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    Dequervain's Syndrome

    Uploaded by

    Deya F Gesmelly
    Physiotherapy

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Dequervain's Syndrome

    Uploaded by

    Deya F Gesmelly
    56 views6 pages
    Physiotherapy

    Original Title

    Dequervain’s Syndrome

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Physiotherapy

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    56 views6 pages

    Dequervain's Syndrome

    Uploaded by

    Deya F Gesmelly
    Physiotherapy

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 6

    De Quervain’s

    Tenosynovitis
    What Is De Quervain’s?

    De Quervain’s tenosynovitis (ten-oh-sin-oh-VY-tis)


    is an inflammation of tissue on the thumb side
    of the wrist. Tendons (cordlike fibers that attach
    muscle to bone) and synovium (a slick mem-
    brane that allows the tendons to move easily)
    become irritated, causing pain.

    Causes
    Making the same motions over and over, such
    as repeatedly unscrewing jar lids, grasping a
    tool, or picking up a child under the arms,
    can irritate the tendons. So can an injury to
    the thumb side of the wrist.

    Symptoms
    The most common symptom is pain on the thumb
    side of the wrist. You may feel pain when you pinch
    or grasp things, turn or twist your wrist, or make a
    fist. The thumb may also “catch” when you bend it.
    The thumb side of the wrist may be tender to the
    touch, and you may feel a small “knot.”
    Inside Your Thumb

    Tendons connect muscles in your wrist and


    forearm to the bones in your thumb. The
    tendons are surrounded by a protective tendon
    sheath. This sheath is lined with synovium,
    which produces a fluid that allows the tendons
    to slide easily when you straighten your thumb.
    If the tendons are irritated or injured, they
    become inflamed.
    When the Tendons Are Inflamed
    When the tendons are inflamed, they cause the
    lining of the tendon sheath to swell and thicken.
    Or the tendon sheath itself may thicken. Then the
    sheath pinches the tendons. They can no longer
    slide easily inside the sheath, and straightening
    your thumb and wrist may become painful.

    Tendon sheath

    Swollen
    synovium

    Inflamed
    tendon
    Diagnosing and Treating
    De Quervain’s
    Your doctor can usually tell by moving your thumb
    whether the tendons are inflamed. Treatment
    will depend on how severe the pain is.

    Evaluating Your Thumb


    To diagnose de Quervain’s, your doctor may ask you
    to make a fist with your fingers over your thumb. He
    or she will then gently bend your wrist toward your
    little finger. A sharp pain in the wrist is a sign that
    the tendons are inflamed.

    Pain when you make a fist and bend your wrist


    toward your little finger is a sign of inflamed tendons.

    Nonsurgical Treatment
    Just taking a break from the activ-
    ities that caused your pain may be
    enough. Your doctor may also have
    you take oral anti-inflammatory
    medication, such as aspirin, or
    wear a splint for a few weeks to rest
    the thumb and wrist. To reduce the
    swelling, your doctor may inject an
    anti-inflammatory, such as cortisone,
    around the tendons. You may have
    more pain at first, but in a few
    days your thumb should feel better.
    Surgery
    If other kinds of treatment don’t relieve your pain,
    or if the pain is severe, your doctor may recommend
    surgery. The sheath that surrounds the tendons is
    released so the tendons can move more easily. This
    helps reduce the inflammation, and allows you to
    straighten your thumb without pain. Usually, surgery
    takes a few minutes and is done with local anesthetic,
    so you can go home the same day. You will probably
    have a splint or dressing on your wrist for a few days
    while the tissue heals. Your doctor will discuss the
    risks and possible complications of surgery with you.

    Released
    tendon and
    synovium

    Released
    tendon sheath

    The tendon sheath is released during surgery


    to allow more space for the tendons. This frees
    the tendons to move more easily and relieves the
    inflammation.
    Using Your Thumb Again

    The goal of your treatment is to relieve your


    pain and allow you to use your thumb again.
    Once the tendons have healed, your doctor may
    give you exercises, or refer you to a therapist,
    to help you regain strength and movement in
    your thumb. Following your doctor’s directions
    will help you get back to your normal activities.

    This product is not intended as a substitute


    for professional medical care.
    ©2010 The StayWell Company.
    www.krames.com 800-333-3032
    All rights reserved.

    229376 0909

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