DOI: 10.36347/sjams.2020.v08i04.006

Pages: 1086-1089

Background: De Quervain tenosynovitis “mommy’s thumb” is a common disease that affects women more than men. The pain can result in decreased level of daily activity. Conservative treatment consists of physiotherapy, occupational therapy; use of orthotics, corticosteroid injection, with no one is superior to others. Objective: The aim of this study is to compare the outcome of two forms of conservative treatments for De Quervain tenosynovitis as a first line treatment. Design: A retrospective study was conducted at Princess Rashid Hospital in IRBID/ JORDAN. Methods: The files of 131 patients who has visited the PMR clinic and diagnosed to have De Quervain’s tenosynovitis in prince rashed hospital between 5/2018 and 9/2019 were reviewed. According to the files data, 74 patients’ files were eligible for the study according to inclusion criteria. The 74 files were divided into two groups, the group A included the patients who were treated with physiotherapy (active pain-free range of motion exercises, strengthening, tendon gliding, self administered friction massage and eccentric training exercises) in addition to thumb spica. The group B included the patients who were treated with one steroid injection (1 cc Betamethasone, 1 cc 1% lidocaine). The follow up was done after two months of treatment initiation. And the outcome was compared in the two groups. Result: 74 files were reviewed in this study. The mean age was 53, 33 ± 14, 01 (26-80). Of the 74 patients the males were 27 patients (36, 48%) with mean age of (55, 29 ± 15, 02) and the females were 47 patients (63, 51%) with mean age (52, 21 ± 13, 26). The group (A) (physiotherapy and thumb spica) was 45 patients (60, 81%). and the group (B) (steroid injection) was 29 patient (39, 18%). The patients in group A showed a non significant improvement in VAS pain score and in pressure pain threshold scale at two months evaluation after the treatment .from 7,37 ± 1,35 to 7.00 ± 1.38(p>0.05)and from 3,08 ± 0,75 to 2,75 ± 0,