A Comparative Study of the Efficacy of Multimodal Interventions for Tenosynovitis

Inclusion Criteria: * 18 to 60 years of age. * Case diagnosis reporting symptoms of tenosynovitis of the hand for at least 3 months. * Constant-Murley Shoulder Score: score less than or equal to 60. * Dysfunction of the Upper Extremity, Shoulder, and Hand Scale (DASH Scale): DASH score less than 40. * Mayo Wrist Score: score less than or equal to 60. * Positive test results on 2 or more scales during pre-test screening. * No structural lesions or congenital malformations of the hand or wrist. * Finkelstein's Test: Positive (pain occurs when patient holds thumb and bends wrist toward little finger). * Fist Clenching Test: Positive (pain increases when patient clenches fist and attempts to bend wrist toward little finger). * No prior hand or wrist surgery or external injuries. * No serious cardiac, pulmonary, neurological, or other systemic diseases. * Sufficient exercise capacity to complete exercise loads of required intensity and duration. Exclusion Criteria: * Not between 18 and 60 years of age. * Failed wrist function screening. * Failed special tests. * Presence of structural wrist lesions or congenital wrist deformities. * History of wrist surgery, significant trauma, or wounds. * Problems with skin irritation, infections, or open wounds. * Conditions like anemia or low blood pressure. * Serious cardiac, pulmonary, neurological, or other systemic diseases. * Inability to cooperate with trial requirements or refusal to participate.