pain and disability in the thumb
pain in the right thumb and clicking when moving it.
it's been 7 months since it started hurting.
he went to various places for treatment.
pain in the right thumb joint.
it clicks when he moves it.
pain also occurred when stretching the tendon of the thumb.
at first, he went to an osteopathic clinic and received electric and ultrasound therapy, but it did not get better.
then he went to an orthopedic doctor and was told to rest and immobilize, but this didn't help either.
after that, he went to an acupuncture clinic and was treated with acupuncture and moxibustion, but this did not improve either.
the flexion movement of the thumb was quite restricted.
palpation revealed strong tension in the forearm, and since more than 7 months had passed since the initial pain, i judged that the current symptoms were caused not only by the area related to the thumb, but also by the involvement of various muscles.
initially, thin acupuncture needles were applied to the thenar to improve the abduction and opposition movements of the thumb.
thenar muscles (A short thumb abductor, B maternal opposable muscles, C short thumb flexor, D maternal adductor)
(1) short thumb abductor muscle
(2) maternal opposable muscles
although it is not shown in the figure, i also intensively treated the short thumb flexors.
after that, as the pain itself had decreased, the disability to move with a click became more noticeable, and we treated the extensor muscles such as the extensor digitorum longus, extensor digitorum brevis, and abductor pollicis longus.
we also concentrated on treating the forearm muscles such as the short radial carpal extensors because we thought that the abnormal movement of the various muscles caused the long-term symptoms that continued to burden the thumb as in this case.
in addition, i concentrated on the treatment of the infraspinatus muscle, judging from the fact that his occupation involved a lot of writing.
the current pain has decreased to 1 from 10 at the beginning. there is still some concern about the clicking movement, but it is expected to improve in the future.
the treatment is still ongoing.