Pronounced: DEE-KUR-vains TEE-no-SIGH-no-VY-tisEn Español (Spanish Version)
De Quervain's tenosynovitis is an irritation of tendons that run from the wrist to the thumb. These tendons pass through a tunnel-like tissue, called a sheath, at the wrist. The tunnel area can cause additional pressure and irritation on thickened or swollen tendons, making normal movements very painful.
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De Quervain’s is caused by pressure on already irritated tendons as they move through the sheath at the wrist. The irritation of the tendon may be caused by repetitive movements of the thumb and wrists or a direct blow to the area.
De Quervain's tenosynovitis is more common in women. Activities that may increase your chance of getting de Quervain's tenosynovitis include:
Symptoms may include:
You will be asked about your symptoms and medical history. A physical exam will be done and your doctor will ask you to move your fingers and wrists in different ways to help make the diagnosis.
Your doctor may ask you to make a fist with your thumb inside your fingers and bend your wrist toward your little finger. If this causes pain at the wrist below your thumb, you may have de Quervain's tenosynovitis.
The goal of treatment is to relieve pain and help you regain function. Initial steps to reduce swelling and irritation include:
If conservative treatments above does not provide adequate relief, your doctor may recommend:
Last reviewed February 2014 by Teresa Briedwell, PT, DPT
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.