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De Quervain’s tenosynovitis

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Am I Suffering from De Quervain’s Tenosynovitis?

Are you feeling pain and swelling around the areas of the thumb side of the wrist? Do you feel your thumb getting “stuck” while moving it? If these symptoms sound familiar, then you may be dealing with De Quervain’s tenosynovitis.

This condition can be painful and restrictive, which is why Dr. Bobby Bilitsis at Prestige Health and Wellness recommends patients seek treatment for De Quervain’s syndrome early on.

De Quervain’s tenosynovitis feels like: 

  • Thumb pain
  • Tenderness in the wrist
  • Stiffness in the thumb

Let’s dive into De Quervain’s tenosynovitis, its causes, and the non-surgical treatment options in Manhattan.

What is De Quervain’s Tenosynovitis? 

De Quervain’s tenosynovitis (also referred to as De Quervain’s syndrome or texting thumb) is characterized by inflammation of the first dorsal compartment of the wrist, aka the thumb tendons. One study found this condition to affect women more than men, with a prevalence of 1.3% in women compared to 0.5% in men. This same study also saw a higher prevalence of De Quervain’s syndrome in people who were in their forties and fifties. 

Symptoms of De Quervain’s Tenosynovitis

De Quervain’s tenosynovitis is an underestimated condition that people often brush off. However, it can worsen and require surgery if you allow symptoms like the ones mentioned below to continue. 

  • Pain and tenderness on the thumb side of the wrist
  • Pain that can worsen when moving or twisting the wrist
  • Popping sensation in the wrist when moving the thumb
  • Limited thumb and wrist movement
  • Numbness in the thumb or index finger

De Quervain’s Tenosynovitis: Causes and Risk Factors 

Common causes or risk factors for De Quervain’s tenosynovitis include:

  • Pregnancy
  • Repetitive hand or wrist motions
  • Baby care (especially if you’re lifting a baby constantly using the thumbs as leverage)
  • Underlying medical conditions like rheumatoid arthritis or diabetes
  • Age
  • Gender (higher prevalence in women compared to men)

De Quervain’s Tenosynovitis Treatments in Manhattan

Curious about the non-surgical treatments for De Quervain’s tenosynovitis in Manhattan? Here are some options that our providers offer, and we can determine if they’re the right fit for you:

Physical Therapy in Manhattan

Physical therapy-based hand therapy can be key to managing the symptoms of De Quervain’s syndrome. Our physiotherapists will use specialized exercises to further strengthen and relieve the thumb and wrist from pain and help restore function.

Occupational Therapy 

One of the challenges of De Quervain’s syndrome is effectively using your thumb, which we often use to complete various daily activities. Occupational therapy can be used to help patients improve their range of motion, decrease pain, and better functional strength. Our occupational therapists will work with you to create a customized program that’ll help you return to work and more. 

Acupuncture for De Quervain’s Syndrome

One study found that after 2 weeks of acupuncture sessions, the pain intensity for many patients suffering from De Quervain’s syndrome decreased significantly. Acupuncture’s pain-relieving effects likely come from the needles being inserted into specific points on the body that restore the flow of Qui. Ask our acupuncturist how this may help you. 

Chiropractic Care 

Chiropractic care can be incredibly beneficial for patients suffering from De Quervain’s syndrome. Adjustments to the wrist joints and other soft tissue therapy techniques may help alleviate symptoms and provide some relief. 

Massage Therapy Techniques for De Quervain’s Tenosynovitis 

A skilled massage therapist can utilize massage to focus on the specific tendons near the thumb. For patients, this helps to alleviate pain and discomfort.

Address De Quervain’s Tenosynovitis Symptoms in Manhattan

Don’t let De Quervain’s syndrome, AKA texting thumb, interfere with your work and personal life. There are solutions available to provide much-needed relief at Prestige Health and Wellness. 

Book an appointment for De Quervain’s syndrome in New York City.

