Causes:

Tendonitis results from overuse and repetitive movements related to work or sport. This is most commonly observed in the shoulder, elbow and wrist in the Dental Hygienist population.

Symptoms:

• Swelling in the shoulder, elbow, wrist or thumb
• Pain – may be sharp or dull ache
• Weakness in the upper limb especially grip strength

Treatment:

• Rest / Ice / bracing
• Anti-inflammatories
• Physiotherapy which would include: pain control, treatment for swelling, stretching and strengthening program, brace prescription.

Prevention:

• Ease up: Avoid activities that put excessive stress on the shoulder elbow and wrist tendons for prolonged periods.
• What does ease up look like for you?
• Frequently change your position while working i.e. Mini movement breaks
• Improve or change your technique and positioning
• Stretch in between patients
• Prepare your muscles better: Strengthening muscles used in your work place will help them better withstand the stress and load. This may actually mean improving the core muscle groups in order to decrease the stress on the smaller more vulnerable muscles.

Prepared by: Coral Koke BSc PT Registered Physiotherapist
Metrotown Orthopedic and Sports Physiotherapy