Quervain’s Tendonitis

What is De Quervain’s syndrome?

De Quervain’s syndrome is an inflammation that affects the synovial sheath of the tendons of the thumb, the membrane that covers the joints of the bones of the human body.

This pathology is characterized by thickening of the thumb and narrowing of the sheath and can lead to the development of very painful joint limitations throughout the hand, including the wrist.

Prognosis of Quervain’s syndrome

The prognosis of the disease is excellent, except when it is neglected. In this case it may present rhizarthrosis which is a form of osteoarthritis arising at the base of the thumb.

Symptoms of De Quervain’s syndrome

The symptoms of De Quervain’s syndrome are characterized by pain extending to the radius, forearm and thumb areas. The disease is very often characterized by swelling, i.e. an increase in the volume of tissues and tendons.

The pain that characterizes de Quervain’s syndrome extends down the forearm to the thumb.

Diagnosis of De Quervain’s syndrome

To correctly diagnose the disease, it is necessary to undergo the Finkelstein test, which measures and evaluates the level of pain perceived by the patient. This test consists of closing the hand into a fist, clenching all the fingers over the thumb and bending the wrist towards the little finger.

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An ultrasound of the hand will allow the physician to accurately identify the inflammation of the tendons pressing on the synovium.

What are the causes of De Quervain’s syndrome?

The main causes of the disease may depend on the following factors:

  • Predisposition
  • Repeated microtrauma: repetition of the same movement of the thumb (e.g., repetition of the same movement of the thumb (e.g., repetition of the same movement of the thumb). e.g., computer keyboard, use of mouse)
  • Rheumatism
  • Overloads

Can it be prevented?

It is possible to prevent the onset of this disease by changing your own habits and paying more attention when you experience the first signs of inflammation.

Treatments for De Quervain’s syndrome

De Quervain’s syndrome can be treated with the following precautions:

  • Functional rest
  • Anti-inflammatory medications
  • Use of ice
  • Surgery (in cases where conventional therapies cannot improve symptoms).

Which specialist to contact?

For a correct diagnosis and treatment of De Quervain’s syndrome, it is necessary to consult an expert orthopedist and traumatologist.