What is De Quervain’s Syndrome?
Do you suffer from pain over the outside of the thumb that is aggravated with lifting, pinching, or grasping? There are many issues that can occur within the thumb joint itself or surrounding tendons. De Quervain’s tenosynovitis is a swelling of the sheath that surrounds the tendons of the first dorsal compartment, abductor pollicus longus and extensor pollicus brevis. Click Here to learn more about the team at Advanced Orthopedics & Hand Institute.
Symptoms Of De Quervain's Syndrome
De Quervain's causes pain, swelling, and tenderness over the thumb side of the wrist, and makes gripping difficult. The index finger and the back of the thumb can feel numb, and moving the wrist or thumb can cause a squeaking or creaking sound. It is also possible for a small bump to form on the thumb side of the wrist. If left untreated, de Quervain's can get worse, with pain spreading up the forearm or down to the thumb.
Is De Quervain's Tenosynovitis the Same Thing as Carpal Tunnel?
The risk for tendinitis increases with age due to tendon stiffening. Another term used to describe de Quervain's or tenosynovitis is trigger finger. De Quervain's and carpal tunnel syndrome both pertain to inflammation of the tendons involving the thumb, but carpal tunnel syndrome involves more. It involves nerve damage. To learn more about Carpal Tunnel, Click here.
Available Treatment Options For De Quervain's Tenosynovitis
De Quervain's tenosynovitis can be diagnosed through the Finkelstein test, in which the patient makes a fist with the thumb tucked inside, and then bends the wrist toward the pinky finger. If the patient feels pain on the thumb side of the wrist, de Quervain's is likely the cause. Treatment for de Quervain's tenosynovitis focuses on relieving pain and minimizing swelling through the use of anti-inflammatory medication, corticosteroids, splints and rest. Surgery to make more room for the irritated tendons may be recommended in severe cases.
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