De Quervain’s Tendinosis is a condition that causes irritation and constraint in the tendons around the base of the thumb. Inflammation in the tendons and the tendon sheath can lead to pain and tenderness along the whole thumb. The pain increases while performing simple activities such as forming a fist or grasping something.
Causes
- Overuse of the thumb
- Direct blow to the thumb
- Repetitive grasping Inflammatory conditions such as Rheumatoid Arthritis Racquet sports
- Activities such as gardening
Symptoms
- Pain and swelling at the back of the thumb
- Pain that travels into the thumb or upwards to the forearm
- Pain increases when pinching or grasping things
- Swelling and pain on the side of the wrist at the base of the thumb
- Pain gets worse while moving thumb or wrist
- A catching or snapping sensation can be felt during thumb movement
Diagnosis
- The orthopedic doctor may perform the Finkelstein test to diagnose the condition.
- The patient may be asked to make a fist with the thumb placed in the palm.
- The wrist may be bent towards the outside causing the swollen tendons to stretch.
- If this movement is painful, the patient may be suffering from De Quervain’s Tendinosis.
Treatment
Non-Surgical Treatment Medication: Non-steroidal anti-inflammatory medication may be recommended by the doctor to provide relief from inflammation and pain. The medication may be injected directly into the thumb to provide immediate relief.
Corticosteroids: Corticosteroid injections may be administered into the tendon sheath to reduce pain and inflammation.
Splints: Splints may be used to provide support to the thumb and wrist. It is important to completely stop all activities that worsen the pain.
Ice packs: Application of ice packs may also be useful in reducing the swelling and discomfort.
Exercise: The doctor can suggest certain strengthening exercises to regain the normal range of thumb movement.
Surgical Treatment
Surgical intervention may be required in case conservative treatment methods fail to provide any relief. The procedure involves opening the thumb covering to make space for the swollen tendons. The patient may resume his routine work once the thumb regains full range of movement.
The orthopedic surgeons at OrthoTexas provide effective treatment for De Quervain’s Tendinosis.
