Thursday, 27 November 2014

Can Acupuncture help De Quervain's tenosynovitis

 De Quervain's tenosynovitis is a painful condition affecting the tendons on the thumb side of your wrist. If you have de Quervain's tenosynovitis, it will probably hurt every time you turn your wrist, grasp anything or make a fist.
Although the exact cause of de Quervain's tenosynovitis isn't known, any activity that relies on repetitive hand or wrist movement can make it worse. Its usually worse in females and quite often I see females who have just had a baby. Maybe its the repitive action of holding the baby combined with some ligament laxity that creates instability within the tendons. Other susceptible groups are musicians, assembly workers, golfers, machinists and more recently, video game players and people who overuse smartphones.

The test to help you decide if you quervains is the catchy name of the Finkelstein test. In a Finkelstein test, you bend your thumb across the palm of your hand and bend your fingers down over your thumb. Then you bend your wrist toward your little finger. If this causes pain on the thumb side of your wrist, you likely have de Quervain's tenosynovitis.

  • Immobilizing your thumb and wrist, keeping them straight with a splint or brace to help rest your tendons
  • Avoiding repetitive thumb movements whenever possible
  • Avoiding pinching with your thumb when moving your wrist from side to side
  • Applying ice to the affected area

In addition to the above acupuncture works as a useful adjunct.

Acupuncture may reduce muscle shortening which is causing tension in the tendons and their terminal insertions. Acupuncture may facilitate blood flow to the tendon locally and at a distance, through the release of several neuropeptides. My own experience is that by using acupuncture along with the advice above that the condition improves with a reduction in pain. Thus is of course only my experience and needs to subjected to a large clinical trail to confirm my experience.

Tuesday, 11 February 2014

Dr Stuart McGill reveals all about low back pain

What is the right way to strengthen your core?
Who gets low back pain ?
Whats the correct way to do pilates?

Dr Stuart McGill tells it how it is

Dr Mike Evans explaining low back pain - could acupuncture help ?

Here is another great video from Dr Mike Evans on the diagnosis and cause of low back pain. Currently, the National Institute for Health and Clinical Excellence (NICE) recommends acupuncture as a treatment option for lower back pain. NICE makes this recommendation on the basis of scientific evidence.

Wednesday, 29 January 2014

Acupuncture for back and pelvic pain during pregnancy

A Cochrane Database systematic review has concluded that current evidence supports acupuncture as a treatment for pelvic and back pain in pregnancy. The authors included 26 randomised trials examining 4093 pregnant women in their review. Moderate-quality evidence suggested that both acupuncture and exercise tailored to the stage of pregnancy can significantly reduce evening pelvic pain and lumbo-pelvic pain compared to usual care alone. In addition acupuncture was found to be significantly more effective than exercise for reducing evening pelvic pain, and was also more effective than physiotherapy at relieving evening lumbo-pelvic pain and disability and improving pain and function, although the effects were small. (Interventions for preventing and treating pelvic and back pain in pregnancy. Cochrane Database Syst Rev. 2013 Aug 1;8:CD001139).