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De Quervain's Tenosynovitis


The Basics


Written by the doctors and editors at UpToDate � �
What is de Quervains tenosynovitis? " � De Quervain's tenosynovitis is a condition that causes pain in the thumb and wrist. It is caused by a problem with a tendon. Tendons are strong bands of tissue that connect muscles to bones. � �
De Quervain's tenosynovitis involves tendons that connect the forearm muscles to the thumb. These tendons and the covering around them get inflamed. This causes symptoms. � �
Most often, de Quervain's tenosynovitis happens when people use their wrist and thumb too much in certain ways. This includes gripping or grabbing objects (like a tool, golf club, or tennis racket) over and over. � �
What are the symptoms of de Quervain's tenosynovitis? " � Symptoms of de Quervain's tenosynovitis include: � �
  • Pain in the wrist or thumb
  • Trouble gripping objects
  • Swelling in the wrist

Will I need tests? " � Probably not. Your doctor can usually tell if you have de Quervain's tenosynovitis by learning about your symptoms and doing an exam. During the exam, he or she will carefully check your thumb, hand, and wrist. � �
Your doctor might do a test to check if your symptoms are from de Quervain's tenosynovitis or another condition. For this test, the doctor will give you a shot of numbing medicine in your wrist and then see if your symptoms get better. � �
How is de Quervain's tenosynovitis treated? " � Treatment for de Quervain's tenosynovitis includes: � �
  • Resting your thumb " � To avoid moving your thumb, you can wear a splint made for keeping the thumb still.
  • Ice " � You can put a cold gel pack, bag of ice, or bag of frozen vegetables on the painful or swollen area every 4 to 6 hours, for 15 minutes each time.
  • Pain-relieving medicines called "NSAIDs " � " � NSAIDs are a large group of medicines that includes ibuprofen (sample brand names: Advil, Motrin) and naproxen (sample brand name: Aleve).
  • Exercises " � After your symptoms improve, your doctor or nurse will show you exercises to help your wrist and thumb move more easily.

If your symptoms don't get better with treatment, your doctor might recommend other treatments. These can include: � �
  • Getting a shot of a medicine called a steroid around the inflamed tendon in your wrist " � Steroids help with inflammation. These steroids are different from the ones athletes take to build muscle.
  • Surgery to cut or loosen the covering around the tendon

All topics are updated as new evidence becomes available and our peer review process is complete. � �
This topic retrieved from UpToDate on: Nov 04, 2014. � �
Topic 82812 Version 4.0 � �
Release: 22.8 - C22.208 � �
� � 2014 UpToDate, Inc. All rights reserved. � �

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This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you.The use of UpToDate content is governed by the UpToDate Terms of Use. � �2014 UpToDate, Inc. All rights reserved. � �

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