Page 34 - 2021 IDMT Digital
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DE QUERVAIN’S TENOSYNOVITIS
Introduction:
• 'H 4XHUYDLQ¶V WHQRV\QRYLWLV RFFXUV ZKHQ WKHUH LV LQIODPPDWLRQ RI WKH WHQGRQV RI WKH
EDVH RI WKH WKXPE DQG ODWHUDO ZULVW
• 7KLV LV FRPPRQO\ D SUREOHP RI RYHUXVH
Subjective:
• 6LJQV DQG 6\PSWRPV
o $FKLQJ SDLQ DW WKH EDVH RI WKH WKXPE QHDU WKH ZULVW
o 3DLQ ZRUVH ZLWK PRWLRQ
o 0LOG VZHOOLQJ PD\ EH QRWHG
o 0RVW OLNHO\ WR EH GRPLQDQW KDQG
• )RFXVHG +LVWRU\
o +DQG GRPLQDQFH
o 3DLQ ZLWK RSHQLQJ GRRUV
o 3DLQ ZLWK RSHQLQJ MDUV
o +LVWRU\ RI LQMXU\
o 1HZ PRP
Objective:
• 3K\VLFDO ([DP
o 6ZHOOLQJ DQG WHQGHUQHVV WR SDOSDWLRQ RYHU WKH ODWHUDO ZULVW DW WKH EDVH RI WKH
WKXPE
o &UHSLWXV PD\ EH QRWHG ZLWK IOH[LRQ H[WHQVLRQ RI WKH ZULVW
o 3RVLWLYH )LQNOHVWHLQ WHVW
Assessment:
• 'LIIHUHQWLDO
o &DUSRPHWDFDUSDO MRLQW DUWKULWLV ROGHU SDWLHQW SDLQ DW EDVH RI WKXPE SRVLWLYH
VKXFN WHVW
o *DQJOLRQ F\VW PDVV ZLOO EH SUHVHQW
o 6FDSKRLG IUDFWXUH KLVWRU\ RI LQMXU\ VQXIIER[ WHQGHUQHVV WR SDOSDWLRQ
Plan:
• $YRLG DJJUDYDWLQJ DFWLYLWLHV
• 7KXPE VSLFD VSOLQW
• 5,&(
• 16$,'V
• If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence,
consider administering up to 10 treatment sessions as an alternative to NSAIDs as
long as there is clinical benefit and no worsening of the patient’s condition
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