for queries, pl contact
Dr Anurag Awasthi Orthopaedic Specialist, Sohna Road, Gurgaon 9718112112
Most individuals working regularly on computer keyboards or using power tools which produces strong vibrations, complain of pain over the outer aspect of the wrist and particularly over the base of the thumb.
This is usually mild but sometimes, patient complain of severe incapacitating pain which gets aggravated with gripping movements or even holding a pen.
One of the important reasons for such pain is DeQuervain's disease.
It involves tenosynovitis (inflammation of tendon sheaths) of the tendons lying at the base of thumb on the back of wrist.
The inflammation causes a constriction in the tendon sheath, and interferes with the smooth excursion of tendon within its sheath.
It is more commonly seen in association with Diabetes Mellitus, Rheumatoid Arthritis or Hypothyroidism.
Patients presenting with this disorder are usually the working population with high demands and work pressure.
The treatment of DeQuervain's disease is usually conservative.
The patients is started on anti-inflammatory medications; and Ultrasonic therapy of the tendon sheath. Most patients do fairly well with this therapy. Usually a short course of 5 to 7 sittings is required.
In patients, not responding to above treatment, the tendon sheath can be infiltrated with locally acting steroid. This does not produce any systemic side effect. However, the treatment success results are 60 - 80 percent.
In patients who fail to respond to a course of anti-inflammatory medications/ physiotherapy or injections, they fall into the category of cases requiring surgical intervention.
Surgery is effective way to treat resistant cases. The tendon sheath is opened through an incision at the base of thumb on the back of wrist. Important step during surgery is to isolate and protect the Superficial Radial Nerve which provides sensory inputs to the back of hand. If the nerve is accidentally cut, it may produce an embarrassingly painful neuroma.
To conclude, most patients may be managed with conservative or minimally invasive therapies. Surgery, however is the last resort providing effective, short, daycare cure.
Email: sportsinjury.joint@gmail.com
Blog: http://dranuragawasthi.blogspot.com/
Profile: http://in.linkedin.com/in/anuragawasthi
Article Source: http://EzineArticles.com/?expert=Dr._Anurag_Awasthi
Hi Dr.Anurag,
ReplyDeletegood explanation of DeQuervain's disease and how it can be cured.very informative.
joint replacement surgery India
What you have explained is very good. I have read it well. very informative
ReplyDeleteOrthopedic and joint replacement surgery delhi
Video surveillance systems provide continuous or scheduled video monitoring of selected areas. Modern solutions can include high-definition cameras, digital recording devices, motion-based recording, remote access, and smart alerts. Proper planning and camera placement can help provide effective coverage while reducing unnecessary blind spots.
ReplyDeleteHome security companies provide products and services designed to protect homes from theft, intrusion, fire, and other emergencies. They offer solutions such as CCTV cameras, video doorbells, burglar alarms, motion detectors, smart locks, door and window sensors, and 24-hour monitoring. Some companies provide professionally installed systems, while others offer DIY wireless security solutions. Modern systems can connect to smartphones, allowing homeowners to receive alerts and monitor their property remotely. Many companies also integrate security devices with smart-home technologies, such as lighting and voice assistants. Customers should consider factors such as reliability, installation costs, monitoring fees, privacy, cybersecurity, customer support, and equipment quality when selecting a home security company.
ReplyDeleteChiropractic for Knee Pain can be a supportive option for individuals experiencing knee discomfort, stiffness, limited mobility, or difficulty with everyday activities. Knee pain may result from overuse, sports activities, muscle imbalances, joint stiffness, poor posture, previous injuries, or repetitive strain. Chiropractic care focuses on evaluating movement and identifying factors that may contribute to stress around the knee. During an assessment, a chiropractor may examine the knee, hips, ankles, muscles, and surrounding joints to better understand movement patterns and areas of restricted mobility. Chiropractic for knee pain may include gentle adjustments, soft-tissue techniques, stretching, mobility exercises, and personalized movement recommendations. These approaches may help support flexibility, joint mobility, and comfortable movement while complementing an individual’s overall wellness routine. A chiropractor may also provide guidance on posture, exercise techniques, and daily habits that can help reduce unnecessary strain on the knee. If knee discomfort is affecting your walking, exercise, work, or daily routine, professional evaluation can help determine whether chiropractic care is appropriate for your needs.
ReplyDeleteThe best fruit washer machine helps remove dirt, dust, and surface residues from fruits and vegetables quickly and conveniently. When choosing a fruit washer, consider cleaning performance, capacity, ease of use, durability, and price. Ultrasonic fruit and vegetable washers are popular options for home kitchens because they offer a compact design and simple operation. Look for a machine made from food-safe materials with easy-to-clean components. Remember that no fruit washer can guarantee the removal of all pesticides or harmful microorganisms. For best results, wash produce thoroughly under clean running water before eating or cooking. Compare features and customer reviews before purchasing.
ReplyDelete