德Quervain的腱鞘炎

德Quervain的腱鞘炎關節 ( DIH-Kwer-VAINS- 10 -OH - 正弦-OH-VIE-TIS) 是可以是相當痛苦的健康狀況 – 影響你的手腕的拇指側的筋. 如果你去Quervain的腱鞘炎, 它可能會是痛苦的轉腕, 抓住任何東西,或握拳.

儘管德Quervain的腱鞘炎的具體原因尚不完全清楚, 依賴於反复用手或用移動的任何活動- 如打高爾夫球, 打字的計算機上, 反應萌芽, 提升寶寶, 可以使情況變得更糟.

症狀
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
一個 “fused” 要么 “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.

我什麼時候應該看醫生
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, 如布洛芬, 布洛芬IB, 布洛芬, Proprinal, others and Aleve (萘普生)

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

Tendons are cord-like ligaments that attach muscle to bone. 當你握緊, 把握, 握, 捏或在你的手捻什麼, 在你的手腕和拇指兩筋通常平穩地滑動成他們加入到拇指底部的小通道. 一天後,重複單一運動日子會加重周圍兩筋護套, 生產增厚及炎症,限制他們的流動性.

德Quervain的腱鞘炎形式等原因拇指是:
直接創傷,你的手腕或肌腱; 瘢痕組織和肌肉可以限制肌腱的運動
Inflammatory arthritis, 如類風濕性關節炎

風險因素
Risk factors for de Quervain’s tenosynovitis include:

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

了解手的解剖

 

並發症
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, 在你彎曲你的拇指放在你的手掌和合攏其餘手指下跌超過你的拇指. 然後你扭動你的手腕朝小指. 如果這會產生在手腕的拇指側疼痛, 你可能已經去Quervain的腱鞘炎.

成像和圖形測試, 如X射線, 通常並不需要診斷德Quervain的腱鞘炎.

治療和藥物
治療德Quervain的腱鞘炎的重點是減少炎症, 保持運動拇指和停止復發.

如果你在你的預測開始啟動處理, 你的症狀應該四到六週內恢復. 如果你的德Quervain的腱鞘炎孕期開始, symptoms are expected to conclude around the end of either pregnancy or breast-feeding.

藥物治療
To decrease pain and inflammation, your physician may suggest using over-the-counter pain relievers, 如布洛芬, 布洛芬IB, 布洛芬, Proprinal, others and Aleve (萘普生)

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.

治療
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, 手, and arm to stimulate your muscles, decrease pain and reduce tendon irritation.

手術

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, 手, 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.

生活方式和家庭的補救措施
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.