Nudd Loredana

De Quervain’s Tenosynovitis: When Your Thumb and Wrist Ask for Attention 🖐️🧠

Pain at the base of the thumb when turning a key, using a smartphone, opening a jar, or lifting an object may seem like a minor problem.

But what is actually happening inside the wrist?

🧠 Understanding the condition

De Quervain’s tenosynovitis is a condition affecting the first dorsal compartment of the wrist, where two tendons responsible for important thumb movements pass:

• Abductor pollicis longus (APL)
• Extensor pollicis brevis (EPB)

The condition can develop when the normal gliding of these tendons within their compartment becomes impaired, causing pain and difficulty during certain movements.

🔬 The anatomy: where is the problem?

As they travel towards the thumb, the APL and EPB tendons pass through a narrow fibrous compartment located on the thumb side of the wrist, close to the radial styloid.

This is a small space in which the tendons need to glide smoothly every time we move the thumb or wrist.

When this gliding mechanism becomes altered, even an everyday movement can become painful.

⚙️ What happens?

Repetitive loading and frequent mechanical stress can contribute to changes in the way the tendons glide through their compartment.

Thickening of the tendon sheath and surrounding tissues may occur, reducing the available space and making tendon movement more difficult.

The result can be increased local sensitivity and pain during certain movements.

However, there is not always one single movement or activity responsible for the condition. Load, frequency of movement, the way we use the hand, and individual factors can all contribute differently.

🤲 What are the most common symptoms?

The most characteristic symptom is pain on the thumb side of the wrist, at the base of the thumb.

Pain may increase with:

• moving the wrist towards the little-finger side;
• gripping or closing the hand;
• lifting objects;
• repetitive thumb movements;
• activities requiring prolonged gripping.

There may also be stiffness, local swelling, tenderness, and a sensation of friction or discomfort during movement.

🔎 What can influence the condition?

The problem does not always involve the wrist alone.

Repetitive hand use, the way we grip an object, the load placed on the thumb, and muscular tension in the forearm can all influence the mechanics of the entire upper limb.

This is why it can be useful to look at the movement as a whole rather than focusing only on the place where pain is felt.

💆‍♀️ The role of massage therapy

From a massage therapy perspective, attention can be directed not only to the symptomatic area, but also to the tissues involved in the function of the upper limb.

Depending on the individual situation, the approach may include:

• manual techniques targeting the muscular and myofascial tissues of the forearm;
• work aimed at reducing muscular tension associated with overuse of the upper limb;
• gentle manual techniques applied to the surrounding tissues;
• techniques intended to support tissue mobility and greater awareness of movement.

The goal is not to “force” the tendon or to work aggressively on a painful area, but to respect the condition of the tissues and consider the problem within the overall function of the upper limb.

🧠 Movement education

An important part of managing any movement-related problem is learning to observe your own body.

- Which movement causes pain?
- When does it appear?
- Which activities make it worse?
- Do you always use the same type of grip?
- Are there movements you repeat for hours without even noticing?

These observations can help identify activities that place repeated stress on the thumb and wrist and may allow certain habits to be temporarily modified.

🌿 Understanding your body also means learning to listen to it.

Pain is not simply something to ignore or tolerate.

Understanding which anatomical structure is involved, how it moves, and what kind of mechanical stress it receives can help us become more aware of our own body.

Because anatomy is not simply the study of muscles, tendons, and joints.

It is also a way of understanding why a movement can become painful and what that signal may be telling us.

📝 Sársauki í olnboga? Tennislolnbogi og golfolnbogi: Ekki bara vandamál hjá íþróttafólki!

Olnboginn er mikilvæg tengistöð fyrir handlegginn: hann brúar bilið á milli kraftsins í öxlinni og nákvæmninnar í hendinni.

Þegar sinar í olnboga verða fyrir ofálagi er talað um epicondylitis (tennisolnboga) eða epitrochleitis (golfolnboga). Þótt þessi vandamál séu kennd við íþróttir, þá hrjá þau í raun mun oftar fólk í einhæfum handavinnustörfum, þá sem sitja lengi við tölvu eða gera skyndilegar rykkhreyfingar.

