Category : de Quervain’s Tenosynovitis

de Quervain's Tenosynovitis Hand Thumb

de Quervain’s Syndrome: Symptoms and Treatment


De Quervain’s Syndrome
is a condition that can cause you to feel pain in your hand and thumb, especially when trying to grasp or twist something. It can happen to anyone, and doctors are not sure what causes it. The condition involves painful tendons on the thumb side of your wrist. This short video will explain the condition and what will happen if you  need surgery.

In de Quervain’s, the tunnel through which the tendons run becomes too narrow, causing pain. Some treatment options for this condition include:

  • Splint, which limits motion
  • Aspirin
  • Steroid injection
  • Surgery

Visit a hand surgeon to discuss the best treatment for you. Find one near you with our Find a Hand Surgeon tool. Learn more about de Quervain’s at www.HandCare.org.

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de Quervain's Tenosynovitis Hand Thumb

How to prevent hand pain from texting

Too much typing on your phone can cause serious hand pain or even the disease de Quervain’s Tenosynovitis. Check out The Hand Society’s recent pin about smart phones causing hand pain.

Follow ASSH on Pinterest for more pins about hand conditions, injuries, safety and treatments.

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de Quervain's Tenosynovitis Hand Tendons Wrist

Ask a Doctor: de Quervain’s Tenosynovitis

 

Dr. Carl B. Weiss, an orthopaedic surgeon, answers your questions about de Quervain’s Tenosynovitis.

Q: What is de Quervain’s Tenosynovitis?

A: De Quervain’s Tenosynovitis is a condition caused by entrapment of some of the tendons going to your thumb.  These tendons, called the abductor pollicis longus and the extensor pollicis brevis, go through a snug tunnel at the wrist, called the first dorsal extensor compartment.  You can see the tendons on the back of your hand when you straighten your fingers. When, for whatever reason, the tunnel becomes too tight, it sets up a vicious cycle; whenever you move your thumb in certain ways, it pulls the tendons through the tight tunnel, causing pain and further aggravating the condition.

Q: How is the diagnosis made?

A: A hand surgeon can help determine if you have de Quervain’s.  If you have tenderness over the tendons and pain when you make a fist with your thumb tucked inside and bend the wrist with the pinkie facing down (see image), then you have what is known as a positive Finkelstein’s sign, which would indicate that you likely have de Quervain’s.  However, there are other causes of pain in this area, such as arthritis in the joint at the base of your thumb, which can feel similar to de Quervain’s.  Therefore, x-rays may be used to help make the diagnosis.  A hand surgeon can distinguish between these conditions, though it is quite possible that a patient has both.

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