De Quervain’s Tenosynovitis Symptoms & Treatment Options

De Quervain’s Tenosynovitis is one of the painful conditions that affect the tendons on the thumb side of your wrist. It basically hurts when you turn your wrist, grasp anything, or make a fist.

If we talk about the actual cause of this condition, it is not known so far. But in most cases, any activity that relies on repetitive hand or wrist movement over a period of time can make it worse.

Well, you must know that apart from medication, de Quervain’s tenosynovitis home treatment is possible and effective.

To help you more with this let us go through various symptoms, causes, and treatment options.

Symptoms of de Quervain’s tenosynovitis:

  • You will feel a sensation of catching or popping when you move your thumb
  • You will feel numbness in the thumb or index finger
  • You will encounter swelling on the thumb-side of your wrist
  • You will feel pain and tenderness at the base of the thumb
  • You will feel pain on the side of the wrist closest to the thumb
  • Yout thumb will become stiff
  • You will feel extreme pain when you move the wrist, pics up an object, or make a fist
  • You will feel pain when you play golf, tennis, rowing, or other such activity that involves extensive wrist motion.

Causes of de Quervain’s tenosynovitis

Here you need to know that de Quervain’s tenosynovitis is a condition that basically affects adults but in most cases, the risk factor increases when you are a female or if you are 40+ years of age. It also affects those who perform repetitive tasks that involve extreme wrist movement. Moreover, previous wrist injury or having rheumatoid arthritis are major causes of de Quervain’s tenosynovitis.

Treatment of de Quervain’s tenosynovitis

When it comes to treatment there are various methods for the same. The basic aim of treatment is to reduce inflammation, preserving movement in the thumb, and preventing recurrence.

Here you need to know that the early you begin your treatment, the better will be the results.

  1. Medications: When you encounter de Quervain’s tenosynovitis, you will feel pain and swelling. To reduce this, your doctor will recommend counter pain relievers. If you are encountering severe pain or swelling you will be advised to go for injections of corticosteroid medications.

These injections will be applied to the tendon sheath to reduce swelling. If your treatment begins within the first 5-6 months of the symptoms, chances are high that you will recover soon.

  1. Therapy: When it comes to the initial treatment of de Quervain’s tenosynovitis, therapy is the one that can provide you relief.
  • In therapy, you will have to immobilize your thumb and wrist. You have to keep them straight with the help of a splint or brace. This will help your tendons to go for a rest.
  • You will be asked to avoid any repetitive thumb movements to the level you can.
  • You will also be asked to avoid pinching with your thumb especially while moving your wrist from side to side.

The physical or occupational therapist may review how you use your wrist. Then you will be given suggestions on how to make suitable adjustments to relieve stress on your wrist. You will be suggested to go with some exercises to strengthen the muscles of your hand, arm, and wrist. This will help in reducing pain and limiting tendon irritation.

  1. Surgery: If your case is severe, your doctor can ask you for outpatient surgery. This will be the basic surgery where your doctor will inspect the sheath surrounding that involves tendons. Then the sheath will be opened to release the pressure. This will help your tendons to glide freely.

Then, you will be given instructions about how to rest, strengthen, and rehabilitate after surgery.  In some cases, you will have to visit a physical or occupational therapist to learn various exercises. These exercises will provide you strength. You will also be informed about going through several changes in your daily routine to avoid further problems.

  1. de Quervain’s tenosynovitis Home treatment: When it comes to home treatment there are various exercises that you can perform.
  • You can take the help of a physical therapist for the same.
  • You can apply ice in that particular area to ease inflammation.
  • You can stop such activity that makes your pain worse or that involves rapid movement of your hand, wrist, or thumb.

Conclusion: When it comes to de Quervain’s tenosynovitis, it mostly affects the female and aged persons over 40. It is a common problem that can be treated easily if you take good care of it. You can go for various exercises and lifestyle changes to prevent it from becoming worse. In most cases, simple exercises at home itself do a job for you. But if you are still not able to get better, it’s time to visit the doctor.

About Anil Baswal

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