How do you treat intersection syndrome?

How do you treat intersection syndrome?

This condition is generally treated conservatively by avoiding activities that are painful, and by immobilizing the thumb and wrist in a splint. Ice and non-steroidal anti-inflammatory medications like ibuprofen can also help with pain and swelling. Corticosteroid injections into the area are sometimes recommended.

Can intersection syndrome be cured?

In most cases intersection syndrome is treated nonsurgically first. In extreme cases surgery might be necessary and will involve part debridement (removal) of the inflamed tissue and part decompression, which will relieve pressure and alleviate pain.

Should my thumb be immobilized for intersection syndrome?

Because of secondary irritation by the abductor pollicis longus (APL) and extensor pollicis brevis (EPB), a thumb spica splint (allowing thumb interphalangeal [IP] motion) is frequently required. Three weeks of relatively constant immobilization, followed by gradual splint weaning, usually is recommended.

Is intersection syndrome common?

Intersection syndrome is a type of wrist tendonitis. Intersection syndrome is most common in athletes who do specific sports activities. The most common sport where athletes get intersection syndrome is competitive rowing. The rowing motion is repetitive and places tremendous stress on the wrist extensor tendons.

How do you diagnose intersection syndrome?

Intersection syndrome is a rare but important cause of wrist pain due to repetitive motion or overuse. It is diagnosed clinically but MRI and ultrasonography may be used to confirm the diagnosis.

Does intersection syndrome require surgery?

Surgery is rarely necessary to treat intersection syndrome. In extremely difficult cases, a surgeon may remove some of the thickened tenosynovium around the tendons. The operation is called a tendon release.

What is the underlying cause of intersection syndrome?

Etiology. Intersection syndrome can be caused by direct trauma to the second extensor compartment. It is more commonly brought on by activities that require repetitive wrist flexion and extension. Weightlifters, rowers, and other athletes are particularly prone to this condition.

How do I get rid of crepitus in my wrist?

Noninvasive treatments for crepitus

1. Bracing or splinting: Sometimes, a brace or splint can help align the joint so an injury can heal.
2. Physical therapy: Our physical therapy teams tailor treatment plans to your condition, activities and goals.

What is positive Finkelstein test?

This test is positive if the patient reports pain aggravation at the tip of the radial styloid process. If this step does not elicit pain, the examiner can gently apply an ulnar deviation force to the hand which results in an increased passive stretch across the first dorsal compartment.

Where does intersection syndrome occur?

Intersection syndrome is a condition that affects the first and second compartments of the dorsal wrist extensors. The condition is thought to occur as a result of repetitive friction at the junction in which the tendons of the first dorsal compartment cross over the second, creating a tenosynovitis.