De Quervain's Tenosynovitis: Difference between revisions
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== Outcome Measures == | == Outcome Measures == | ||
*[[DASH Outcome Measure|DASH Outcome Measure]] | '''IN PROGRESS''' | ||
*[[DASH Outcome Measure|DASH Outcome Measure]] | |||
*Numeric Pain Rating Scale (NPRS) | |||
*Symptom Severity Scale | |||
*Patient Specific Functional Scale (PSFS) | |||
add links to outcome measures here (also see [[Outcome Measures|Outcome Measures Database]]) | add links to outcome measures here (also see [[Outcome Measures|Outcome Measures Database]]) | ||
Revision as of 00:30, 26 November 2011
Lead Editors - Corin Arundale, David Cameron, John Fite, Bryan Purkey, John Winkelhaus
Search Strategy[edit | edit source]
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Definition/Description[edit | edit source]
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Epidemiology/Etiology[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Outcome Measures[edit | edit source]
IN PROGRESS
- DASH Outcome Measure
- Numeric Pain Rating Scale (NPRS)
- Symptom Severity Scale
- Patient Specific Functional Scale (PSFS)
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Examination[edit | edit source]
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Medical Management
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Physical Therapy Management
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IN PROGRESS
There have not been any high quality studies examining the effects of conservative management as a standalone intervention. The vast majority of the literature focuses on corticosteroid and other injections in comparison to placebo. In studies where injections have been shown superior to splinting, the long term outcomes were not examined.
A Cochrane Review concluded that there is Silver Level evidence that corticosteroid injection is superior to splinting in relieving pain. The authors, however, concede that "the evidence is based on one very small controlled clinical trial of short duration and poor methodological quality, which included only pregnant and lactating women."[1]
Walker presented a case study which examined the use of an impairment-based approach to direct manual interventions in a patient with radial wrist pain. Although deQuervain's was ultimately ruled out as the condition at hand, this report serves to support an impairment-based approach, using manual interventions - specifically grade IV radiocarpal, intercarpal, and 1st CMC joint mobilization - to relieve pain and dysfunction in radial wrist pain.[2]
Ashurst presented a case study in which a patient with diagnosed deQuervain's was prescribed oral anti-inflammatory medication coupled with night splinting and relative rest. The patient wore cock-up wrist splints at night and was instructed minimize the amount of text messaging (the action that preceded the condition) performed. This case study provides support for a relative rest approach, in which a patient avoids aggravating activities, while remaining otherwise active.[3]
Key Research[edit | edit source]
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Resources
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Mayo Clinic Overview of DeQuervain's Tenosynovitis
WebMD Overview of DeQuervain's Tenosynovitis
Clinical Bottom Line[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Peters-Veluthamaningal C, van der Windt DAWM, Winters JC, Meyboom-de Jong B. Corticosteroid injection for de Quervain’s tenosynovitis. Cochrane Database of Systematic Reviews 2009, Issue 3.
- ↑ Walker MJ. Manual Physical Therapy Examination and Intervention of a Patient With Radial Wrist Pain: A Case Report. J Orthop Sports Phys Ther 2004:34(12).
- ↑ Ashurst JV, Turco DA, Lieb BE. Tenosynovitis Caused by Texting: An Emerging Disease. JAOA 2010:110(5).
