การรักษาโรคปลอกหุ้มเอ็นข้อมือ อักเสบ (De Quervain’s disease) ด้วยการออกกำลังกาย

Abstract

De Quervain’s disease is a condition characterized by inflammation at the first dorsal compartment
of the wrist at radial styroid, is a common wrist pathology. It caused by overuse or an increase in repetitive
activity, resulting in shear microtrauma from repetitive gliding of the tendon of the abductor pollicis longus (APL)
and extensor pollicis brevis (EPB) muscle. Leading to thickening of the extensor retinaculum of the wrist, impaired
gliding of the tendon of the APL, EPB. The treatments of De Quervain’s disease depending on pain, severity.
Conservative treatment for de Quervain’s disease measures are effective in up to 90% of patients include rest,
activity modification, thumb spica splint, corticosteroid injection, anti-inflammatory medication, physical therapy
modalities and exercise therapy. Exercise therapy that includes static stretching and strengthening is an effective
tool for controlling pain, disability and assist in return to functional activities. Surgical release of the first dorsal
compartment is indicated after failed conservative treatment.