De Quervain’s Tenosynovitis
What Is De Quervain’s Tenosynovitis?
De Quervain’s Tenosynovitis: Causes, Symptoms, and Treatment
De Quervain’s tenosynovitis is a painful condition characterized by the inflammation of two tendons running from the back of the thumb down the side of the wrist. While the exact causes remain uncertain, factors such as wrist injuries, overuse or repetitive motions, pregnancy, and inflammatory arthritis have been linked to this condition. De Quervain’s tenosynovitis predominantly affects women and is more common in individuals with diabetes or arthritis. This condition was first identified by Fritz de Quervain in 1895, hence its name.
Symptoms of De Quervain’s Tenosynovitis
De Quervain’s tenosynovitis manifests with distinct symptoms, including:
- Pain, swelling, and tenderness along the thumb side of the wrist
- Difficulty gripping objects
- Numbness in the index finger and the back of the thumb
- Audible squeaking or creaking sounds when moving the wrist or thumb
- Formation of a small bump on the thumb side of the wrist in some cases
If left untreated, De Quervain’s tenosynovitis can worsen, leading to pain spreading up the forearm or down to the thumb.
Diagnosis and Treatment
De Quervain’s tenosynovitis can be diagnosed through the Finkelstein test. During this test, the patient forms a fist with the thumb tucked inside and bends the wrist toward the pinky finger. Pain experienced on the thumb side of the wrist during this maneuver indicates De Quervain’s as the likely cause.Treatment for De Quervain’s tenosynovitis primarily aims to alleviate pain and reduce swelling. Approaches may include:
- Anti-inflammatory medication
- Corticosteroid injections
- Wearing splints to immobilize the wrist
- Resting the affected hand
At City Orthopaedics & Sports Medicine, our experienced specialists are dedicated to diagnosing and effectively treating De Quervain’s tenosynovitis and a wide range of orthopedic conditions. Contact us today to receive personalized care that prioritizes your comfort and well-being, helping you regain pain-free hand functionality.
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