Tenosynovitis of the Wrist Flexors treatment and rehabilitation exercises help video

This is an instructional video to correctly demonstrate Tenosynovitis of the Wrist Flexors treatment and rehabilitation exercises help video

The content in this video is provided for general information purposes only and is not meant to replace a physiotherapy or medical consultation.

Step by Step

  1. This video’s aim is to help you if you are suffering tenosynovitis of the wrist flexors.
  2. Tenosynovitis is inflammation of the lining of the sheath that surrounds a tendon called the synovium.
  3. The synovium is a lining of the protective sheath that covers tendons.
  4. •Infection: If cut into the sheath
  5. •Trauma: one off event of overload
  6. •Overuse: progressive over load over time (most common cause)
  7. It can happen to any tendon sheath in the body but is common in the wrist, hands, feet and ankles.
  8. The wrist flexors are on the palm side of the wrist and for overuse can be caused by repetitive gripping, typing, lifting etc.
  9. Here is the anatomy of the area:
  10. You should try to avoid activities that irritate the area and increase your pain
  11. You should apply ice in a damp tea towel for 15 minutes every 2 hours to the area.
  12. Anti-inflammatories can also help
  13. You need to stretch the wrist and forearm:
  14. Extension:
  15. With your elbow straight and your hand palm facing up, extend your wrist so that your fingers point towards the floor, use your opposite hand to apply extra stretch. Hold for 30 secs and repeat 3 times a day.
  16. Flexion
  17. With your elbow straight and your hand palm facing down, bend your wrist so that your fingers point towards the floor, use your opposite hand to apply extra stretch. Hold for 30 secs and repeat 3 times a day.
  18. Once you are settling down then you need to strengthen the area gradually.
  19. To start you should perform the exercise with no weight and it needs to be pain free during and afterwards. Once you are able you need to add light weight and advance as able to heavier weight.
  20. Wrist Flexor strengthening
  21. Holding a light weight in your hand with your forearm resting on a table and your hand palm side up. Slowly lower the dumbbell down towards the floor and then lift it back up towards the ceiling. The forearm shouldn’t move at all throughout and it should be pain free. Repeat 8 times and swap arms if needed.
  22. As you get stronger you must advance the resistance level gradually but you can only advance if it is pain free to do so.
  23. If you get worsening symptoms or are unsure, then initially reduce the push into the discomfort and if this isn’t enough then stop altogether and consult your Physiotherapist
  24. In some cases a steroid injection can help and in rare cases surgery.
  25. This can be a slow healing problem and modification of work or hobbies may be needed to help to clear and minimize the risk of re-occurrence.
  26. After several weeks you should hopefully notice increased flexibility and possibly reduced pain generally.
  27. Remember injuries take time to recover and do so gradually so be patient there are no miracle cures.

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Online Physiotherapy

Put simply this is Physio done via either telephone or video over the internet. Skype and facetime are examples of this.

Contrary to popular belief online physiotherapy can be very effective and it can help the same injuries that face to face physio can help. I have helped many people with injuries such as disc prolapses, tennis elbow, neck pain and much more).