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Mobilization with movement in de quervain’s tenosynovitis

Abha Sachdev , Abha Sachdev , Nidhi Kashyap , Savita Tamaria

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Physiotherapy and Occupational Therapy Journal 3(1):p 39-41, January - March 2010. | DOI:

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Abstract

This paper discusses the value of mobilization with movement in de quervain’s tenosynovitis. De Quervain’s tenosynovitis is a form of stenosing tenosynovitis usually occurring in the tendons of abductor pollicis longus (APL) and extensor pollicis brevis (EPB). Many conventional physical therapy interventions are followed for the management of this condition. But, in spite of such a variety of treatment options, many patients remain symptomatic. The possible reason for this could be attributed to the fact that the presence of tenosynovitis may be associated with carpal positional abnormality and CMC and wrist joint stiffness. These associated positional abnormalities are neglected while following the regular treatment protocols accounting for the failure of the conventional treatment approaches. Mobilisation with movement (MWM) techniques serves to correct the root cause of positional abnormalities and provide pain-free range of movement. Thus, these techniques should be added in the conventional treatment protocol for De Quervain’s tenosynovitis

Keywords: Mobilisation with movement, De quervain’s tenosynovitis, Positional faults.

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