To determine if the addition of Astym treatment to traditional therapy produces a more
positive outcome then traditional therapy alone for the treatment of de Quervain's
tenosynvitis. Two groups will be examined with one group receiving traditional therapy and
the other group receiving traditional therapy in addition to Astym treatment protocol.
i. Positive Finkelstein's test: The client will report pain over the first compartment of
the extensor retinaculum when the thumb is tucked in the hand and deviated ulnarly.
ii. Persistent symptoms for >3 wks which have not resolved after an additional 3 weeks of
iii. A diagnosis by a physician of "de Quervain's", "fist compartment tenosynovitis", or
"radial styloid tenosynovitis"
iv. Patients must agree and comply to a predetermined splinting regimen
i. History of cortical steroid injection to affected wrist and/or thumb
ii. History of previous wrist trauma to affected limb
iii. Comorbidity such as carpal tunnel syndrome (CTS), radial tunnel syndrome,
osteoarthritis, rheumatoid arthritis, auto-immune disease or inflammatory conditions,
lateral epicondylitis or tendinopathies
iv. Clotting deficits
v. Positive Cozen's sign which would indicate intersection syndrome
vi. Post-partum mothers <6 months and pregnant women
Stephen VanLew, MS, OTR/L
NYU Langone Medical Center
April O'Connell, OTR/L, CHT
Phone: (646) 501-7077