De Quervain tenosynovitis is the most common cause of lateral wrist pain. It occurs with stenosis of the abductor pollicis longus and extensor pollicis brevis tendons in the first dorsal extensor compartment of wrist. Thumb extension occurs with the contraction of these muscles, which is why thumb extension and ulnar deviation exacerbates pain.The prevalence of De Quervain tenosynovitis has been reported to be 0.5% in males and 1.3% in females. 1,2 It is seen more commonly in middle-aged females and in the dominant hand. In De Quervain tenosynovitis, fibrous tissue deposits cause thickening of the tendon sheaths, but the cause of these fibrous tissue deposits is unclear. Diagnosis of De Quervain tenosynovitis is based on clinical examination. The diagnosis can be made with the Finkelstein test, in
These results suggest that NDO treatment in MS patients could be an effective treatment which is easy and has very few side effects, and is cost effective.
Language coordinatorNicholas Straiton, MD (Great Britain) Scan QR code & read article online Contents A. Part I: Curriculum of manual medicine 1. Introduction 1.1. Subject of manual medicine 1.2. Prerequisites for learning and practicing manual medicine 1.3. Manual medicine and its relationship to osteopathy and chiropractic 1.4. Principle structure of the professional postgraduate apprenticeship in manual medicine 2. Implementation of the courses 3. Structure of the courses 4. Content of the courses 4.1. Basic course 4.2. Advanced course 5. Main focus of the courses 5.1. Basic knowledge 5.2. Anatomy objectives 5.3. Physiology objectives 5.4. Biomechanics objectives 5.5. Pain objectives 5.6. Diagnostic examination 5.7. Treatment modalities 5.8. Clinical pictures 6. Certification B. Part II: Principles of manual medicine 1. Neurophysiological background of dysfunction Part I: Curriculum of manual medicine S4 Manuelle Medizin • Suppl 1 • 2022Acquisition of basic knowledge and basic skills. 30 h (. Table 3). Practical experience. 70 h (. Table 4).
The highly-dosed infusion with Procaine-HCl with sodium-bicarbonate as additive was firstly published twenty years ago. The method advanced to a routine in many centers for pain treatment, rehabilitation and natural medicine. The aim of the procedure is the systemic use of the various pharmacological features of Procaine, especially to inhibit pain and inflammation, for vasodilatation, anti-oxidation and to harmonize the vegetative nervous system. The addition of sodium-bicarbonate balances the common latent pH-decrease in the periphery. The degradation products of Procaine, diethylaminoethanol (DEAE) and para-amino benzoic acid (PABA), have a systemic effect. For the safety of the patients after 500.000 applications: the procaine-infusion is safe. To improve the success rate of the method of the classic Procaine-Base-infusion should be realized an acid-base-diagnostic.
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