

THE EFFECT OF PLATELET-RICH PLASMA THERAPY ON THE ROTATOR CUFF TENDINOPATHY
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Do you love playing video games but cannot play for a long time? You may have the Gamer’s thumb, otherwise known medically as Radial tenosynovitis or De Quervain’s tenosynovitis. It is also known by its many nicknames like PlayStation thumb, Nintendo thumb, WASD Wrist and Nintendonitis.
Though the names sound a bit specific to gaming word, radial tenosynovitis can occur for any person. Let us dive into the topic and learn its causes, symptoms and how Medica Stem Cells treatment may help with Gamer’s thumb treatment.
What is Radial tenosynovitis?
Radial tenosynovitis is a painful inflammation of tendons in the lower thumb and wrist. As these tendons swell, they rub against the narrow tunnel they pass through. It causes inflammation of the sheaths covering the tendons. Hence, there will be intense pain in the lower portion of your thumb and the lower arm.
Your physician will perform a range of tests to diagnose De Quervain’s tenosynovitis, like putting pressure on the thumb portion of your wrist and checking whether it evokes pain or not. Next, the physician will perform a Finkelstein test, where you will fold your thumb across the palm. Make a fist by bending your remaining fingers down over the thumb. While doing this, you will be stretching your tendons. If it hurts on the thumb portion of your wrist, you have radial tenosynovitis.
Usually, your physician does not require an X-ray test, MRI or ultrasound scan to diagnose this condition.
Radial tenosynovitis treatment aims at relieving pain and inflammation while moving your thumb. Similarly, the treatment should prevent the occurrence of this condition. Hence, you may first undergo the following conventional methods listed below:
Wear the splint to hold your wrist and thumb firmly. You can wear it round-the-clock for 4-6 weeks. You will be doing specific physical therapies provided by your physiotherapist to strengthen your arm, hand and wrist.
Your physician will prescribe non-steroidal anti-inflammatory drugs (NSAIDs) to ease your pain and swelling.
Physicians may recommend steroids in case if medications don’t work.
However, the administration of medications and steroids for a prolonged duration may lead to severe complications. Hence, your physician will never recommend them for a longer duration.
If all the above-listed modalities don’t provide any significant improvement, your physician may recommend surgery. The surgical method is comparatively successful at resolving this ailment. Surgery aims at releasing your tendon sheath. By doing so, the tendon will move smoothly. It is a same-day outpatient procedure, and you can go home within a few hours after the completion of surgery. Your stitches will be removed in 10-14 days. The pain and inflammation may subside immediately after the surgery. However, the surgical area may remain tender for a few months.
Furthermore, you will have to undergo post-surgical physical therapy that includes wrist and thumb strengthening exercises. You will be continuing these exercises for 6-8 weeks. You will also undergo stretches to move your tendons properly.
According to the research article published in the year 2003, surgery was performed to release tendons of the wrist’s first dorsal compartment. And what was the outcome? This surgery proved to be 96% successful among patients with radial tenosynovitis. They recovered entirely from the associated radial tenosynovitis symptoms.*
Radial tenosynovitis/ Gamer’s thumb responds well to treatment. However, if you leave it untreated, it may permanently restrict your wrist movements. Your tendon sheath may also burst in a severe condition. Hence, we recommend you to undergo appropriate treatment for radial tenosynovitis. Don’t let radial tenosynovitis worsen your wrist and lower thumb movements. Get an early diagnosis to undergo suitable and timely radial tenosynovitis treatment in the UK, Ireland and Dubai.
Your first step to exploring your treatment options for hand or wrist pain is scheduling a consultation with our Consultant. To do so call us from the UK on 020 8168 2000 or Ireland on 01 298 8000. Alternatively book a consultation online or request a calll back today!
References:
* Zarin M, Ahmad I. Surgical treatment of de Quervain’s disease. J Coll Physicians Surg Pak. 2003 Mar;13(3):157-8. PMID: 12689535.
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Medica Stem Cells Clinics offer expertise in pain management. Knees and hips are the most common joints treated at our clinics.
Unlike surgery, the recovery time after the Regenerative treatment is a lot shorter. Many of our patients choose Regenerative Medicine treatment for hip and knee pains to avoid lengthy rehabilitation time and hip replacement and knee replacement surgery complications.
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