We look forward to seeing you at one of our locations in Manhattan NYC: 

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FAQs

Do you accept insurance?

At Prestige Health and Wellness, we offer a wide range of insurance and self-pay options to provide the best service to our patients. Below is a summary of our accepted insurances:

Accepted Insurance Providers:
  • Aetna US Healthcare: We accept most PPO and POS plans. Note: HMO plans are not accepted.
  • Blue Cross Blue Shield (BC/BS) of New York and out-of-state: We accept most PPO and POS plans. Note: HMO plans are not accepted.
  • Cigna: Chiropractic care is covered, including Cigna International.
  • Meritain Health
  • Private Healthcare Systems (PHCS)
  • United Healthcare: We accept most PPO and POS plans. Note: HMO plans are not accepted.
  • Most International Insurance Providers
 

Please be informed that deductibles and co-insurance specifics may differ among plans.

Important Information:
  • Patients are responsible for any co-pays and co-insurance expenses.
  • While most insurance plans cover a range of chiropractic,, physical therapy, acupuncture and occupational therapy, it's advisable to check with our office for insurance verification.
  • Some insurance agreements allow us to offer our services without requiring an external referral from a physician or the insurance company itself.
  Unaccepted Insurance Plans: We currently do not accept Medicaid, Medicare, HIP and Workers Comp. Additional Payment Options: Family medical insurance plans are welcome. We also provide discounted cash plans for those seeking an alternative payment method. If your insurance provider is not mentioned in our list or if you have any questions regarding our payment options, please do not hesitate to reach out to us directly at 917-694-1565. Our dedicated team is on standby to assist and guide you. Schedule your appointment today: To schedule your appointment, call us today at 917-694-1565.

Do I need a referral from a doctor to receive treatment at Prestige Health and Wellness?

Thank you for your interest in Prestige Health and Wellness. One of the key advantages of our facility is that, in many cases, you do not need a referral from a doctor to receive treatment from our healthcare professionals. We offer a range of services, including Chiropractic, Physical Therapy, Occupational Therapy, Acupuncture, and Massage Therapy, and while some insurance plans may require a referral for coverage, most do not. Let me provide you with more detailed information on our approach to care and recent changes in healthcare regulations. No Doctor Referral Required for Most Services: For services like Chiropractic and Acupuncture, you typically do not need a referral from a medical doctor to initiate treatment. We operate as a portal of entry for your musculoskeletal and wellness needs, allowing you to seek our expertise directly. Physical Therapy and Occupational Therapy - New Laws and Portal of Entry Care: In recent years, there have been significant changes in healthcare regulations that are particularly beneficial to our patients. In New York, Physical Therapists and Occupational Therapists can now see patients without the need for a medical referral for the first month of care. This means that if you're seeking Physical Therapy or Occupational Therapy services, you can come directly to Prestige Health and Wellness without having to first see a physician for a referral. Insurance and Referral Requirements: It's important to note that insurance coverage for our services can vary. While many insurance plans do not require a doctor's referral for Chiropractic, Acupuncture, or Massage Therapy, some may request a referral for coverage, and this can depend on the specific terms of your insurance plan. Physical Therapy and Occupational Therapy coverage may also differ among insurance providers, so we recommend checking with your insurance company to understand your specific requirements. Our team at Prestige Health and Wellness is committed to helping you navigate this process. We can assist you in verifying your insurance coverage and ensuring you have the necessary documentation if a referral is required. Whether you have a referral or not, we are here to provide you with the highest quality care and support to address your musculoskeletal concerns and wellness needs. If you have any questions or need assistance with understanding your insurance requirements or treatment options, please don't hesitate to reach out to us. We're dedicated to making your experience at Prestige Health and Wellness as smooth and beneficial as possible, and we look forward to working with you on your journey to better health and well-being.

How do I know which treatment option is right for me?

