De Quervain’s tenosynovitis articulated ( Dih-Kwer-VAINS- ten -oh -sine-oh-VIE-tis) is a health condition that can be quite painful – affecting the tendons of the thumb side of your wrist. If you have de Quervain’s tenosynovitis, it will likely be painful to turn the wrist, grasp anything or make a fist.
Even though the specific cause of de Quervain’s tenosynovitis is not fully understood, any activity that depends on repetitive hand or with movement- such as playing golf, typing on a computer, react sprout, lifting a baby, can make it worse.
Symptoms of de Quervain’s tenosynovitis comprise of the following:
Pain near the bottom of your thumb
inflammation near the bottom of your thumb
Trouble moving your wrist and thumb when you’re doing a task that includes gripping or pinching
A “fused” or “stop-and-go” feeling in your thumb when moving it around.
If the situation persists for a long time without treatment, the pain may expand further within your thumb, behind your forearm or both. Using tight gripping, clasping and other movements of your thumb and wrist exacerbate the pain.
When Should I see a doctor
Talk to your doctor if you’re continually having difficulties with pain or function and you’ve already tried:
To Reduce the use/ or not use the affected thumb
Utilizing cold press to the injured region
Taking nonsteroidal anti-inflammatory medications, such as ibuprofen, Motrin IB, Advil, Proprinal, others and Aleve (naproxen)
Tendons are cord-like ligaments that attach muscle to bone. When you clench, grasp, grip, pinch or twist anything in your hand, two tendons in your wrist and lower thumb usually glide smoothly into the small tunnel that joins them to the bottom of the thumb. Repeating a singular movement day after day can aggravate the sheathing surrounding the two tendons, producing thickening and inflammation that restricts their mobility.
Other Reasons de Quervain’s tenosynovitis form in the thumb are:
Direct trauma to your wrist or tendon; scar tissue and muscle can limit movement of the tendons
Inflammatory arthritis, such as rheumatoid arthritis
Risk factors for de Quervain’s tenosynovitis include:
Age. If you’re within the age range of 30 and 50, you have a greater risk of developing de Quervain’s tenosynovitis than other age groups, including children.
Gender. The condition is more prevalent in women.
Being pregnant. The ailment may be linked with pregnancy.
Baby care. Lifting your child repeatedly requires using your thumbs as support and may also be linked to the condition.
Jobs or hobbies that involve repeated hand and wrist movements.
Untreated de Quervain’s tenosynovitis might make it hard to use your hand and wrist properly and limit your wrist’s range of motion.
Tests and diagnosis
To determine if de Quervain’s tenosynovitis has occurred your doctor will evaluate your hand to see if you exhibit pain when pressure is employed on the thumb side of the wrist.
Your physician will also conduct a Finkelstein test, in which you bend your thumb over the palm of your hand and collapse the rest of your fingers down over your thumb. Then you twist your wrist toward your little finger. If this produces pain on the thumb side of your wrist, you possibly have de Quervain’s tenosynovitis.
Imaging and graphic tests, such as X-rays, ordinarily aren’t required to diagnose de Quervain’s tenosynovitis.
Treatments and medications
Treatment for de Quervain’s tenosynovitis is focused on decreasing inflammation, maintaining movement in the thumb and stopping recurrence.
If you start treatment at the start of your prognosis, your symptoms should recover within four to six weeks. If your de Quervain’s tenosynovitis begins during pregnancy, symptoms are expected to conclude around the end of either pregnancy or breast-feeding.
To decrease pain and inflammation, your physician may suggest using over-the-counter pain relievers, such as ibuprofen, Motrin IB, Advil, Proprinal, others and Aleve (naproxen)
Your doctor may also prescribe injections of corticosteroid drugs into the tendon sheath to bring down swelling. If treatment occurs within the first six months of symptoms, most patients recover fully after undergoing corticosteroid injections, in many cases after just one injection.
Primary Therapy of de Quervain’s tenosynovitis may include:
Stopping movement of your thumb and wrist, holding them straight with a brace or splint to assist in supporting your tendons
Bypassing task or activities that require repetitive thumb movements as much as possible
Stop pinching with your thumb when rolling your wrist from side to side
Applying ice to the injured region
You can also see a physical or occupational therapist. These therapists may analyze how you use your wrist and provide suggestions on how to make changes to alleviate stress on your wrists. Your therapist may also inform you of exercises for your wrist, hand, and arm to stimulate your muscles, decrease pain and reduce tendon irritation.
If your diagnosis is more severe, your physician may advise outpatient surgery. Surgery includes a procedure in which your doctor examines the sheath enclosing the affected tendon or tendons and then opens the sheath to release the tension so your tendons can glide freely.
Your doctor will speak with you about how to strengthen, rest and rehabilitate your wrist, hand, and thumb after surgery. A physical or occupational therapist may engage with you after surgery to teach you new therapeutic exercises and help you acclimate to your daily routine to prevent future problems.
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If you do not need surgery, caring for your condition is much the same as preventing it:
Avoid repeated movement of wrists.
Wear a brace or splint if recommended by your doctor.
Follow through with recommended exercises.
Note activity that triggers pain, swelling or numbness in your thumb and wrist should be avoided. Share these activities with your doctor so she or he may prescribe remedies.