Tendonitis of the fingers
Hello, doctor! I have to work on the computer for long hours, and now I have tendonitis in my right hand fingers.
Can I undergo rehabilitation? Thank you!
henry, 30~39 year old female. Ask Date: 2008/11/22
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry.
Here are my responses and suggestions: 1.
For tendonitis, it is important to take intermittent breaks during work to reduce the risk of inflammation.
2.
During the acute phase, the focus should be on medication, topical ointments, and patches.
3.
In the subacute phase, rehabilitation therapy, ultrasound, and electrical stimulation can be beneficial.
Finally, I wish you peace and happiness!
Reply Date: 2008/11/22
More Info
Rehabilitation for finger tendonitis, especially when it arises from prolonged computer use, is not only possible but often highly effective. Tendonitis, which is the inflammation of a tendon, can occur due to repetitive strain, overuse, or improper ergonomics while typing or using a mouse. The symptoms typically include pain, stiffness, and a reduced range of motion in the affected fingers. Given your situation, it is crucial to address both the symptoms and the underlying causes to prevent further injury.
Rehabilitation Options
1. Rest and Activity Modification: The first step in managing tendonitis is to reduce or modify activities that exacerbate the symptoms. This may involve taking frequent breaks from typing, using voice recognition software, or adjusting your workstation to ensure proper ergonomics. For example, your chair height, desk height, and keyboard position should allow your wrists to remain in a neutral position.
2. Physical Therapy: A physical therapist can design a rehabilitation program tailored to your specific needs. This may include:
- Stretching Exercises: Gentle stretching of the fingers, hands, and wrists can help improve flexibility and reduce stiffness.
- Strengthening Exercises: Once the pain decreases, strengthening exercises can help support the tendons and prevent future injuries. These may include resistance band exercises or using therapy putty.
- Manual Therapy: Techniques such as massage or joint mobilization performed by a therapist can help alleviate pain and improve function.
3. Ergonomic Adjustments: Investing in ergonomic tools such as a split keyboard, wrist rests, or an adjustable chair can significantly reduce strain on your hands and wrists. Ensuring that your computer screen is at eye level can also help maintain a neutral posture.
4. Cold and Heat Therapy: Applying ice to the affected area can help reduce inflammation, especially after periods of activity. Conversely, heat therapy can be beneficial for relaxing tight muscles and improving blood flow before engaging in exercises.
5. Taping or Splinting: Using a splint or tape can provide support to the affected fingers and limit movement, allowing the tendons to heal. This is particularly useful if you need to continue using your hands for work.
6. Gradual Return to Activity: As your symptoms improve, it’s important to gradually reintroduce activities. Start with short periods of typing and gradually increase the duration while monitoring for any return of symptoms.
7. Education and Self-Care: Understanding the mechanics of your condition and learning self-care techniques can empower you to manage your symptoms effectively. This includes recognizing the signs of overuse and knowing when to take breaks.
Additional Considerations
- Consultation with a Specialist: If symptoms persist despite rehabilitation efforts, it may be beneficial to consult with a hand specialist or orthopedic surgeon. They can assess the need for further interventions, such as corticosteroid injections or, in rare cases, surgical options.
- Preventive Measures: Once you have recovered, it’s essential to implement preventive measures to avoid recurrence. This includes regular breaks, maintaining good posture, and incorporating hand and wrist exercises into your daily routine.
In conclusion, rehabilitation for finger tendonitis due to computer use is not only feasible but can lead to significant improvements in function and pain relief. By combining rest, physical therapy, ergonomic adjustments, and self-care strategies, you can effectively manage your symptoms and return to your daily activities with greater comfort and efficiency. If you have any further questions or need guidance on specific exercises, don’t hesitate to reach out to a healthcare professional.
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