De Quervain’s Tendinosis is a condition that causes irritation and
constraint in the tendons around the base of the thumb. Inflammation in
the tendons and the tendon sheath can lead to pain and tenderness along
the whole thumb. The pain increases while performing simple activities
such as forming a fist or grasping something.
- Overuse of the thumb
- Direct blow to the thumb
- Repetitive grasping
- Inflammatory conditions such as Rheumatoid Arthritis
- Racquet sports
- Activities such as gardening
- Pain and swelling at the back of the thumb
- Pain that travels into the thumb or upwards to the forearm
- Pain increases when pinching or grasping things
- Swelling and pain on the side of the wrist at the base of the thumb
- Pain gets worse while moving thumb or wrist
- A catching or snapping sensation can be felt during thumb movement
orthopedic doctor may perform the Finkelstein test to diagnose the condition. The patient
may be asked to make a fist with the thumb placed in the palm. The wrist
may be bent towards the outside causing the swollen tendons to stretch.
If this movement is painful, the patient may be suffering from De Quervain's
Medication: Non-steroidal anti-inflammatory medication may be recommended by the
doctor to provide relief from inflammation and pain. The medication may
be injected directly into the thumb to provide immediate relief.
Corticosteroids: Corticosteroid injections may be administered into the tendon sheath
to reduce pain and inflammation.
Splints: Splints may be used to provide support to the thumb and wrist. It is
important to completely stop all activities that worsen the pain.
Ice packs: Application of ice packs may also be useful in reducing the swelling
Exercise: The doctor can suggest certain strengthening exercises to regain the
normal range of thumb movement.
Surgical intervention may be required in case conservative treatment methods
fail to provide any relief. The procedure involves opening the thumb covering
to make space for the swollen tendons. The patient may resume his routine
work once the thumb regains full range of movement.
The orthopedic surgeons at OrthoTexas provide effective
treatment for De Quervain's Tendinosis. For appointment, you can call at
(972) 899 – 4679 or visit 4951 Long Prairie Rd, Suite 100, Flower Mound, TX 75028.