Tenosynovitis Case Study

Lateral epicondylitis, better known as “Tennis elbow” is a form of tendonitis. It causes the tendons within the bony structure to swell; it can also cause pain in the elbow which radiates to the arm. The article from WebMD states “These tendons are tough tissues that connect the muscles of your lower arm to the bone”1. Commonly referred to tennis elbow, someone can get this form of tendonitis without playing tennis a day in their lives. It is usually a result of overworking or repetitive motion of those tendons.

Stenosing tenosynovitis, or most commonly referred to as trigger finger, is a condition where one of the fingers is stuck in a bent position. The affected finger may straighten in a snap similar to a trigger being pulled and then released. This situation usually occurs when there is inflammation in the area causing space within the sheath surrounding the tendon to become narrow. To help alleviate it, there are home remedies for trigger finger pain.

As per office notes dated 5/4/16, the patient is seen for bilateral elbow pain and bilateral wrist pain. She rates the pain as 3/10 with medication and 7/10 without medication. She is active for at least six hours a day and has energy to make plans. Her activity level has

Disease/Disorder: Osteoarthritis (OA) is a common, age-related inflammatory joint disease of the synovial joints. Its characteristics include local areas of loss and damage of articular cartilage, new bone formation of joint margins, subchondral bone changes, synovitis and thickening of the joint capsule. It is typically found in the hands, knees, hips, and spine. OA is often associated with wear and tear therefore symptoms improve with rest (Walker, 2011).

There is tenderness with motion of the wrist. Strength is 4/5. She is tender over the first dorsal extensor compartment and has a positive Finkelstein’s test. Assessment includes internal derangement of the right wrist, status post right wrist arthroscopy and De Quervain’s tendinitis of the right wrist/thumb. Patient will benefit from an additional course of PT to enhance and restore strength and function of her right wrist. She will benefit from a thumb spica splint to allow her tendinitis to resolve. She will continue applying her Voltaren gel.

Western medicine allow the patient to take pain-relieving drugs during the pain. Treatment for osteoarthritis knee is based on reducing pain and inflammation using anti-inflammatory medications and physical therapy or surgery.

You use your hands and wrists every day for countless tasks. Joint conditions such as arthritis can make activities that were once simple or fun into a chore. Osteoarthritis is the most common type of arthritis treated by orthopedic surgeons, and is caused by the gradual wearing down and weakening of the cartilage between your bones. Injury or overuse is typically the precursor to osteoarthritis of the wrist. This condition is often painful and can dramatically affect your daily life.

DOI: 5/4/2015. Patient is a 66-year old right hand dominant female credit collection clerk who alleges pain and swelling in the right hand, index finger and thumb due to everyday duties. Per OMNI, she was initially diagnosed with bi lateral hand tenosynovitis.

DOI: 4/17/2013. Patient is a 61-year old male senior quality assurance manager who sustained a work-related injury to his right hand from repetitive use of keyboard and mouse. As per OMNI entry, he was initially diagnosed with right thumb and wrist tendonitis. The patient is subsequently diagnosed with radial styloid tenosynovitis [de quervain]; periarthritis, unspecified wrist; osteophyte, unspecified elbow; and lesion of ulnar nerve, unspecified upper limb. As per progress report dated 6/29/16, the patient complains of pain at the cervical spine, right shoulder, right elbow, and right wrist/hand with stiffness, weakness and numbness. Physical examination revealed tenderness to palpation, spasms, and decrease range of motion, strength, and

IW was diagnosed with left ulnar nerve tenosynovitis and snapping at the elbow secondary to scar.

Based on the medical report dated 01/03/17, the patient presents for pain/dysfunction of the right wrist. IW states repetitive heavy lifting and complains of numbness, tinging and weakness.

A wrist sprain is a stretch or tear in the strong, fibrous tissues (ligaments) that connect your wrist bones. There are three types of wrist sprains.

Per the medical report dated 12/07/16 by Dr. Maddox, the patient reported that brace helps a little. Impression is bilateral wrist tendonitis. A steroid injection was suggested but the IW declined and elected surgery. Bilateral De Quervain’s release was recommended.

Based on the specialists, which the concept originated from the University Of Maryland Medical Center doctors that have discovered, that CTS is because of a problem in the wrist that already been strained.

This examination is consistent with a mild left median nerve entrapment at the wrist, or carpal tunnel syndrome.