The APL and EPB tendons travel side by side along the inside edge of the wrist. They pass through a synovial tunnel near the thumb side of your wrist. The tunnel helps hold the tendons in place. This tunnel is lined with a slippery coating called tenosynovium, which allows the two tendons to glide easily back and forth as they move the thumb. Inflammation of the tenosynovium and tendon is called tenosynovitis. In de Quervain tenosynovitis, the inflammation constricts the movement of the tendons within the tunnel. Causes of de Quervain Tenosynovitisde Quervain tenosynovitis is basically a combination of overuse and poor hand on wrist posture.
Symptoms of de Quervain Tenosynovitisde Quervain usually starts as soreness on the thumb side of the forearm, near the wrist. When left untreated, pain may spread up the forearm or further down into the wrist and thumb.The two tendons may actually begin to creak as they move through the constricted tunnel. This noise is called crepitus. You may notice swelling along the tunnel near the edge of the wrist. Grasping objects with the thumb and hand may become increasingly painful. de Quervain Tenosynovitis Diagnosis?The diagnosis of de Quervain's tenosynovitis is normally confirmed by your physiotherapist on clinical examination.Read full article: de Quervain tenosynovitis Treatment of de Quervain TenosynovitisYour physiotherapist is the best person to individually advise you how to treat your de Quervain tenosynovitis. Until you are assessed, please try the following: Read full article: de Quervain tenosynovitis Thumb-Spica SplintYour physiotherapist or doctor may want you to wear a special forearm and thumb splint called a thumb-spica splint. This splint keeps the wrist and lower joints of the thumb from moving. The splint allows the APL and EPB tendons to rest, giving them a chance to begin to heal.Contact PhysioWorks or Book Online Helpful Products for de Quervain TenosynovitisRelated InjuriesCarpal Tunnel Syndrome |
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Choice put five of Australia's most popular online diets to the test but found many were not only expensive but unrealistic.
The Ashy Bines Bikini Body Challenge, SureSlim, Weight Watchers and The Biggest Loser Club - which demand fees of up to $83 a week - were all put to the test.
But many eating plans were not based on scientific evidence, were overcomplicated and did not fit with a healthy, balanced diet.
In the Ashy Bines program, the listed nutritionist isn't even a registered dietician, Choice says.
"For the amount of money you're spending, you'd be better off seeing your GP or an accredited dietician," Choice spokeswoman Kate Browne said.
Many online diets champion "crash weightloss" instead of long-term health, she said.
The Michelle Bridges program, costing $199 for 12 weeks, fared best, but the survey noted customers might not be able to keep up with the prescribed exercise regime without a personal trainer of their own.
Source: http://news.ninemsn.com.au/health/2013/10/10/09/56/online-weight-plans-set-up-to-fail-choice
What to do?
If you need help losing weight, you should consider the individualised advice of a dietitian who can recommend things specific to you and your needs.
For more information or to book your appointment with Rachel Haddow, our Registered Dietitian please contact us today.
Clayfield Ph 3862 4544
Sandgate 3269 1122