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Dequervains Tenosynovitis
What is it?
De Quervain's is a condition caused by inflammation of the covering of the tendons along the thumb side of the wrist resulting in pain.
Signs and Symptoms of this Condition
  • Pain/swelling along the thumb side of the wrist which may extend up into the forearm or down along the thumb
  • Difficulty pinching, grasping, and twisting objects as a result of pain
  • Pain when making a fist
  • Feeling a small knot on the thumb side of the wrist
Causes
  • Repetitive hand motions including grasping, pinching, squeezing, and wringing
  • This condition is also frequently seen is mothers who repeatedly pick up and hold their children
Prevention / What You Can Do at Home
  • Rest the area (a splint from a therapist will put you in the correct position for this)
  • Use an oral anti-inflammatory medication (check with your doctor first)
  • Take frequent breaks from repetitive activities
  • Try to keep your wrist in a straight line with your arm during activities
  • Contrast Baths
Treatment
Conservative treatment includes use of a splint to immobilize the area and allow time for the inflammation to decrease as well as use of an oral anti-inflammatory medication. A therapist may also discuss changes to your current activities to reduce the chance of further problems. Iontophoresis is another tool that your therapist may use, which allows an anti-inflammatory medication to be dispersed in the area with the use of a non-painful, electric current. An anti-inflammatory injection such as cortisone may also be used. Surgical treatment may also be necessary if conservative treatments do not improve the pain.
Disclaimer
The information on this website is meant for patient education and to provide home treatment options for some common muscular and skeletal injuries. It is not intended to replace your health care provider. Many are actually intended for use by your health care provider through referral to the website for appropriate self-care interventions. If your symptoms get worse; are not improving in two weeks despite treatment; or new unexplained symptoms develop, you should contact or follow-up with your health care provide