A tendon is a strong band of tissue that attaches muscle to bone. It is a stenosing tenosynovitis of the abductor pollicis longus apl and extensor pollicis brevis epb tendons fig. Follow the 4 steps known as rice therapy for 2 to 3 days to help bring down swelling and support the injury. Milder cases recover over a few weeks without treatment. Swelling of the tendons, and the tendon sheath, can cause pain and tenderness along the thumb side of the wrist. The cause of tenosynovitis in many cases the cause is unknown. These tendons, which pass across the wrist, run in a sheath which is designed to allow lubrication and gliding with minimal friction. Multiple modalities of treatment have been proposed and no definitive guidelines have been. Dequervains tenosynovitis bmj therapy physiotherapy clinic. There may be visible swelling on this side of the wrist. It causes pain at the thumb side of your wrist where the base of your thumb meets your forearm. A prospective casecontrol study was conducted to analyze the most common risk factors for dq. The word tendinosis refers to a swelling of the tendons.
Customer care team, kent community health nhs foundation trust, unit j, concept court, shearway business park, folkestone, kent ct19 4rj web. The most sensitive test is finklesteins test, which will cause pain at back of the thumb for a patient who makes a fist. If you start treatment early, your symptoms should improve within four to six weeks. The condition occurs when the tendons of the thumb at the wrist become inflamed, often following repetitive use. Lift your thumb away from your palm to make a c shape. During the procedure, the patient will generally lie down on the back with the arm out to the side. A sheath, or covering, surrounds the tendons that go to your thumb. Dequervains stenosing tenosynovitis is thickening of the sheath that surrounds the thumb tendons, which run between the wrist and the thumb. Dequervains tenosynovitis inflammation of the tendons of the thumb. Its a painful inflammation of tendons in your wrist and. The diagnostic test used is called finkelsteins test. The cause of tenosynovitis in many cases the cause is. Place your hand on a flat surface, with your palm up.
Tendinopathy usually occurs at the part of the tendon that attaches to the bone. Tenosynovitis means inflammation of the sheath that surrounds a tendon. There may be swelling and thickening of the sheath and it becomes very painful to move the thumb. There is obvious swelling and thickening of the sheath and it becomes very painful to move the thumb. There is pain and sometimes swelling near the base of the thumb. This surrounds the two tendons that are involved in moving the thumb. It is a painful irritation of the tendons on the thumb side of the wrist. This document is intended for information purposes only and should not. Symptoms may include pain or tenderness when moving the thumb, turning the wrist, grasping something, or making a fist.
Dequervains tenosynovitis this condition is due to inflammation of the tendons of extensor pollicus brevis, abductor pollicus longus as they pass through the tendon sheath at the wrist. The exercises may be suggested for a condition or for rehabilitation. You may do all of these exercises when the initial pain is gone. It is a painful swelling of the tendons on the side of the wrist which move the thumb up and sideways away. Tendinopathy and tenosynovitis tendinosis causes and. On their way to the thumb, the apl and epb tendons travel side by side along the inside edge of the wrist. The pain is usually felt over the thumb side of the wrist when. You will be told when to start these exercises and which ones will work best for you. If this condition isnt treated, it can permanently limit your movement or cause the tendon sheath to burst. It can be associated with pregnancy and rheumatoid disease. Dequervains stenosing tenosynovitis southern health nhs. Dequervains tenosynovitis is inflammation of the sheath the synovium. Touch the tip of your thumb to the tip of your little finger.
You can call the patient experience team on 01623 672222 or email sfhtr. It develops when the abductor pollicis longus apl and extensor pollicis brevis epb tendons around the base of the thumb become swollen, often causing inflammation to develop. Department of rehabilitation medicine newyorkpresbyterian. Overuse of the tendon, particularly repetitive movements used at work or in a sport, are likely to make the pain and inflammation worse. Here are some examples of exercises for you to try. Tendonitis and tenosynovitis are types of tendon injury. Inflammation and swelling of tendons or the tendon lining or sheath. The pain is usually felt over the thumb side of the wrist when gripping tightly or pulling the thumb back and out. Prevalence of dequervains tenosynovitis among medical.
It is a common problem affecting the wrist and is usually easy to diagnose. You can treat mild tendon injuries yourself and should feel better within 2 to 3 weeks. Produced with cooperation from buckinghamshire healthcare nhs trust and. Female gender, work related factors, repeated and sustained bending of wrist in extreme posture were risk factors of developing the disease. You may do these exercises when it is not painful to move your hand. These two tendons are on the back of your hand, running down the back of your thumb and down the side of your wrist.
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