De Quervain Disease
De Quervain’s tenosynovitis, known colloquially as De Quervain’s disease, presents as a painful condition impacting the tendons on the thumb side of the wrist. This inflammation occurs when the tendons responsible for thumb movement become irritated, leading to discomfort and swelling in the wrist and base of the thumb. Common among individuals with repetitive thumb and wrist movements, such as new mothers lifting their babies or those engaging in activities involving gripping or twisting motions, De Quervain’s disease can significantly affect daily activities.
Typical symptoms of De Quervain’s tenosynovitis include tenderness along the thumb side of the wrist, swelling, and difficulty moving the thumb and wrist, particularly during grasping or twisting actions. Some individuals may experience a distinctive “snapping” sensation when using the thumb. Diagnosis often relies on a comprehensive assessment of symptoms and physical examination, with specific tests like Finkelstein’s test used to reproduce characteristic pain.
Treatment options aim to alleviate pain, reduce inflammation, and promote healing. Strategies include rest and activity modification to avoid exacerbating symptoms, along with immobilization through splinting or bracing to limit movement and provide support. Ice therapy can help reduce pain and swelling, while anti-inflammatory medications like NSAIDs may be prescribed for relief. Corticosteroid injections into the affected tendon sheath can also provide temporary relief. Additionally, physical therapy may be recommended to improve strength, flexibility, and range of motion in the thumb and wrist.
At Dr. Isaac Bone & Joint Speciality Hospital, our orthopedic specialists prioritize personalized care for patients with De Quervain’s disease. Tailored treatment plans are crafted for each individual, focusing on reducing symptoms and restoring hand function. If you are experiencing symptoms of De Quervain’s tenosynovitis, we encourage you to schedule a consultation with one of our specialists. We are dedicated to helping you find relief and regain comfort and mobility in your hand and wrist.