At Prestige Health and Wellness, we understand that choosing the right treatment option can be a significant decision for your health and well-being. The process of determining the most suitable treatment for your specific needs involves a careful assessment and collaboration with our team of healthcare professionals. Here's a comprehensive guide on how to navigate the decision-making process:
  1. Initial Assessment:The first step in determining the right treatment option is to undergo an initial assessment. During this assessment, one of our healthcare professionals will thoroughly evaluate your condition. This may include discussing your medical history, performing physical examinations, and possibly conducting diagnostic tests like X-rays or MRI scans if needed. The assessment helps us understand the nature and extent of your health concern.
  2. Consultation:Following the assessment, you will have a consultation with our healthcare provider who will explain the findings and the available treatment options. We will take the time to address your questions, concerns, and preferences, allowing you to make an informed decision.
  3. Personalized Treatment Plan:Your healthcare provider will work with you to create a personalized treatment plan that takes into consideration your unique needs, goals, and any relevant medical history. This plan may involve a single treatment modality or a combination of services that are best suited to address your condition.
  4. Benefits and Risks:Your healthcare provider will also discuss the potential benefits and risks associated with each treatment option. Understanding both the positive outcomes and any potential side effects or limitations is crucial in making an informed decision.
  5. Collaborative Decision-Making:At Prestige Health and Wellness, we believe in a collaborative approach to healthcare. We encourage open communication between you and your healthcare provider to ensure that your treatment plan aligns with your goals and comfort level. You have the final say in determining which treatment option is right for you.
  6. Ongoing Evaluation:As you progress through your treatment plan, your healthcare provider will continuously monitor your response to the chosen therapy. If necessary, adjustments to your treatment plan can be made to ensure that you are receiving the most effective care.
It's important to remember that our team of healthcare professionals at Prestige Health and Wellness includes experts in various fields, including Chiropractic, Physical Therapy, Occupational Therapy, Acupuncture, and Massage Therapy. This diversity allows us to provide a wide range of treatment options, and the most appropriate choice will depend on your individual condition and health goals. Ultimately, the decision of which treatment option is right for you should be based on a combination of expert guidance, your preferences, and your health objectives. We are here to support you throughout this process, and our primary goal is to help you achieve the best possible outcomes in your journey to improved health and wellness.

Can I get a same day appointment?

We understand that your health concerns may sometimes require urgent attention, and we strive to accommodate our patients to the best of our abilities. While we do our utmost to provide timely care, same-day appointments may vary depending on a few factors, including the specific service you require, the availability of our healthcare professionals, and the current schedule. Here's how you can go about requesting a same-day appointment:
  1. Contact Us Directly:The quickest way to check for same-day appointment availability is to contact our office directly. Our friendly and knowledgeable staff will be able to provide you with real-time information regarding openings and help you schedule an appointment.</p
  2. Urgent Needs:If you have an urgent healthcare need, please let our team know. We prioritize the well-being of our patients and will do our best to accommodate you as soon as possible.
  3. Flexible Scheduling:Our facility offers a variety of services, and the availability of same-day appointments may vary by service type. Some services, such as Chiropractic care and Acupuncture, may be more readily available for same-day appointments, while others, like Occupational Therapy, Physical Therapy, or certain Massage Therapy sessions, may require a bit more lead time to schedule. We can also coordinate care with NYC assisted living facilities.
  4. Advance Booking:To increase your chances of securing a same-day appointment, especially for specific treatments or with specific healthcare providers, we recommend booking in advance whenever possible.
Our commitment is to provide you with the highest quality care, and we will work diligently to accommodate your scheduling needs to the best of our ability. If you require a same-day appointment or have any questions about our services or scheduling, please feel free to contact our office, and we will be more than happy to assist you in addressing your health and wellness concerns promptly.

What should I expect during my first visit?

