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de Quervains TenosynovitisThe extensor pollicis brevis and abductor pollicis longus are tendons that run along the radial side of the wrist, over the radial styloid process. These tendons function to control movement of the thumb. They pass through a tight channel, called the first dorsal compartment, which joins the forearm to the thumb. The tendons are encased by sheaths, or a covering, that run through the first dorsal compartment. The sheaths are lined with synovial fluid (synovium) so the tendons can slide easily through them. De Quervain's tenosynovitis is the thickening of the sheaths that encase these tendons. This occurs when the tendon sheaths and synovium become irritated and inflamed. When the sheath swells the tendons have difficulties passing through. The swelling may also put pressure on the radial nerve or other nerves in the wrist resulting in pain and/or numbness. CausesDe Quervain's syndrome is caused by repetitive overuse or hyperextension of the tendons. Frequent twisting, grasping, clenching, pinching or wringing can irritate the synovium and sheath causing swelling and inflammation. Mothers with infants and day care workers who frequently lift babies are most commonly affected by de Quervain's tenosynovitis. However, it may also be triggered by a direct blow to the area around the radial styloid process. Due to the cause of de Quervain's tenosynovitis, it is also referred to as mommy thumb and mother's wrist, as well as, de Quervain's disease, radial styloid tenosynovitis, de Quervain's syndrome or washerwoman's sprain. Symptoms
Surgery?Surgery is not usually necessary, and is typically the option of last resort. Treating de Quervain's syndrome with home therapies such as ultrasound therapy, cold compression, and Blood Flow Stimulation Therapy™ can reduce the inflammation and swelling allowing for smooth movement of your tendons once again. If surgery is required, use of these therapies following the procedure will help speed healing and reduce scar tissue build up around the tendon. This will improve your range of motion in the thumb and reduce the risk of the condition returning. A troublesome complication of surgery for de Quervains tenosynovitis is a painful neuroma of the radial nerve as well as increased presence of scar tissue due to the invasive nature of surgery. To reduce the chance surgery will be require, it is important to treat de Quervain's tenosynovitis as soon as possible, as any activity or strain you put on your thumb can re-injure it further. Though the pain, discomfort, and inconvenience of de Quervain's syndrome can be overwhelming, it is possible to overcome it. Treating Your Wrist Tendon The trick with any tendon injury is getting it to heal with minimal scar tissue formation and with as much realignment of the tendon fibres as possible - something ultrasound therapy is great at! Even with optimum healing, there is always less elasticity in a previously injured tendon. This will cause the tendon to hurt, during everyday activities. If you heal your injury efficiently and quickly, your chance of re-injury later on is much lower than average. Allowing your tendon to rest is always recommended following injury. Try to avoid grasping, wringing, twisting and pinching or any other activities that may have caused the injury or irritation and begin cold compression treatments as soon as possible. The tendons in the thumbs and fingers are difficult to rest completely as they are essential for daily chores and activities.  Fortunately, there are healing tools that can help treat your tendons and speed up the healing process so you can get back to a life without pain and risk of further injury. Therapeutic ultrasound and Blood Flow Stimulation Therapy™ (BFST®) will treat scar tissue and promote blood flow to heal your tendon faster and more completely than any other methods available. Although steroid injections may provide temporary relief from the pain of tendinitis and tenosynovitis, multiple injections should be avoided as they weaken the tendon and may lead to a rupture. Freezie Wrap® Cold Compression Therapy Doctors recommend using cold compression as soon as possible following an acute tendon injury and re-injury to reduce pain and swelling and minimize tissue damage. The Wrist Freezie Wrap® allows you to treat your tendon in an effective and convenient way. The wrap is versatile with Velcro attachments so you can wrap it around your hand, wrist or forearm where you need it. It's adjustable which allows you to control the compression to your comfort level. Designed with ColdCure Technology®, the gel packs are chilled in the fridge not the freezer. This eliminates the risk of cryoburn, or 'cold burns', on your skin that can be cause by ice and strandard freezer gel packs. You can also wear the Freezie Wrap® for longer treatments so you can enjoy even more relief from your wrist or thumb pain! Cold Compression Therapy works by interrupting and slowing nerve and cell function in the injured area and reducing swelling that can block blood vessels. This is important because once blood vessels are blocked or damaged, they can no longer carry oxygenated blood to the tendon and tissue cells begin to break-down. Without cold compression therapy cellular break-down and tissue damage continues as the cells do not get the oxygen they need to survive. By limiting the amount of damage done to your tendon, you also limit the amount of healing that needs to occur. This is