| If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case. Regarding diagnosis:
- Which tendon is involved?
-
Does individual have a history of injury, overload, or overuse of the tendon?
-
Does individual have a history of fluoroquinolone use?
-
Does individual's work or recreation involve repetitive tasks or excessive exercise?
-
Does individual report a gradual onset of pain during or after activity, swelling, stiffness, and crepitus with motion?
-
On exam, was swelling, warmth, tenderness, or crepitus evident?
-
Is there pain with movement or decreased range of motion?
-
Has individual undergone any imaging or other tests to rule out conditions with similar symptoms?
Regarding treatment:
- Is individual with an acute injury being treated with rest, ice, compression, and elevation (RICE)?
-
Is heat being used rather than ice?
-
Is individual being treated with NSAIDs?
-
Has physical therapy been prescribed? Has individual stopped aggravating activity?
Regarding prognosis:
- Is individual active in physical therapy?
-
Does individual have a home exercise program? Is individual complying with program?
-
Does individual have any conditions that may affect ability to recover?
-
Has individual developed any complications such as compartment syndrome, nerve injury tenosynovitis, tendon rupture, De Quervain’s disease, or a trigger finger?
|
Source: Medical Disability Advisor