De Quervain's Tenosynovitis
(De Quervain’s Syndrome; De Quervain’s Disease; Washerwoman’s Sprain)
|De Quervain's Tenosynovitis|
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- Knitting and needlepoint
- Lifting a baby or young child often
- Bowling or wrestling
- Jobs involving twisting of the wrist or driving of screws
- Excessive gaming that involves small movements of thumb or texting
- Pain or tenderness at the base of the thumb
- Pain when pinching
- Swelling over the thumb side of the wrist
- A snapping or catching sensation when moving the thumb
- Numbness on the back of the thumb, spreading to the index finger
- Resting the thumb and wrist
- Applying ice
- Avoiding activity that causes the pain
- A thumb splint to support and allow the wrist to rest
- Medication such as nonsteroidal anti-inflammatory drugs (NSAIDs)
- Cortisone injection—a cortisone medication is injected into the area to reduce swelling
- Surgery—if all else fails, surgery may be done to open the tunnel that the tendon is passing through
- Minimize repetitive thumb activity, or twisting and gripping activities
- Reduce stress on you hands through ergonomic practices at work
American Academy of Orthopedic Surgeons http://orthoinfo.org
American College of Sports Medicine http://acsm.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Physiotherapy Association http://www.physiotherapy.ca
Best treatment for de Quervain's tenosynovitis uncertain. Am Fam Physician. 2003;68(3):536.
Corticosteroid injection for treatment of de Quervain's tenosynovitis: a pooled quantitative literature evaluation. J Am Board Fam Pract. 2003;16(2):102-106.
de Quervain syndrome. Merck Manual for Health Care Professionals website. Available at: http://www.merckmanuals.com/professional/musculoskeletal%5Fand%5Fconnective%5Ftissue%5Fdisorders/hand%5Fdisorders/de%5Fquervain%5Fsyndrome.html. Updated March 2013. Accessed February 28, 2014.
de Quervian tendinitis (de Quervian tendinosis). American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00007. Updated December 2013. Accessed February 28, 2014.
de Quervain tenosynovitis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 10, 2013. Accessed February 28, 2014.
Johnson CA. Occurrence of de Quervain's disease in postpartum women—pain and tenderness in wrist. J Fam Pract. 1991 Mar;32(3):325-327. 4/30/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Petit Le Manac'h A1, Roquelaure Y, Ha C, Bodin J, Meyer G. Risk factors for de Quervain's disease in a French working population. Scand J Work Environ Health. 2011 Sep;37(5):394-401.
- Reviewer: Teresa Briedwell, PT, DPT
- Review Date: 02/2014 -
- Update Date: 04/30/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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