DeQuervain’s tendinitis

DeQuervain's tendinitis is a pathology caused by irritation of the tendons found in the 1st compartment along the thumb. The compartment become swells, and it’s difficult for the thumb to move. The swelling can cause pain and usually noticed when forming a fist, grasping things, or turning the wrist.

Signs and symptoms. Pain of the wrist is the main symptom. The pain may appear gradually or suddenly. Swelling over the thumb side of the wrist may be accompanied by cyst in this region. Sometimes it may be difficult to move the thumb and wrist.

Diagnosis. The main test is a Finkelstein test. The patient makes a fist with the fingers over the thumb. The wrist is then bent in the direction of the little finger. This test can be quite painful for the person with DeQuervain's tendinitis. Tenderness directly over the tendons on the thumb side of the wrist is the most common finding.

Treatment. In some cases, can be useful rest of the thumb and wrist by wearing a splint. Anti-inflammatory medication taken by mouth or injected into that tendon compartment may help reduce the swelling and relieve the pain. In some cases, simply not doing the activities that cause pain and swelling may allow the symptoms to go away on their own. When symptoms are severe or do not improve, surgery may be recommended. The surgery opens the compartment (covering) to make more room for the irritated tendons