🔍 Hver er munurinn?
• Utanvert (Tennisolnbogi / Epicondylitis): Áhrif á utanverðan olnboga. Sársaukinn finnst við hversdagslegustu hluti, eins og að taka í höndina á einhverjum, snúa lykli í skrá eða lyfta kaffibolla. ☕️🗝️
• Innanvert (Golfolnbogi / Epitrochleitis): Myndast innanverðu megin á olnboganum. Hefur áhrif á beygjuvöðva úlnliðsins og stafar af endurteknum smááverkum og stöðugu ofálagi.

💆♂️ Nálgun nuddmeðferðarinnar
Á minni stofu meðhöndlum við ekki bara staðinn þar sem sársaukinn liggur. Markmiðið er að létta á lífmekanísku álagi á allan handlegginn.

Með djúpum og markvissum strokum meðfram vöðvum framhandleggsins ásamt bandvefslosun náum við að:
• Draga úr ofspennu í vöðvum og vöðvafelli (fascia) 🔓
• Eyða spennupunktum sem toga í sinarnar ⚖️
• Bæta teygjanleika í bandvefnum 🔄

❄️🔥 Árangurinn með Cryo T-Shock
Sinar eru þekktar fyrir að vera lengi að jafna sig. Til að flýta fyrir endurnýjun þeirra sameina ég handmeðferðina við tæknina í Cryo T-Shock.

Með því að nýta stýrða víxlverkun á hita og kulda (hitachokk), framkvæmum við ótrúlega óvirka æðaleikfimi á olnboganum:

• Sefar bólgu í sininni: Minnkar staðbundna bólgu djúpt í vefnum og veitir tafarlesa léttir.
• Örvar örblóðrásina: Flytur súrefnisríkt blóð og næringarefni beint þangað sem sinin er löskuð, sem flýtir fyrir viðgerð vefjanna.
• Hraðari bati: Minnkar stirðleika í liðnum og flýtir fyrir því að þú getir snúið aftur til daglegra starfa.

Samsetning nuddmeðferðar og markviss hitasjokks er lykillinn að því að slökkva á sársaukanum og gefa handleggnum frelsi á ný.

🗓️ Ekki bíða eftir því að olnbogaverkurinn verði krónískur.
Ég tek á móti viðskiptavinum eftir samkomulagi. Til að fá nánari upplýsingar um Cryo T-Shock meðferðina eða til að bóka tíma, skrifaðu mér beint hér á Messenger! 💬👇


🇬🇧
📝 Elbow pain? Tennis elbow and golfer's elbow: It’s not just for athletes!
The elbow is a crucial joint for your arm: it acts as a bridge between the strength of the shoulder and the precision of the hand.

When the elbow tendons become overloaded, we talk about epicondylitis or epitrochleitis. Although commonly known by sports names ("tennis elbow" or "golfer's elbow"), they actually mostly affect people who perform repetitive manual labor, spend long hours at a computer, or make sudden, heavy efforts.

🔍 Let’s clear things up: what’s the difference?
• On the outside (Tennis Elbow / Epicondylitis): Affects the lateral side of the elbow. The pain can flare up during simple tasks, such as shaking hands, turning a key in a lock, or grabbing a cup of coffee. ☕️🗝️
• On the inside (Golfer’s Elbow / Epitrochleitis): Develops on the medial (inner) side of the elbow. It involves the wrist flexor muscles and is caused by repetitive microtraumas and continuous overload.

💆♂️ The Massage Therapy Approach
In my practice, we don't just treat the spot where it hurts. The goal is the biomechanical decompression of the entire arm.