a very important step to heal your tendon faster and with less pain! The deep cooling effect provided by the Wrist Freezie Wrap® gives you the fast, effective relief your sore tendon has been looking for! Click Here to learn more about Freezie Wrap® ColdCure Technology®Ultrasound Therapy Ultrasound Therapy increases tissue elasticity while promoting the flow of blood (filled with vital oxygen and nutrients) to your injured tendon. This cleans the injured area by getting rid of damaged tissue and reducing the inflammation of the tendon and sheath while opening up the blood vessels to begin healing. During the healing process, scar tissue builds on the tendon which can attach it to the shealth it glides through, limiting the flexibility and movement of the tendon. Fortunately, you can treat your tendon with therapeutic ultrasound to soften scar tissue and improve the gliding motion and flexibility of your tendon.  Not only does ultrasound aid in the duration of healing, but it helps to prevent long term complications. Pain, lack of mobility, tendinosis, or a complete tendon rupture are some of the more common long term complications that can occur when tendinitis or tenosynovitis go untreated. By treating your tendon with ultrasound, scar tissue becomes softer and the tissue becomes stronger reducing the risk of chronic problems in the future. If you suffer from a long term tendon injury, ultrasound can treat old scar tissue too! By softening the tough, inflexible, scarred tissue you can improve the range of motion in your wrist and hands. MendMeShop® Ultrasound System with phonophoresis is safe, convenient, and easy. It is based on a form of deep tissue therapy, which is generated through high frequency sound waves (that we can not hear). These waves send vibrations deep into your body and slightly increase the temperature of your soft tissue cells. The waves are delivered through a hand held transducer and conductive gel that are used together in a slow, circular motion on your skin over the injured area.  Ultrasound can also be used to administer therapeutic medicines into the body. This is a process known as phonophoresis. Ultrasound with phonophoresis is rapidly becoming more popular than ultrasound therapy alone. Using MendMeShop® Lavender Infusion Ultrasound Gel during your treatments gives you 2 therapies in 1. You get the benefit of the regenerating sound waves from the ultrasound device itself AND the added bonus of the therapeutic ingredients inside the gel being delivered into the tendon fibers where it is most effective. 1 FREE bottle of MendMeShop® Lavender Infusion Ultrasound Gel comes with every MendMeShop® Ultrasound System and it contains the therapeutic essential oils of natural Bulgarian lavender, peppermint, eucalyptus, and menthol.  Once the inflammation of your tendon injury has been reduced, nourishing and strengthening the tissue and surrounding area is recommended. Using Blood Flow Stimulation Therapy™ will speed your recovery and heal your tendon more completely preparing it for normal use again. Talk to your doctor or physical therapist to find out which strengthening exercises are appropriate for your situation. Click Here to learn more about Ultrasound TherapyInferno Wrap® Blood Flow Stimulation Therapy™ After the inflammation and swelling is gone you can begin to treat your tendon with Blood Flow Stimulation Therapy™ (BFST®). BFST® increases the amount of blood that flows naturally to your wrist to nourish your tendons and ligaments to speed healing. Tendons receive a limited blood supply by nature and this significantly reduces the ability to heal. By treating your tendon with BFST® you can increase your body's blood supply to the wrist and increase your body's natural healing power. In addition, the fresh blood flow whisks away dead cells and toxins that have built up from the injury leaving the area clean and able to heal faster. Our Wrist Inferno Wrap® provides effective, non-invasive, non-addictive pain relief and healing with no side effects. Click Here to learn more about how Inferno Wrap® BFST® worksWith these 3 easy therapies you will notice incredible improvement in the health and flexibility and reduced daily pain in your wrist. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results! Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider before starting any new treatment or with any questions you may have regarding a medical condition.
| Dear MendMeShop, I have been treating multiple areas on my body with the ultrasound for just 9 days. The device is being used to treat both of my feet, calf muscles, hamstring, shoulder, neck, lower back, and on my right hand/wrist for Carpal Tunnel (which I have suffered from for around 28 years) Surgery was also conducted on both of my knees a number of years ago. The surgery went fine but then the pain seemed to come back after I began suffering foot problems. The ultrasound is definitely helping alleviate the pain I feel in the knees as well. I couldn't be happier with the MendMeShop ultrasound. I have always wanted to purchase a home ultrasound device but could not find one in my area. I was already seeing a therapist and she was using ultrasound, but that was ending in 6 weeks. I was able to find out about your company and I decided to go ahead with a purchase. Not long after, I was talking to my therapist about your ultrasound device. She was intrigued and talked to her boss about it, who then went ahead and purchased his own. Rating: Patricia Earnest           |
