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DEQUERVAIN's SYNDROME |
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Defintion
– A tenosynovitis (swelling of the sheath surrounding the tendon) of the extensor pollicis brevis and abductor pollicis longus tendons. This swelling usually occurs over a gradual period, however an acute injury can result in De Quervain’s. Pain is located at the base of the thumb and usually will radiate up the radius. Pinching of the thumb or grasping can elicit pain as well as ulnar and radial deviation.
Method Of Injury
– Repetitive motion involving radial deviation
- Repetitive grasping also may cause the inflammation of the tendon’s sheath
- Racquet sports or gardening are most common activities that create De Quervain’s
- Acute trauma such as a blow to the thumb may also create inflammation to the tendon’s sheath
Treatment
– Initial treatment should follow the PIER principle (Pressure, Ice, Elevation, Rest)
- Modification of aggravating activity
- Physiotherapy/Athletic Therapy to properly stretch and strengthen involved muscles
- Brace/support to limit ulnar deviation (aggravating motion)
Recommended Products
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Reference WebMD. The contents of this site is for informational purposes only. Always consult a physician or healthcare provider on any medical condition.
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