Through deep, targeted friction along the muscle bellies of the forearm and myofascial release, we work to:

• Reduce muscle and fascial hypertonicity 🔓
• Eliminate tension points pulling on the tendon ⚖️
• Improve connective tissue elasticity 🔄

❄️🔥 The Effectiveness of Cryo T-Shock
To accelerate the healing of tendons (structures notorious for taking a long time to regenerate), I combine manual treatment with Cryo T-Shock technology.

By using a controlled alternation of hot and cold (thermal shock), we perform an extraordinary passive vascular workout on the elbow:

• Relieves tendon inflammation: Deeply reduces local inflammation, providing immediate relief.
• Stimulates microcirculation: Delivers oxygenated blood and nutrients directly to the damaged tendon, speeding up tissue repair.
• Fast recovery: Reduces joint stiffness and accelerates your return to daily activities.

The combination of massage therapy and targeted thermal shock is the key to turning off the pain and giving your arm its freedom back.

🗓️ Don't wait for your elbow pain to become chronic.
By appointment only. To learn more about the Cryo T-Shock treatment or to book a session, message me directly here on Messenger! 💬👇

🧠 Læst öxl? Það er ekki alltaf handarbrotunum að kenna!
Hefurðu einhvern tíma fundið fyrir djúpum sársauka í öxlinni við hversdagslegar hreyfingar eins og að fara í jakka, spenna öryggisbeltið eða lyfta einhverju yfir höfuð? 🧥🚗

Oft er almenna greiningin „bólga í axlarliðshring“ (cuffia dei rotatori), en axlarliðurinn er eitt flóknasta og magnaðasta liðkerfi mannslíkamans. Þess vegna krefst hann miklu nákvæmari skoðunar og nálgunar.

🔍 Hvað er eiginlega að gerast þarna inni?
Axlarliðshringurinn (rotator cuff) samanstendur af fjórum mikilvægum vöðvum sem vinna í fullkomnu samræmi við að halda öxlinni stöðugri:

1️⃣ Supraspinatus (axlarhyrnuvöðvi)
2️⃣ Subscapularis (undirherðarblaðsvöðvi)
3️⃣ Infraspinatus (undirhyrnuvöðvi)
4️⃣ Teres minor (litli sívalingsvöðvi)

Sinin í supraspinatus er vegna legu sinnar útsettust fyrir núningi og þrýstingi. Hins vegar er alls ekki óalgengt að langi tvíhöfðasinninn (CLB), sem liggur framan á öxlinni, þjáist einnig vegna sama ástands og ofálags.

💆♂️ Nálgun nuddmeðferðarinnar
Á minni stofu er markmiðið ekki að slökkva tímabundið á sársauka í einni bólginni sin, heldur að endurheimta jafnvægi í öllu kerfinu.

Með meðferðar- og djúpvöðvanuddi á of spennta vöðva (eins og litla brjóstvöðva, stóra bakvöðva og undirherðarblaðsvöðva) ásamt bandvefslosun (myofascial release), náum við að:

• Losa um djúpar vöðvaspennur 🔓
• Draga úr þrýstingi í liðnum ⚖️
• Endurheimta hreyfanleika og rými fyrir sinarnar 🔄

❄️🔥 Frábæri bandamaðurinn: Cryo T-Shock!
Til að flýta fyrir bata og vinna markvisst á sársaukanum, sameina ég handmeðferðina við tæknina í Cryo T-Shock.

Með því að skiptast á hita og kulda við stýrt hitastig (hitahokk / thermal shock), virkar þetta lækningatæki eins og æfingameðferð fyrir æðakerfið:

• Sefar bólgu í djúpu lögunum: Vinnur gegn bráðum og krónískum bólgum á örfáum mínútum.
• Tafarlaus verkjastilling: Dregur úr sársaukaskynjun með því að virka beint á taugaenda og trigger-punkta.
• Losar um bjúg: Dregur úr bólgum og stuðlar að því að losa úrgangsefni úr stífluðum vefjum.

Samlegðaráhrifin á milli handmeðferðar og Cryo T-Shock gera það að verkum að batatíminn styttist til muna og dregur verulega úr sársauka strax eftir fyrsta tímann.

