What is De Quervain tenosynovitis?

● It is a painful condition affecting the tendons of the thumb on the side of the
wrist. Tendons are rope-like structures that attach muscle to bone.
● Pain may be more when you turn your wrist, grasp anything or make a fist.

What are the causes of De Quervain tenosynovitis?

● The exact causes are not known.

What are the risk factors for developing De Quervain tenosynovitis?

● However, it is associated with repetitive hand or wrist movement.
● Overuse of mobile, laptop, computer, and mouse.
● Work in the kitchen related to lifting, and grasping repeatedly.
● Gardening
● Racket sports
● Pregnancy
● Baby care
● Lack of strength

What are the common symptoms associated with De Quervain
tenosynovitis?

Symptoms can vary from person to person
● Dull pain near the base of the thumb
● Swelling near the base of the thumb
● Stiffness of movement of the thumb
● Inability to lift, and grasp common objects
● Inability to take the pressure or load with the thumb grip

What is the impact of De Quervain tenosynovitis on daily activities?

● It affects daily working
● Leads to Disability
● Reduced energy levels

● Disturbed sleep

What happens during consultation at BILD Exercise Clinic?

● The doctor will examine the patient.
● A detailed history regarding the onset and progression of the disease will be
noted.
● A record of previous treatments tried will be noted.
● Strength differences of different muscles around the joint will be analysed.
● Previous reports (if any) such as MRI, X rays will also be seen and
discussed.

What questions to expect from your doctor

The doctor may ask some of the following questions:
● Where exactly does it hurt?
● Since when have you had this problem?
● What was the trigger or nature of injury (if applicable) for the beginning of pain
● How would you describe the pain — dull, sharp, burning?
● What are the previous treatment modalities tried by you?
● What makes the pain worse? What makes the pain better?
● How does the pain affect your sleep and life?

Is it necessary to have any investigations done before or after the
consultation?

● It is NOT compulsory to have any investigations done before consultation.
● Blood tests and MRIs are NOT asked for.

How to prepare for your consultation with the doctor?

● Wear comfortable clothes.
● Don’t consume painkillers (at least 12 hours before) while coming for
consultation. Painkillers mask the symptoms and interfere with understanding
of symptoms.
● Bring all the previous reports, investigations, and medication prescriptions. It
is NOT necessary to have investigations or tests to be done before.
● Write down all your questions on paper or on a mobile phone that you want to
ask the doctor.
● It is always useful to bring a companion with you during consultation.

What treatment can be offered at BILD Exercise Clinic?

● Based on examination, reports, and medical and surgical history doctor will
prescribe home-based exercises. Home-based exercise prescription contains
diagrams, figures and detailed instructions.
● If needed few sessions of specific exercises can be conducted at the BILD
Exercise Clinic.

What types of exercises are covered at BILD Exercise Clinic?

As needed one or more of the following exercises are prescribed and administered.
● Exercises for strength
● Mobilization exercises
● Exercises for stability
● Exercises for Impact and load-bearing

How ergonomic corrections are done at BILD Exercise Clinic?

● It is good to bring a picture of your current laptop, and computer use in your
mobile phone.
● The doctor will study your current style of laptop, and computer use and
suggest changes.
● Changes in the placement of the screen, keyboard, mouse, chair, etc. are
discussed and proper prescription is provided for the same.

What are the goals of the exercise treatment at BILD Exercise Clinic?

● Decrease joint pain and stiffness.
● Improve joint stability and muscle strength.
● Delay or reverse the further progression of symptoms.
● Improve joint mobility and function.
● Improve the quality of life with respect to wrist joints.
As with any medical or exercise intervention the outcome varies from patient to
patient.

Which technology might be used (as per the need) at BILD Exercise Clinic?

● Strength training equipment
● Resistance bands
● Resistance bars
● CODLTUB- cold water immersion therapy
The selection of technology and exercise protocol is determined by the doctor.

What kind of treatment is NOT offered at BILD Exercise Clinic?

● Painkillers or Anti-inflammatory medications
● Vitamin supplements
● Ointments and creams of any kind
● Any other pharmacological/drug treatment
● Hormonal Therapy or injectables of any kind
● Intra-joint injections of any kind
● Surgery of any kind

How to reach BILD Exercise Clinic OPD at Deenanath Mangeshkar Hospital?

• Reach the Super Speciality Building (SS building/new building) lobby/main entrance before time. Wheelchairs are available in the lobby and parking for needy patients. Click here for the Google map location of BILD Exercise Clinic.
• Parking is available based on availability. You can prefer public transport such as bus, auto-rickshaw, cab or taxi.
• If you are not registered as a patient and appearing for the first time as a patient at Deenanath Mangeshkar Hospital then try to come at least 15 minutes before the appointment time to complete the simple registration process at the ground floor reception of the super specialty building.
• Get an OPD entry pass (for patients) and an attendant pass at the ground-floor reception.
• Choose appropriate lifts (life no.1,2,3 ) at the ground floor to reach BILD Exercise Clinic OPD on the 11th floor.
• Depending upon patient numbers some waiting period is expected. Comfortable sitting, clean drinking water, a book reading section, clean toilets, changing rooms, and a cafeteria (on the ground floor and seventh floor) are available at your service.