De quervain tenosynovitis treated with rest + modified activities

De quervain tenosynovitis treated with rest + modified activities,I have Dequervain's in my right thumb. It is getting progressively more of a problem to the point where I have trouble gripping anything like a knife, brush, etc. as well as pain whenever I jerk the hand or put pressure on it. My chiro/therapist is treating it with ultra sound which helps somewhat to keep it to a dull roar. Previously he was using electrical stimulation which seemed to me to make it worse. I have kept it at bay with Flector patches cut in triangles to wrap my thumb overnight but insurance is no longer going to cover that. I've used SalonPas which also eases it a bit. I tried a compounded NSAID Rx cream but that was mostly useless.  I know the next step is usually cortisone injections by a hand specialist but injected cortisone and I have never gotten along well in the past.

Along with the DeQuervain's I have Fibro and some joint and muscle birth defects that give me both nerve and myofascial pain; O.A. in misc. joints as well.


Anyone have any additional thoughts on therapy, pain relief or treatment that actually works? Whenever I search I get links to OTC mail order products but I don't easily trust new drugs having had issues with both OTC and Rx meds.

source: ealthcentral