De Quervain's Tendinitis: Causes, Symptoms And Treatment

by Administrator 18. November 2016 09:19

De Quervain's Tendinitis is a medical condition that affects the tendons located at the base of the thumb. There are two main tendons in the thumb which pass through a tunnel kind of an enclosure referred to as the sheath. A thin layer of slippery tissue, called synovium, covers the tendons and facilitates their passage through the sheath. Irritation or constriction may cause these tendons to swell and rub against the outer sheath. The condition mainly affects women between the age of 35 and 50 years.

Causes

  • Prolonged repetitive movement of the hand and wrist joint while playing golf, gardening, playing badminton or tennis etc.
  • Overuse injuries to the thumb or wrist joint
  • Pregnancy may cause certain internal changes resulting in inflammation of the tendons
  • Rheumatoid Arthritis in the hand or wrist joint
  • Lifting a baby may stress the hand over a period of time
  • Past injuries may result in the formation of a scar tissue which may hamper the movement of the tendons at the base of the thumb

Symptoms

  • Difficulty or pain while grasping, clenching a fist, holding or lifting weights, pinching or wringing clothes
  • Pain may be sudden or set in gradually. It may be initially felt in the thumb or wrist and radiate upwards to the forearm
  • The base of the thumb may be swollen and tender to touch
  • The patient may feel a snapping kind of sensation when the thumb is moved or used

Diagnosis

  • Finkelstein Test- This is a physical test in which the patient is asked to make a fist and then bend the wrist in the direction of the little finger. If pain is felt while performing this test, it confirms the presence of De Quervain's Tendinitis
  • The doctor may palpate and apply pressure at the base of the thumb to check if it causes pain
  • X-ray imaging may be required to assess the bone structure and detect a fracture or dislocation
  • The patient may be inquired about his daily activities, sports played and previous wrist injuries, if any

Treatment

  • De Quervain's Tendinitis can be treated both surgically as well as non-surgically depending on the underlying cause and the severity of the condition. The methods adopted may include the following:
  • A soft removable splint or a brace may be worn to hold the thumb and wrist in place as well as give them rest for a few weeks
  • Anti-inflammatory medicines may be prescribed to provide relief from the symptoms
  • Activities that involve excessive use of the hand need to be avoided. This can be helpful in easing the pain and swelling
  • Corticosteroid injections may be administered directly at the point of inflammation to provide immediate relief
  • Application of ice packs at regular intervals can be effective
  • Surgery can be performed to expand the thumb compartment in order to create space for the swollen tendons
  • Physical therapy may be recommended to reinstate the stability and functionality of the thumb. Specific exercises may be designed to strengthen the supporting muscles and reduce pain
  • Occupational therapists may advise the patient on proper usage of the hand without irritating the tendons

Visit OrthoTexas for complete treatment of De Quervain’s Tendinitis. To schedule an appointment with the wrist specialists in McKinney, TX, you can call at (972) 727 – 9995.

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Snapping Hip Syndrome: Orthopedic Treatment In McKinney

by Administrator 4. May 2016 09:56

Snapping Hip Syndrome, also known as Coxa Saltans or Dancer's Hip, refers to a medical condition wherein an individual feels a popping sensation while moving the leg.  The hip is a ball-and-socket joint which allows the rounded end of the femur to fit into the cup shaped socket of the pelvis. The labrum is a fibrocartilage which lines the socket cavity and keeps the joint stable. The bones and muscles are further supported by various tendons and ligaments. Snapping Hip Syndrome occurs when a tendon rubs over a bone in the hip joint.

Although this condition usually does not have any disabling effects, it may lead to the development of Hip Bursitis if not treated properly.  Snapping Hip Syndrome may occur at various places within the joint.

  • In front of hip- The rectus femoris tendon that runs in the frontal part of the thigh right up to the pelvis may start snapping. Besides this tendon, the iliopsoas tendon may also override the bony parts of the joint.
  • At the back of the hip- This occurs due to the snapping of the hamstring tendon attached to ischial tuberosity (the sitting bone) and creates discomfort in the buttocks.
  • On the outer side of the hip- This type of snapping occurs at the point where the iliotibial band passes over the femur.
  • Cartilage snapping- In this, Torn and damaged parts of the labrum may float within the joint space and lead to pain, disability and locking of the joint.