At Prestige Health and Wellness, your well-being is our top priority, and we want to ensure that your first visit is both informative and comfortable. When you arrive for your initial appointment, you can expect a warm and welcoming environment where our experienced team of healthcare professionals will work with you to assess your musculoskeletal condition and create a personalized treatment plan. Here's a detailed overview of what you can anticipate during your first visit, specifically focusing on the initial medical examination for your musculoskeletal concern.

  1. Comprehensive Health History:

    Your first visit begins with a thorough review of your medical history. We'll discuss any prior injuries, surgeries, or chronic conditions that might be relevant to your current concern. Understanding your overall health is essential for tailoring your treatment plan.

  2. Symptom Assessment:

    We will listen attentively as you describe your current symptoms, including the location, duration, and intensity of any pain or discomfort. This helps us pinpoint the areas that require attention and understand the nature of your musculoskeletal issue.

  3. Physical Examination:

    Our healthcare professionals will conduct a physical examination specific to your musculoskeletal condition. This may include:

    • Range of motion assessments to evaluate joint and muscle flexibility.
    • Orthopedic tests to identify potential sources of pain or discomfort.
    • Palpation of affected areas to locate tender points, muscle tightness, or signs of inflammation.
    • Neurological examinations to assess reflexes and nerve function.

  4. Diagnostic Imaging (if necessary):

    In some cases, X-rays or other imaging studies may be required to gain a more comprehensive view of your musculoskeletal condition. If this is deemed necessary, we will discuss the process and ensure you receive the necessary diagnostics.

  5. Initial Diagnosis and Discussion:

    Following the examination, our healthcare team will provide you with an initial diagnosis. We will explain our findings and the nature of your musculoskeletal condition in detail. We encourage you to ask questions and discuss your concerns or expectations.

  6. Treatment Plan Development:

    Based on the diagnosis and your specific needs, we will collaborate with you to create a customized treatment plan. This plan may involve a combination of our services, such as chiropractic care, physical therapy, occupational therapy, acupuncture, and massage therapy. We will outline the goals, expected outcomes, and the recommended course of treatment.

  7. Patient Education:

    During your first visit, we believe in empowering you with knowledge about your condition. Our healthcare professionals will educate you on what to expect during your treatment, including the potential benefits and any lifestyle modifications that may be necessary.

  8. Treatment

    Based on the care plan we have developed for you and if there are no contraindications presented in any earlier components of your first visit, we may decide it will be beneficial to start your comprehensive therapy journey on the first visit.

  9. Scheduling and Follow-Up:

    We will assist you in scheduling future appointments for your treatment sessions. These appointments will be tailored to your treatment plan, ensuring you receive the care you need to address your musculoskeletal condition effectively.

At Prestige Health and Wellness, we are committed to providing the highest level of care and support during your journey to better health. Your first visit is a crucial step in understanding your condition and creating a plan for healing and recovery. We look forward to working closely with you to address your musculoskeletal concerns and guide you towards a pain-free and improved quality of life.

Can I receive multiple types of treatments during a single visit?

