### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 54 yr old female nurse. I am experiencing painful dequervian thumb to dominant hand, and a couple of weeks ago, woke up with my middle finger locked /bent. I was able to just move it on my own, so I looked up these symptoms, and sounds like possible stenosing tenosynovitis....I do not have any chronic medical problems, or take any prescription drugs. Both on my right hand. I take a lot of systemic enzymes, and serrapeptase......what do you recommend? I do not want allopatChatDoctoredicine,

### output:

**1. De question is more common in women and tends to occur during pregnancy and after Menopause [54 years] and is also associated with other conditions like diabetes, rheumatoid arthritis, and hypothyroidism [so please check with necessary Examination and Investigations to rule out the same] although there is history of no chronic medical problem. Avoid repetitive motions: constant gripping, forceful bending of wrist, engaging in lifting or pinching activities without sufficient rest periods or stretches. Avoid or limit the activity that aggravates the pain. [place the affected wrist in a removable splint to immobilize the thumb and prevent further irritation and inflammation.] . Applying ice at the styloid process may decrease inflammation and symptoms. . When symptoms start to improve, add gentle stretching exercises (Myofascial release techniques) to prevent recurrent inflammation. . Prescription medicines for the same are: Rheumatic forte, rheumatic liniment, Mahavishgarbh tail, Maya vast vidhvansan RAS, Shoddy Kuchla.PS. An ergonomic assessment and training to prevent further damage, along with recommendations for optimal ways for you to continue your activities of daily living. If conservative management fail to give relief, then surgical management becomes appropriate.