De Quervain tenosynovitis - Post-Surgery Care Advice
NUH occupational therapist shares post-de Quervain tendon release surgery care advice, e.g. rehabilitation exercises, pain and swelling reduction tips and activity modifications to prevent occurrence of same condition in the other hand, etc.
After you have your bulky dressing removed, you should start doing light exercises, as tolerated to minimise internal scarring:
Wrist movements
Thumb movements
To reduce the pain and swelling of the affected hand:
Take the pain relief medication as prescribed by your doctor
Elevate your hand above your heart level when walking or sitting
Avoid lifting objects heavier than 500 grams
Avoid activities which require repeated arm/hand movement (e.g. chopping food, typing, etc.)
When your wound is fully healed, massage your scar to soften it. Do so with some moisturiser and increase pressure on the scar as the pain reduces.
To prevent de Quervain tenosynovitis, adopt activity modification in your daily activities to avoid awkward thumb positioning or forceful gripping pinching. You can do so by applying the “4R” principles (Remove, Replace, Reduce and Rest). Learn more activity modification tips from • Management of De Quervain's Tenosynov...
To learn more about the condition, visit the NUH website, www.nuh.com.sg/Health-Information/Diseases-Conditions/Pages/-DeQuervain's-tenosynovitis.aspx
00:00 - Intro
00:21 - About De Quervain tenosynovitis
01:10 - Signs and symptoms
01:24 - Causes
01:54 - Treatment
02:09 - De Quervain tendon release surgery
02:39 - About the wound
03:07 - Management of swelling, discomfort or pain
03:35 - Wound care
04:32 - Showering tips
05:04 - Activities to avoid while wound heals
05:27 - Type of light daily activities allowed
05:37 - Return to work
05:59 - Light exercises
06:11 - Wrist movement (forward & backward)
06:23 - Wrist movement (sideways)
06:33 - Wrist movement (forearm rotation)
06:48 - Thumb movement (outward & inward)
07:01 - Thumb movement (fingertips)
07:13 - Thumb movement ("L")
07:38 - Scar massage
08:11 - Prevent De Quervain tenosynovitis - Activity modification
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