De Quervain's syndrome - Dr. Peat wrong?

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I got diagnosed with De Quervain's, which is a very sore thumb, and can be permanent. You see a lot of people wearing these braces on their wrist and thumb and this is why.

I decided on using exercises to fix it. An occupational therapist had all the worst and wrong exercises. Wrote her off.

But this guy on line, Mr. Physio he calls himself, has given me eccentric exercises that have already made me 80% better. Most of the exercises don't even involve the thumb or wrist although some do, but they are all eccentric strength building.

Dr. Peat has said that eccentric exercises damage DNA but I think they are highly protective and in this case they are a revolution. I am recovering much more rapidly than anyone has said is even reasonable. Maybe it's also the supplements I take and my wonderful lifestyle.
 

boris

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Reading about Quervains, there seems to be fibrotic / thickened tissue involved. I heard Dr. Peat say sometimes it can be necessary to break up old tissue for it to regenerate (like on the scalp). My guess is that the eccentric exercise are causing certain areas to break up and give them the chance to regenerate.
 
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ecstatichamster
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I've also found incredible help from Progest-E numerous times a day when it was really bad. I think that helped a great deal.
 

qwazy

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Good to hear that you are healing. What do you think caused your De Quervain? Also what supplements are you taking?
 
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ecstatichamster
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Good to hear that you are healing. What do you think caused your De Quervain? Also what supplements are you taking?

I really have no idea what caused it. The interesting thing is the exercises a little to do directly with that muscle so I suspect the exercises work by improving overall muscle chains that became deranged somehow.

The most important something that I take his thyroid. I also take B vitamins and policasonols, Pyrocet, progesterone and DHEA.
 

Elast1c

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I really have no idea what caused it. The interesting thing is the exercises a little to do directly with that muscle so I suspect the exercises work by improving overall muscle chains that became deranged somehow.

The most important something that I take his thyroid. I also take B vitamins and policasonols, Pyrocet, progesterone and DHEA.
Think Haidut mentioned stretching muscles can increase localized ATP transfer or exchange? tumor study something something
 

LucyL

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What does Mr. Physio think about concentric exercise? Has he ever looked at how those types of exercises might work in his program? Has he developed/tested it?
 

kitback

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I suffered from De Quervain’s about 15 years ago. The pain was excruciating. My doctor referred me to a rheumatoid arthritis specialist. No help at all. Went to physical therapy. Also no help.

I started a new diet around that time and part of it involved giving up wheat completely. As I recall, I was only eating whole wheat at the time.
Within 48 hours of going off wheat, my De Quervain’s completely cleared up, never to return.
 
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ecstatichamster
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What does Mr. Physio think about concentric exercise? Has he ever looked at how those types of exercises might work in his program? Has he developed/tested it?

he says eccentrics fix these problems. It isn’t a matter of concentric strength.
 

S-VV

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I have thought about something similar recently. Peat has created an astoundingly coherent framework, and in fact, a clean partition of medical knowledge.

However, I think that for the peaty approach to work, having an underlying metabolic problem is a sine qua non. Then, a peaty approach will be highly therapeutic, but there are many diseases that occur despite having a good metabolism. In these cases, pro-energetic interventions will have a marginal effect at best.

In my particular case, after serially implementing peaty measures, I had a basal temperature of 37.3 after breakfast, a RHR in the 90s, and an end tidal CO2 in the upper range. My glucose tolerance was excellent. And yet, I felt bad, very bad. Whole body, centrally mediated pain. Despite P5, P4, T3+T4, D3 + K +E, Aspirin, caffeine, Meldonium, Methylene Blue, azetazolamide, 1L both of milk and OJ per day, zero fibre, 100%> RDI for all nutrients in chronometer, all I got was a very good metabolism. And yet, what gave me temporary relief was 1 gram of acetaminophen.

