De Quervain's Tenosynovitis - ALGOS Multispecialty Pain Clinic

De Quervain’s Tenosynovitis

What is De Quervain's Tenosynovitis?

De Quervain’s tenosynovitis is an inflammatory condition affecting the tendons on the thumb side of the wrist. This condition involves the tendons that control thumb movement, specifically the abductor pollicis longus (APL) and extensor pollicis brevis (EPB). Inflammation of the synovial lining of the tendon sheath causes pain and swelling at the base of the thumb.

Causes

De Quervain’s Tenosynovitis can be caused by various factors, including:

Repetitive Motion

Repeated thumb and wrist movements, such as those involved in typing, texting, or lifting objects.

Overuse

Excessive use of the wrist and thumb, leading to irritation and inflammation of the tendons.

Injury

Trauma or injury to the wrist that causes strain or damage to the tendons.

Pregnancy

Hormonal changes during pregnancy can increase the risk of developing this condition.

Underlying Conditions

Conditions such as rheumatoid arthritis can predispose individuals to De Quervain’s tenosynovitis.

Symptoms

Pain:Pain at the base of the thumb, which may extend into the wrist and forearm. The pain often worsens with thumb and wrist movements.

Swelling:Swelling around the thumb and wrist area.

Tenderness: Tenderness at the radial side of the wrist, where the tendons are located.

Difficulty with Movement: Difficulty performing activities that involve grasping or pinching, such as holding a phone or opening jars.

Finkelstein’s Test: Pain when performing Finkelstein’s test, where the thumb is folded over the palm and the wrist is bent toward the little finger.

Diagnosis of De Quervain's tenosynovitis

Medical History and Physical Examination: Assessment of symptoms, hand function, and wrist movements. The Finkelstein’s test is commonly used to provoke symptoms and confirm the diagnosis.

Imaging Tests:

X-rays: To rule out other causes of wrist pain, such as fractures or arthritis.

Ultrasound: To visualize inflammation and swelling in the tendon sheaths.

MRI: Detailed imaging to assess the extent of tendon inflammation and identify any associated conditions.

When to See a Doctor

Consult a doctor if you have:

When your wrist pain is severe

Persistent by significant numbness

Persistent by significant swelling

Difficulty performing daily tasks

Treatment Options

Treatment for De Quervain’s tenosynovitis aims to reduce inflammation, alleviate pain, and restore thumb and wrist function. Options include:

Conservative Treatments:

Rest: Avoiding activities that aggravate symptoms and allowing the tendons to heal.
Ice: Applying ice packs to the affected area to reduce inflammation and swelling.
Medications: NSAIDs to manage pain and inflammation.

Wrist Splinting: Wearing a thumb spica splint to immobilize the thumb and wrist and reduce strain on the tendons.
Activity Modification: Adjusting activities and ergonomics to reduce stress on the wrist and thumb.
Physical Therapy: Exercises to strengthen the muscles around the thumb and wrist and improve flexibility.

Pain Interventions

Corticosteroid Injections: Injecting corticosteroids into the affected area to reduce inflammation and provide relief from severe symptoms.

Platelet-Rich Plasma (PRP) Therapy: Injecting concentrated platelets from the patient’s own blood to promote healing and reduce inflammation.

Prevention

Ergonomic Adjustments: Using ergonomic tools and techniques to minimize stress on the wrist and thumb.

Frequent Breaks: Taking regular breaks during repetitive activities to rest and stretch the wrists and thumbs.

Proper Technique: Using proper hand and wrist positioning during activities.

Strengthening and Stretching: Performing exercises to strengthen the wrist and thumb muscles and maintain flexibility

Wrist Support: Using wrist supports or splints during activities that put strain on the wrist and thumb.

Conclusion

De Quervain’s tenosynovitis can significantly impact hand function and daily activities, but with proper diagnosis and treatment, most individuals can manage symptoms and return to their activities. Early intervention, a tailored treatment plan, and preventive measures are crucial for successful management and long-term wrist health. If you experience symptoms of De Quervain’s tenosynovitis, consult our specialists at ALGOS, for comprehensive care and personalized treatment options.

Conditions We Treat

Effective Pain Treatments

At ALGOS, we specialize in treating a wide range of chronic pain conditions without the need for surgery to help you achieve lasting relief and regain your mobility.

Located centrally on Cunningham Road, Bengaluru, opposite Indian Express, our clinic is easily accessible from all parts of the city, ensuring high-quality pain management services are available to everyone.

Contact us

Fill the form to get in touch with us