Physical Modalities for Wrist and Hand Tenosynovitis
Urooj Fatima1, Qasim Shad1, Kanzul Kamal1, Maham Munir1, Maheen Shad1 and Faran Khan2*
11Department of Physical Therapy, School of Health Sciences, University of Management and Technology, Pakistan
22Department of Nutrition Science, School of Health Sciences, University of Management and Technology, Pakistan
*Corresponding Author: Faran Khan, Department of Nutrition Science, School of Health Sciences, University of Management and Technology, Pakistan.
September 09, 2022; Published: October 03, 2022
Tenosynovitis of the wrist and hand such as De Quervain’s disease, Dupuytren’s contracture, and trigger finger are primarily caused by repetitive trauma to the wrist and hand. De Quervain’s tenosynovitis is overuse of the abductor pollicis longus and extensor pollicis brevis due to grasping activities. Physical modalities like the use of paraffin bath, low-level laser therapy, ultrasound therapy and phonophoresis along with other conservative management have proved to be effective to improve overall function. Dupuytren's contracture is a fibrous disorder of the palm and its gold standard treatment is fasciotomy but recent evidence shows extracorporeal shock wave therapy (ESWT) as the most effective treatment of it. A trigger finger also called stenosing tenovaginitis is a condition in which the finger gets stuck in a bent position because of hypertrophy at tendon junction and an increase in pressure at the proximal A1 pulley. ESWT is effective in this as it reduces pain, severity, and functional impact of triggering. It is a big challenge to handle these conditions as little information is available apart from steroid injections and surgery. Physical modalities have been demonstrated in physical therapy, but their effects are never seen on hand and wrist pathologies. The purpose of this article is to provide information on the effectiveness of physical modalities for tenosynovitis of the wrist and hand. Physical modalities along with other conservation management relieve pain and improve functional status.
Keywords: De Quervain's tenosynovitis; Physical Modalities; Pain
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