Im sure the acetaminophen worked well and without side effects thanks to the boosted metabolism, but I had to go outside the peat framework to get relief.
 

craighealth

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I got diagnosed with De Quervain's, which is a very sore thumb, and can be permanent. You see a lot of people wearing these braces on their wrist and thumb and this is why.

I decided on using exercises to fix it. An occupational therapist had all the worst and wrong exercises. Wrote her off.

But this guy on line, Mr. Physio he calls himself, has given me eccentric exercises that have already made me 80% better. Most of the exercises don't even involve the thumb or wrist although some do, but they are all eccentric strength building.

Dr. Peat has said that eccentric exercises damage DNA but I think they are highly protective and in this case they are a revolution. I am recovering much more rapidly than anyone has said is even reasonable. Maybe it's also the supplements I take and my wonderful lifestyle.
Ray was referring to heavy weights used for muscle hypertrophy, not light resistance that you would use for eccentric hand/finger exercises.
 
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ecstatichamster
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That’s an interesting story, @S-VV

Dr. Peat has warned us about doing exercises walking downhill, or the eccentric part of weightlifting. But I think these eccentric movements are highly protective. Perhaps they do destroy DNA but they help protect us against muscle damage so they are important to train.
 

S-VV

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That’s an interesting story, @S-VV

Dr. Peat has warned us about doing exercises walking downhill, or the eccentric part of weightlifting. But I think these eccentric movements are highly protective. Perhaps they do destroy DNA but they help protect us against muscle damage so they are important to train.
Thanks. One problem with peats framework is that it synthesises so much research, that it becomes kind of inflexible. After reading 100s studies showing the dangers of estrogen/serotonin/NO, if he finds a few studies that associate an activity/drug with estrogen, it will automatically go into the "bad" category.

The problem here is that every intervention is a calculated risk. It may be anti-metabolic, but the benefits in quality of life and disease progression may make it worth it.

For example, there is a disease called giant cell arteritis, where the endothelium of the large blood vessels become inflamed. The biggest and very common risk is bilateral blindness due to transient ischemia of the temporal artery.

The only treatment that has been shown to prevent blindness are corticosteroids. Very high dosages over large amounts of time. This is as anti-peaty as you can get, but it saves an enormous quality of life. Of course, the negative effects of the steroids can be mitigated via peaty measures, and perhaps over time, by restoring the metabolism, the dose can be gradually reduced. But when the symptoms appear its a choice of steroids vs blindness.

Peat would disagree of course. He would say something along the lines of "thyroid, D3, progesterone and a bit of cyproheptadine can be a good start". But by the time someone implements peaty measures over a couple of months, blindness becomes exponentially more likely.

I would prefer to be non peaty but "kinda" healthy rather than peaty with declining health and refusing treatment because they are anti-metabolic.
 

Beastmode

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I got diagnosed with De Quervain's, which is a very sore thumb, and can be permanent. You see a lot of people wearing these braces on their wrist and thumb and this is why.

I decided on using exercises to fix it. An occupational therapist had all the worst and wrong exercises. Wrote her off.

But this guy on line, Mr. Physio he calls himself, has given me eccentric exercises that have already made me 80% better. Most of the exercises don't even involve the thumb or wrist although some do, but they are all eccentric strength building.

Dr. Peat has said that eccentric exercises damage DNA but I think they are highly protective and in this case they are a revolution. I am recovering much more rapidly than anyone has said is even reasonable. Maybe it's also the supplements I take and my wonderful lifestyle.

I've treated this in clients many times. The diagnosis can seem scarier than it really is. Depending on where you live, there are some great practitioners who understand how to sort out "entraped" nerves. Basically, the eccentric exercises you're doing are sorting out a portion of this, however, with manual therapy combined it can do great. Also, working through the kinetic chain (i.e- wrist, elbow, shoulder, etc) and see what's not functioning well can help sort out the general "driver" of your issue. Feel free to DM and I can see if I can help in any way.
 

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