Acta Scientific Nutritional Health (ASNH)(ISSN: 2582-1423)

Review Article Volume 6 Issue 11

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.

Received: 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


  1. Dressendorfer R., et “De Quervain's Syndrome (2020).
  2. Kamalakannan M., et “Efficacy of Kinesio taping and low-level laser therapy versus conventional therapy for De Quervains's tenosynovitis”. Biomedicine 40.1 (2020): 89-93.
  3. Sadeque AZ., et “Comparison of Analgesic Effects of UST with NSAIDs and without NSAIDs in Patients with De Quervain’s Disease”. TAJ: Journal of Teachers Association 32.1 (2019): 25-32.
  4. Karlıbel IA., et “Paraffin bath therapy in De Quervain’s tenosynovitis: a single-blind randomized controlled trial”. International Journal of Biometeorology 65.8 (2021): 1391-1398.
  5. Brunelli S., et “Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren's contractures: A case report”. Medicine 99.24 (2020).
  6. Taheri P., et “The effect of shock wave therapy on improving the symptoms and function of patients with Dupuytren's contracture”. Advanced Biomedical Research 11.1 (2022): 3.
  7. Knobloch K., et “Focused electromagnetic high-energetic extracorporeal shockwave (ESWT) reduces pain levels in the nodular state of Dupuytren’s disease-a randomized controlled trial (DupuyShock)”. Lasers in Medical Science 37.1 (2022): 323-333.
  8. Kníže J., et “Current treatment options of dupuytrens disease”. Journal Acta Chirurgiae Plasticae 59.3-4 (2018): 142-148.
  9. Mah D and R “Case Study: Dupuytren's Contracture in a Young Female Powerlifter”. Journal of Science and Medicine in Sport 22 (2019): S93-S94.
  10. Taheri P., et “Radial extracorporeal shock wave therapy for Dupuytren’s contracture: a case report”. Journal of Shahrekord University of Medical Sciences 23.2 (2019): 99-101.
  11. Dogru M., et “The Effect of Radial Extracorporeal Shock Wave Therapy in the Treatment of Trigger Finger”. Cureus 12.6 (2020).
  12. Vahdatpour B., et “The effect of extracorporeal shock wave therapy in the treatment of patients with trigger finger”. Open Access Journal of Sports Medicine 11 (2020): 85.
  13. Matthews A., et “Trigger finger: An overview of the treatment options”. Journal of the American Academy of Pas 32.1 (2019): 17-21.
  14. Ferrara PE., et “Physical therapies for the conservative treatment of the trigger finger: a narrative review”. Orthopedic Reviews 12.1 (2020).
  15. MAGDA SM., et “Efficacy of Low-Level Laser Therapy on De Quervain's Tenosynovitis after Delivery”. The Medical Journal of Cairo University 89 (2021): 1715-1719.
  16. Awad MA., et “Comparison between Sodium diclofenac phonophoresis and kinesio tape in treating postpartum de quervain’s tenosynovitis”. International Journal of ChemTech Research 10.5 (2017): 567-575.
  17. Sharma R., et “Outcome of low-level lasers versus ultrasonic therapy in de Quervain’s tenosynovitis”. Indian Journal of Orthopaedics 49.5 (2015): 542-548.
  18. Ferrara , et al. “Physical modalities for the conservative treatment of wrist and hand's tenosynovitis: a systematic review”. In Seminars in Arthritis and Rheumatism (2020).
  19. Sugawara A., et “Extracorporeal shockwave therapy for pain reduction of musculoskeletal diseases: Predictors and responders”. Annals of Physical and Rehabilitation Medicine 61 (2018): e171.
  20. Hunnicutt C., et “The Therapeutic Potential of Cannabinoids and Phonophoresis in Pain Manage-ment: A Scoping Review”. Journal of Physical Medicine, Rehabilitation and Disabilities 5 (2019): 036.


Citation: Faran Khan., et al. “Physical Modalities for Wrist and Hand Tenosynovitis". Acta Scientific Nutritional Health 6.11 (2022): 03-09.


Copyright: © 2022 Faran Khan., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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