Causes

  • Tightening in the supporting muscles that surround the hip joint
  • Excessive or repeated bending of the hip
  • Dancing
  • Sports activities
  • Muscle stiffness during growth spurts in adolescence
  • Injury to the joint

Symptoms

  • Pain
  • Snapping sensation while walking, running, swinging the legs or bending the hip
  • Weakness in muscles
  • Instability in the joint
  • Minor changes in gait or posture

Diagnosis

  • Examination of the joint by the orthopedic doctor
  • Evaluation of the patient’s medical history and symptoms experienced
  • The patient may be asked to describe movements that cause pain or snapping
  • Physical check of the hip joint by moving the leg in various directions
  • X-ray imaging may be required to rule out internal bone damage
  • Gait analysis
  • Testing of the joint mobility

Treatment

  • Apply ice packs to the affected side of the joint
  • Avoid activities that may aggravate the symptoms
  • Prescription of anti-inflammatory medicines to relieve pain and discomfort
  • Avoid sports or exercises that involve bending of the hip joint
  • Physical therapy, involving Iliotibial band stretch, Piriformis stretch and other exercises may help to strengthen the hip muscles
  • Arthroscopy may be required to remove or repair the torn labrum that may be causing the condition

For effective treatment of Snapping Hip Syndrome and other orthopedic conditions, consult the surgeons at OrthoTexas. To schedule an appointment in McKinney, TX, call at (972) 727 – 9995 or visit 7300 Eldorado Parkway, Suites 165/165A, McKinney, TX 75070.

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Benefits Of Kinesiotaping: Physical Therapy McKinney, TX

by Administrator 21. September 2015 09:16

Kinesiotaping is a rehabilitative technique designed to boost the body’s natural healing process. It helps to provide support to the injured muscles and tissues, without affecting blood circulation and the joint’s range of motion. The technique uses a specialized elastic tape that can be worn be people of all age groups. It is beneficial for people who are recovering from an orthopedic condition or injury such as Carpal Tunnel Syndrome, ligament tears, Herniated Discs, strains, sprains, Rotator Cuff Tear etc.

How Kinesiotaping Works?

In contrast to the traditional taping techniques that involved firmly holding the injured muscles and restricting their movement, Kinesiotaping works the other way round. It moves along with the muscles, thereby allowing them to expand and retain complete range of motion.

The kinesio tape should be applied in a clinical setting, under the supervision of an experienced physical therapist. It is usually put on or around the site of strain or injury in a way that does not restrain movement. The tape helps to keep the skin and connective tissue away from the affected muscles. This allows the bodily fluids to flow freely and promote healing of the injured tissues.

Benefits Of Kinesiotaping

  • Relieves Pain: Due to its elastic properties, the kinesio tape uses a slight lifting action on the skin. This helps to relieve stress from the body’s pain receptors caused due to the flow of blood and other lymphatic fluids.
  • Reduces Swelling: By ensuring a proper flow of blood, kinesiotaping boosts the removal of lymphatic fluids from the tissues in and near the site of injury which helps to compress swelling.
  • Provides Support: Being highly elastic, the kinesiotaping provides proper support to the injured muscles and joints. This helps in loosening the muscles, move the joint and prevent it from any jerky movements that may cause further damage.
  • Prevents Muscle Spasms: By promoting the blood flow, it facilitates the proper supply of oxygen and required nutrients to the damaged tissues. This helps to increase the laxity of muscles and prevent spasms or cramps.
  • Promotes Muscle Strengthening: Kinesotaping works towards retaining safe and normal range of motion of the affected joint. Thus, the individual can carry out muscle strengthening and stretching exercises without any pain, which further accelerates the healing process.

The physical therapists at OrthoTexas specialize in using Kinesiotaping technique to help patients find relief from joint pain and recover from sports injuries. To schedule an appointment with the physical therapists in McKinney, TX, you can call at (972) 727 – 9995 or visit McKinney Medical Village, 7300 Eldorado Parkway Suites 165/165A, McKinney, Texas 75070.

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