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. This can cause pain, swelling, and triggering when the patient moves their thumb. It is often caused by repetitive motion and is common in mother’s lifting children. Pain is made worse when the thumb is flexed down into a closed fist. This is generally a clinical diagnosis and nothing is seen on x-ray. Treatment usually begins with immobilization and NSAIDs or a corticosteroid injection. Surgical intervention is considered if corticosteroid injections are not successful.
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