DE QUERVAIN’S TENOSYNOVITIS

If you suffer from chronic pain or weakness related to Tenosynovitis, don’t hesitate to Schedule an appointment with one of our orthopedic specialists.

What is De Quervain’s Tenosynovitis?

De Quervain’s tenosynovitis causes inflammation and irritation around two tendons on the thumb side of the wrist. These tendons help move the thumb and pass through a narrow protective sheath near the wrist. When swelling develops around the tendons, movement can become painful and uncomfortable. The condition can cause pain, tenderness, and swelling near the base of the thumb, especially when gripping, lifting, twisting, or moving the thumb and wrist. De Quervain’s tenosynovitis can make everyday activities that require thumb movement or wrist strength more difficult.

Symptoms of De Quervain’s Tenosynovitis

Pain and swelling at the base of the thumb make grasping or pinching objects difficult, significantly impacting daily activities. Patients often experience a “sticking” sensation when moving the thumb, adding to the discomfort and hindering smooth motion. If untreated, the condition worsens, spreading pain into the forearm. Movements involving pinching and grasping become increasingly painful, affecting tasks such as writing, holding utensils, or using tools. Early intervention is crucial to prevent progression and manage symptoms effectively.

Risk Factors of De Quervain’s Tenosynovitis

Several factors can increase the risk of developing De Quervain’s tenosynovitis. Repetitive thumb and wrist movements can place ongoing stress on the tendons and increase irritation. Activities such as typing, gardening, sewing, playing sports, lifting, and frequent gripping can contribute to tendon strain. Pregnancy and hormonal changes can also increase swelling around the wrist tendons. Parents and caregivers who frequently lift or hold infants may experience additional strain from repeated wrist and thumb movements. Previous wrist injuries, inflammatory conditions, and occupations that require repetitive hand use can further raise the risk. Age and certain anatomical differences around the wrist may also affect tendon movement and increase susceptibility.

Treatment Options for De Quervain’s Tenosynovitis

Treatment for De Quervain’s tenosynovitis depends on symptom severity and how long symptoms have lasted. Mild cases often improve with rest, activity modification, ice, and a wrist or thumb splint that limits painful movement. Anti-inflammatory medications can also help reduce pain and swelling. Physical therapy can improve thumb and wrist strength, flexibility, and movement while reducing strain on the affected tendons.

More severe or persistent cases may require a corticosteroid injection to reduce inflammation and relieve pain. When symptoms continue despite nonsurgical treatment, a surgeon may recommend a procedure to release the tight tendon sheath and create more space for the tendons to move freely. Hand therapy after treatment can help restore strength, movement, and function.

If you would like to speak to a Hand Doctor Fort Worth or Dallas, give us a call at 817-697-4038, or contact us online. Telemedicine appointments are also available.