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Dequervain\'s Tenosynovitis pdf-print

  •   <p style=""text-align:" justify;"=""> De Quervain's tenosynovitis – General Information
    De Quervain's tenosynovitis refers to a painful condition that affects tendons that cross your wrist on the thumb side. These tendons have a covering around them which can get irritated and inflamed.  When this happens, it is called tenosynovitis.
    De Quervain's tenosynovitis is generally considered an overuse injury.  Repetitive motions like using a hammer or playing an instrument can lead to this condition but it can also occur after an injury to wrist.  This condition is also more commonly seen in people who suffer from rheumatoid arthritis.
    Symptoms
    Symptoms may include:
    •    Pain when you move your thumb or wrist
    •    Swelling near the base of your thumb
    •    Pain when you make a fist
    •    Crepitus or a popping/clicking sensation when you move the tendons on the thumbs side of your wrist
    •    Difficulty moving your wrist or pain when trying to pinch or grasp an object
    The longer you experience this pain, the further up your forearm and into your thumb the pain may travel.
    Making the Diagnosis
    De Quervain’s tenosynovitis is made after a detailed evaluation by a healthcare provider.  X-rays may be taken as needed to rule out a fractured bone in order to make your diagnosis.
    How is it treated?
    The first treatment is a splint that will cover your wrist and thumb. You need to protect your thumb and wrist. Avoid activities that make the pain worse.
    Treatment may also include:
    •    Placing an ice pack on your thumb and wrist for 20 to 30 minutes every 3 or 4 hours until the pain goes away.
    •    Doing ice massage for 5 to 10 minutes several times a day.
    •    Taking an anti-inflammatory medicine such as ibuprofen. Nonsteroidal anti-inflammatory (NSAIDs) medicines can cause stomach bleeding, kidney problems, and other problems. Take the medicine as directed. Read and follow all label directions. NSAIDs should not be taken for more than 10 days for pain or 3 days for fever. They should not be taken for other reasons unless recommended by your healthcare provider.
    •    Having a cortisone shot.
    Treatment options include:
    •    During the initial treatment stage, you may need to avoid activities that cause your pain
    •    A splint or brace may be provided by your doctor to help reduce your pain symptoms
    •   Applying ice to the wrist will help to reduce the pain.  Apply the ice packs for 15-20 minutes every 2-4 hours until the pain has subsided
    •    Performing ice massage to the painful region 5 to 10 minutes, multiple times per day will provided additional pain relief
    •    Acetaminophen may be taken to reduce the amount of pain.  Ibuprofen or other anti-inflammatory medications may be taken at the discretion of your physician
    •    Rehabilitation exercises are effective at treating this condition by  helping to strengthen your wrist and forearm
    •    Your doctor may consider an injection to help relieve your symptoms if you do not respond to conservative treatments
    Recovery Time Frame
    The recovery timeline will depend on multiple factors.  The severity of your injury, your age, overall health, and whether or not you have injured your shoulder before will all impact
    Return to Regular Activities
    Recovery time will vary between individuals.  Return to your regular activity or sport can happen safely when your wrist has fully recovered.  If you return too soon, full recovery may be delayed and you may cause further damage or worsen your injury.
    You may safely return to your activities when you have accomplished the following:
    •    You have achieved pain-free, full range of motion with the injured thumb and wrist
    Prevention Strategies
    Avoiding over using your thumb and wrist or the activities that cause this pain may prevent this condition.  If you have to perform these activities, a brace may help.


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