兩種媽媽手自我檢測方式？復健運動該怎麼做？

媽媽手在臨床上是一個常見造成手腕疼痛問題的疾病，主要是大拇指的伸拇短肌與外展拇長肌的肌腱與腱鞘，在我們頻繁的抓握、使用手腕的過程中，來回反覆的滑動、摩擦。這樣頻繁的摩擦最終造成肌腱與腱鞘的發炎、增厚，接著造成空間變得更狹小，摩擦與疼痛的問題因而更加嚴重。雖然並非只有女性才會有媽媽手的問題，如同前面所提到，只要日常生活或工作中需要頻繁使用手腕的話，都有可能會有得到媽媽手的風險，像是維修技師、廚師等等。不過確實統計上發現，女性罹患媽媽手的比例比男生來得高，有些統計結果甚至會相差3-8倍之多，且產後婦女更容易有媽媽手的問題。針對這樣的問題，是否有甚麼快速檢測的方式來知道自己可能有媽媽手的問題？如果真的不幸有媽媽手的話，又有甚麼運動可以幫助自己恢復呢？

De Quervain's tenosynovitis, also called mother’s thumb, is a common disease which causes wrist pain. It’s believed that de Quervain’s tenosynovitis is caused by repetitive wrist and thumb activity, like gripping, typing or lifting, etc. This will result in abnormal friction between extensor pollicis brevis (EBL) and abductor pollicis longus (APL) tendon and their sheath. Eventually, it leads to inflammation and thickening of these two tendons or sheath. Thickened tendon or sheath will also narrow the space between these structures further and result in more severe friction. Although de Quervain’s tenosynovitis is also called mother’s thumb, it doesn’t mean that it just affects female. People who use their wrist and thumb frequently may develop this problem. However, research does find out female is three to eight times more likely than male to have de Quervain’s tenosynovitis, especially for those age 30 to 50 years old and postnatal female. In this video, I will demonstrate two common tests and several exercises of de Quervain’s tenosynovitis for you.

參考資料：
https://pubmed.ncbi.nlm.nih.gov/23340...
https://www.uhcw.nhs.uk/download/clie...

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