Clinical sports massage management of tenosynovitis

Abstract

acquired a new laptop computer with a 'roller ball' mouse, which he used extensively for some weeks. He now finds difficulty in using it for any length of time as the action of manipulating the computer mouse involves prolonged middle or index finger activity with the wrist held in mild extension, often for hours on end. He is in the process of learning to use the mouse with his left hand. George consulted a friend who was a sports massage therapist, who conducted some simple tests that indicated that when there was ulnar deviation, grip strength was weakened. Using the palpation methods suggested by Travell and Simons he also identified myofascial trigger point activity (radiating towards the hand/wrist as well as the lateral elbow) in both extensor carpi radialis brevis and longus as well as brachioradialis. However, he did not feel competent to treat these triggers because of lack of training in this area of bodywork. Application of non-specific massage to the arm produced some temporary relief, as did ice message to the elbow. Basic, self-applied stretching of the extensor muscles produces short-term ease of most symptoms, but requires repetition many times a day to allow George to work effectively and without a nagging discomfort. George was advised by his therapist friend to consult other massage therapists trained in the approaches recommended by Travell and Simons. What might these practitioners suggest in terms of assessment or treatment/rehabilitation, and what outcome might they anticipate?