🗓️ Ekki sætta þig við að lifa með axlarverkjum.
Ég tek á móti viðskiptavinum eftir samkomulagi. Til að fá nánari upplýsingar um Cryo T-Shock eða til að bóka persónulegt mat á þinni öxl, geturðu send mér skilaboð beint hér á Messenger! 💬👇



-----> 🇬🇧

🧠 Frozen shoulder? It’s not always the rotator cuff’s fault!

Have you ever felt a deep pain in your shoulder during simple, everyday movements like putting on a jacket, buckling your seatbelt, or lifting a weight overhead? 🧥🚗

Often, the generic diagnosis is "rotator cuff inflammation," but the shoulder joint is one of the most complex and fascinating structures in the human body. Because of this, it requires a much more accurate assessment and approach.

🔍 What is actually going on in there?

The rotator cuff is made up of four essential muscles working in perfect synergy to keep the shoulder joint stable:

1️⃣ Supraspinatus
2️⃣ Subscapularis
3️⃣ Infraspinatus
4️⃣ Teres minor

Due to its anatomical position, the supraspinatus tendon is the most exposed to friction and compression (subacromial impingement). However, it is very common for the Long Head of the Biceps (LHB) tendon, which runs along the front of the shoulder, to suffer from the exact same functional overloads.

💆♂️ The Massage Therapy (MCB) Approach
In my practice, the goal is not to temporarily numb the pain of a single inflamed tendon, but to rebalance the entire shoulder girdle structure.

Through therapeutic and deep tissue massage techniques on hypertonic muscles (such as the pectoralis minor, latissimus dorsi, and subscapularis) and myofascial release, we work to:

• Release deep muscle tension 🔓
• Reduce joint compression ⚖️
• Restore sliding space and movement to the tendon 🔄

❄️🔥 Our Super Ally: Cryo T-Shock!
To accelerate recovery times and target pain directly, I combine manual therapy with Cryo T-Shock technology.

By alternating hot and cold at controlled temperatures (thermal shock), this medical-grade device acts as physical therapy for your blood vessels:

• Deeply reduces inflammation: Fights both acute and chronic inflammation in just a few minutes.
• Immediate pain relief: Reduces pain sensitivity by acting directly on nerve receptors and trigger points.
• Drains fluids: Minimizes swelling and promotes the elimination of toxins accumulated in congested tissues.

The synergy between manual therapy and Cryo T-Shock allows us to cut recovery times in half, drastically reducing pain starting from the very first session.

🗓️ Don't just live with shoulder pain.
By appointment only. To receive more information about Cryo T-Shock or to book a personalized assessment of your shoulder, you can message me directly here on Messenger! 💬👇

🌸 Að hugsa um aðra byrjar á því að kunna að hugsa um sjálfan sig.

Margir halda að nudd sé bara dekur eða munaður sem maður leyfir sér einstaka sinnum. Í raun og veru er það mikilvægt tæki til að viðhalda okkar helsta „farartæki“: líkamanum.

Það dregur úr kortisóli (streituhormóninu), bætir blóð- og sogæðarásina og gefur vefjunum teygjanleika sinn aftur.

Mundu eftir að taka frá stund fyrir þig í dagbókinni í þessari viku. Líkaminn mun þakka þér! 🌿

🗓️ Tek á móti viðskiptavinum eftir samkomulagi. Fyrir nánari upplýsingar og lausa tíma geturðu send mér skilaboð beint á Messenger.



🌸 Taking care of others starts with knowing how to take care of yourself.

Many think that a massage is just a pampering session or a luxury to indulge in once in a while. In reality, it is a true maintenance tool for our main "vehicle": the body.

It reduces cortisol (the stress hormone), improves blood and lymphatic circulation, and restores elasticity to tissues.

This week, remember to schedule a moment for yourself. Your body will thank you! 🌿

🗓️ By appointment only. For info and availability, you can message me directly on Messenger.