccentric exercise training of wrist muscles and slight modification of technique aided in the complete resolution of the patient impairment and functional limitations.
Discussion: The result of this case report add to our current knowledge of rehabilitation with the use of conventional physical agents, Eccentric exercise training, manual therapy and technique modification provided successful results with this patient. The rehab protocol included aggressive stretching, (Active Range of Motion exercise) AROM and strengthening of (Extensors Pollicis Brevis) EPB and (Abductor Pollicis Longus)APL rarely in rehab process that resulted in quicker recovery and early returns to functional activities.
Key words: Tenosynovits, Technique modification, Manual therapy.