Absolutely, at Prestige Health and Wellness, we offer a holistic approach to healthcare, and in many cases, it's not only possible but also highly beneficial to receive multiple types of treatments during a single visit. We understand as a busy professional in NYC, time is our most valuable resource so we are committed to helping you get the most out of your visit with us. Our goal is to provide you with comprehensive care that addresses all aspects of your health and wellness, and our team of skilled professionals is well-equipped to offer a combination of services to best meet your needs. During a single visit, you can receive a combination of treatments that are specifically tailored to your unique health concerns and goals. Here are some examples of how you can benefit from a multi-disciplinary approach:
  1. Chiropractic and Physical Therapy:Combining chiropractic adjustments with physical therapy can be particularly effective for musculoskeletal issues. Chiropractic care can help address joint misalignments, while physical therapy can focus on strengthening and rehabilitating muscles.
  2. Physical Therapy and Massage Therapy:A session that combines physical therapy exercises and techniques with massage therapy can provide a well-rounded approach to healing. Physical therapy helps improve mobility, while massage therapy can relieve muscle tension and reduce pain.
  3. Acupuncture and Chiropractic:For patients seeking relief from pain and discomfort, a session that combines acupuncture and chiropractic care can address both structural and energy-related issues, promoting overall well-being.
  4. Occupational Therapy and Massage Therapy:Patients with specific functional limitations can benefit from occupational therapy, while massage therapy can help reduce stress and enhance relaxation, making it an excellent combination for those looking to improve their overall quality of life.
  5. Acupuncture and Massage Therapy:Combining acupuncture and massage therapy can be an excellent choice for relaxation and stress relief, as well as for addressing specific conditions that may benefit from the holistic approach of both therapies.
Our healthcare professionals work collaboratively to ensure that the combination of treatments you receive during a single visit is safe, effective, and aligned with your wellness goals. Your well-being is our top priority, and our team will coordinate your care to provide you with the best possible results. If you're interested in exploring a multi-disciplinary approach to your healthcare, please let us know, and we'll be happy to work with you to create a customized treatment plan that incorporates the services you need to achieve optimal health and wellness.

How long does a chiropractic treatment session last?

At Prestige Health and Wellness, we understand that our patients often have busy schedules, and we aim to provide effective and efficient care while also ensuring your comfort. The duration of a chiropractic treatment session can vary depending on several factors, including the specific needs and conditions of the patient. On average, a chiropractic treatment session typically lasts between 30-45 minutes.

The initial chiropractic appointment, which includes a thorough assessment, may take a bit longer, typically around 45 minutes to an hour. During this first visit, our chiropractor will conduct a comprehensive evaluation, which includes discussing your medical history, performing physical exams, and possibly taking X-rays if necessary. This thorough assessment helps us understand your condition and create a personalized treatment plan.

Subsequent chiropractic sessions, which involve spinal adjustments and other therapeutic interventions, are typically shorter in duration. The chiropractor will focus on the specific areas of concern and perform adjustments or other manual therapies as needed to address your musculoskeletal issues.

Our goal is to provide you with effective care that meets your individual needs while respecting your time constraints. Your chiropractor will work with you to develop a treatment plan that not only addresses your condition but also fits your schedule. If you have any questions about the duration of chiropractic sessions or would like to discuss your specific needs, please feel free to reach out to us. We are here to provide you with the highest quality care and ensure your comfort throughout the treatment process.

What conditions do you treat?

Our expert team integrates various therapeutic methods, offering an unparalleled approach to your well-being. From the intricate biomechanics of the head and neck to the critical functionality of the spine and extremities, we employ a combination of specialized chiropractic care, physical and occupational therapies, and acupuncture. This comprehensive strategy allows us to effectively manage a spectrum of conditions, providing relief, enhancing healing, and ensuring a return to optimal health. Dive into our specific care areas below to learn more about how our holistic and patient-centered approach can bring balance, strength, and mobility back into your life.

Head and Neck:

Our practice specializes in the intricate biomechanics of the head and neck. We offer comprehensive care, including precise chiropractic adjustments, physical therapy, occupational therapy to reduce and prevent pain, and acupuncture, to promote healing, alleviate pain, and restore function. Our approach addresses a range of conditions, from tension headaches and migraines to complex disorders like cervical radiculopathy and TMJ.

Back and Spine:

We prioritize spinal health through a blend of chiropractic adjustments, physical and occupational therapies, and acupuncture. This holistic approach addresses conditions like sciatica, herniated discs, chronic back pain, and more, focusing on natural healing, pain relief, and preventative strategies.

Shoulders and Clavicle:

Our expert team provides specialized care for the shoulder and clavicle area, understanding its vulnerability to injury. We combine chiropractic care with physical therapy, occupational modifications, and acupuncture to treat conditions ranging from rotator cuff injuries and frozen shoulder to more severe cases like clavicle fractures and post-operative rehabilitation.

