The de Quervain’s disease is a painful inflammation of tendons in the thumb that extend to the wrist. The swollen tendons and their coverings rub against the narrow tunnel through which they pass. The result is pain at the base of the thumb and extending into the lower arm. The syndrome is most common among women. Its cause is chronic injuries and tendon overloads associated with performing certain repetitive occupational tasks. Sometimes, the causes of impaired tendon slips are bone lesions on the radial bone.
The de Quervain’s disease – symptoms
- Pain along the back of the thumb, directly over two thumb tendons;
- subjective feeling of muscle weakness, efficiency and mobility of the hand;
- painful tendon skips and compression soreness of the affected area;
- tendons are tight, the sheath greatly thickened, there is also swelling.
The de Quervain’s disease – diagnosis
Palpation is the foundation for a proper diagnosis. One of the tests which indicate the presence of the De Quevarina disease is the Finkelstein ‘s test. An X-ray examination helps to exclude other pathologies. Due to the superficial location, and nature of the changed structures an additional ultrasound test is performed.
The de Quervain’s disease – treatment
De Quervain’s disease treatment can be conservative or operational. It involves rehabilitation, stiffening and steroid (eg block) treatment. It may help to stiffen the thumb stabilizer in opposition to the release of interphalangeal joint . Conservative treatment can help only in the initial stages of the disease. In advanced changes a surgical procedure is necessary.