Tenossinovite de De Quervain

tenossinovite de De Quervain articulada ( Dih-Kwer-Vains- dez OH -sine-oh-VIE-tis) é uma condição de saúde que pode ser bastante doloroso – afetando os tendões do lado do polegar do seu pulso. Se você se tenham, de tenossinovite de Quervain, ele provavelmente vai ser doloroso para virar o pulso, agarrar qualquer coisa ou fazer um punho.

Mesmo que a causa específica da tenossinovite de Quervain não é totalmente compreendido, qualquer actividade que depende da mão ou com movimento repetitivo- tais como jogar golfe, digitando em um computador, reagem broto, levantar um bebê, pode torná-lo pior.

Os sintomas
Os sintomas da tenossinovite de Quervain compreendem o seguinte:

Dor na parte inferior do seu polegar
inflamação na parte inferior do seu polegar
Dificuldade para mover seu pulso eo polegar quando você está fazendo uma tarefa que inclui agarrar ou beliscar
UMA “fundido” ou “pare e vá” sentindo em seu polegar quando movê-lo.
Se a situação persistir por um longo tempo sem tratamento, a dor pode expandir ainda mais dentro do seu polegar, por trás de seu antebraço ou ambos. Usando emocionante apertado, clasping e outros movimentos de seu polegar e pulso exacerbar a dor.

Quando devo consultar um médico
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, tais como ibuprofeno, Motrin IB, Advil, Proprinal, others and Aleve (naproxeno)

Causas
Constant overuse of your wrist is regularly linked with de Quervain’s tenosynovitis.

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, tais como a artrite reumatóide

Fatores de risco
Risk factors for de Quervain’s tenosynovitis include:

Idade. If you’re within the age range of 30 e 50, you have a greater risk of developing de Quervain’s tenosynovitis than other age groups, including children.
Gênero. 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.

Compreender a anatomia da mão

 

complicações
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, tais como raios-X, 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.

medicamentos
To decrease pain and inflammation, your physician may suggest using over-the-counter pain relievers, tais como ibuprofeno, Motrin IB, Advil, Proprinal, others and Aleve (naproxeno)

Seu médico também pode prescrever injeções de drogas corticosteróides na bainha do tendão para reduzir o inchaço. Se o tratamento ocorre dentro dos primeiros seis meses de sintomas, a maioria dos pacientes a recuperar completamente depois de submetidos a injeces de corticosteróides, em muitos casos, depois de apenas uma injeção.

Therapy
Terapia primária de tenossinovite de Quervain pode incluir:

Parar o movimento do seu polegar e pulso, mantendo-os em linha reta com uma cinta ou splint para ajudar no apoio a seus tendões
Ignorando tarefa ou atividades que exigem movimentos repetitivos polegar, tanto quanto possível
Pare de beliscar com o polegar quando rolar o pulso de lado a lado
Aplicação de gelo na região lesada
Você também pode ver um fisioterapeuta ou profissional. 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, mão, and arm to stimulate your muscles, decrease pain and reduce tendon irritation.

Cirurgia

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, mão, 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.

Estilo de vida e remédios caseiros
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.