Elbows, Hands, and Wrists:

Focusing on these essential structures, our team employs custom exercise regimens, practical environmental adaptations, and specialized acupuncture techniques. We handle various conditions, including carpal tunnel syndrome, tennis elbow, arthritis, and more, ensuring your daily activities promote joint health.

Hips, Knees, and Ankles:

We address these critical weight-bearing joints with an interdisciplinary approach. Through therapeutic exercises, gait training, acupuncture, and lifestyle adaptations, we manage and treat conditions like hip bursitis, knee osteoarthritis, ACL/MCL injuries, meniscal tears, and more, aiming to restore functionality and improve your daily life quality.

Our comprehensive care for these areas is designed to provide relief, promote natural healing, and improve functionality across various conditions, employing a mix of specialized techniques tailored to each patient's needs.

Read more about the conditions we treat

What types of services does Prestige Health and Wellness provide?

At Prestige Health and Wellness in the bustling heart of New York City, we are dedicated to offering a comprehensive range of services that focus on your well-being. Our team of dedicated professionals comprises Chiropractors, Physical Therapists, Occupational Therapists, Acupuncturists, and Massage Therapists, all working together to provide you with the highest quality care tailored to your unique needs. We understand that our clients come from all walks of life, and their health concerns are equally diverse. To address this, we've designed a variety of services and therapies that can help you achieve your health and wellness goals.

  • Chiropractic Care:
    Services: Chiropractic care encompasses spinal alignment and extremity joint adjustments, spinal and joint mobilization, X-rays for diagnosis, manual therapies like Myofascial release and Graston Technique, therapeutic exercises, electric stimulation, therapeutic ultrasound, Kinesio Taping, Cold Laser Therapy, Mechanical Traction Decompression, and Electromyography/Nerve Conduction Velocity (EMG/NCV) Studies.
    Therapeutic Benefits: Chiropractic care is highly effective for correcting spinal and joint misalignments, alleviating pain, improving mobility, and addressing complex musculoskeletal issues. It can also help with pain control, scar tissue management, and promoting faster healing.
  • Physical Therapy:
    Services: Our Physical Therapy program involves therapeutic exercises, manual therapies (such as Myofascial release and Graston Technique), electrical stimulation, therapeutic ultrasound, mechanical traction decompression, gait training, running gait analysis. .
    Therapeutic Benefits: Physical therapy is invaluable for recovering from injuries, enhancing muscle strength, improving mobility, and managing pain. It can also accelerate healing and diagnose nerve-related problems.
  • Occupational Therapy:
    Services: Our Occupational Therapy services are designed to help you regain functional independence in your daily life, incorporating ADL and IADL training, cognitive rehabilitation, sensory integration therapy, and visual rehabilitation.
    Therapeutic Benefits: Occupational therapy aids in enhancing cognitive function, improving sensory processing, and facilitating independent living, particularly for those who may have experienced injuries or have special needs.
  • Acupuncture:
    Services: Our skilled Acupuncturists utilize acupuncture techniques to stimulate specific points on the body, promoting natural healing and relaxation.
    Therapeutic Benefits: Acupuncture is known for its holistic healing benefits, reducing pain, stress, and anxiety, and improving overall wellness.
  • Massage Therapy:
    Services: Our licensed Massage Therapists offer a range of modalities, including Swedish, deep tissue, and sports massage, tailored to your specific needs.
    Therapeutic Benefits: Massage therapy provides relaxation and relief from muscle tension, stress, and pain, promoting physical and mental well-being.

At Prestige Health and Wellness, our collective mission is to be your trusted partner on your journey to a healthier, pain-free life. Our dedicated and experienced team is committed to offering you a diverse array of services and therapies to address various musculoskeletal concerns and help you achieve your health and wellness goals. We invite you to experience the transformative power of our services and look forward to helping you achieve the best version of yourself.