De Quervain's Tenosynovitis: A Common Condition Among Heavy Wrist Users
De Quervain's tenosynovitis is a condition characterized by pain on the thumb side of the wrist, caused by inflammation of the tendons around the thumb. Normally, these tendons move smoothly through a tunnel-like structure called the sheath. When inflammation occurs, swelling restricts tendon movement within the sheath, causing pain, especially during activities that involve gripping or wrist movements. This condition is most commonly seen in people aged 30-50, with women being 8-10 times more likely to be affected than men. The most common symptom is wrist pain near the base of the thumb, often intensifying at night.
Symptoms
- Pain on the thumb side of the wrist, which may develop gradually or suddenly.
- Pain radiating along the thumb or from the wrist down to the forearm.
- Swelling on the thumb side of the wrist.
- Tenderness or pain when moving the thumb.
Treatment
Treatment usually begins with non-surgical methods to relieve symptoms before considering surgery.
Non-Surgical Treatment
-Avoid repetitive wrist movements or use a splint to immobilize the wrist and thumb. Take non-steroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation.
-Avoid activities that cause pain.
-Apply ice to the affected area to reduce swelling.
-Steroid injections may be given to reduce inflammation, but generally should not exceed two injections.
Surgical Treatment
Surgery involves a small incision in the affected area to release the sheath, allowing more space for tendon movement. This procedure reduces pain and swelling, restoring normal movement.
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