De Quervain’s syndrome (inflammation of the wrist) is an inflammation that causes discomfort on the thumb side of the wrist. It is one of the most common tendinitis in the wrist.
De Quervain’s syndrome is named after the Swiss physician Fritz de Quervain who discovered the disease in the late 19th century.
Symptoms of the Quervain syndrome
Some symptoms of de Quervain’s syndrome are:
- Pain in the area around the wrist on the side of the thumb which becomes stronger when using the thumb
- Difficulty in grasping things by hand
- Severe pain that makes it impossible to use the affected hand (in some cases)
Senskide inflammation often develops over time. The pain can come creeping up and become more severe for weeks or months. In many cases, they have Quervain’s syndrome affecting both wrists.
Causes of the Quervain syndrome
The area around the wrist is full of tendons, tendons and late skis. Many of them can become inflamed by injury and swelling. In de Quervain’s syndrome, the tendons that extend to the thumb are squeezed around the wrist. The pain in the thumb arises when the tendon becomes swollen, takes up more space and moves poorly in the narrow tendon. The two most common causes of de Quervain syndrome are breastfeeding and unilateral labor.
Senskide inflammation of the wrist is especially common among mothers who have infants between six to twelve months. de Quervain’s syndrome in mothers is thought to be linked to hormones that cause fluid to accumulate in the body. The theory was previously that mothers’ lifting of their infants led to Senskide inflammation through overload, but most people now believe that hormones are the dominant cause.
de Quervain’s syndrome due to congestion results from unilateral, repeated movements of the thumb and/or wrist.
Examination and diagnosis
The diagnosis is usually made when the doctor examines your medical history and your symptoms. Sometimes the swelling is visible. When the doctor examines you, it can often find that the tendon is thicker than usual. There are tests that strain the inflamed tendons and reveal if you have the Quervain syndrome. For example, you can try to bend your thumb into the palm of your hand while someone else extends your hand to your little finger. Then the pains that are typical of the inflammation usually occur. In exceptional cases, a supplementary image examination may be required, such as ultrasound or magnetic camera examination.
Treatment of the Quervain syndrome
In some cases, you do not need to treat Senskide inflammation in the wrist, the problems can go away on your own. The most important thing is to rest your hand and avoid the movements that cause trouble, such as lifting where the thumb is pointing upwards. There are aids such as support rails and so-called hand orthoses, an orthopedic aid that supports joints, which can relieve the wrists. Pain tablets, either prescription-free ones you can buy at a pharmacy or prescription-prescribed by your doctor, may be needed to cushion the pain. Cortisone treatment to suppress inflammation is the next step.
If rest and cortisone syringes do not help with inflammation, you may need to operate your wrist. When operating the Quervain syndrome, the inflamed tendon is opened. When it opens, the tendon can move as usual again, which usually causes the inflammation to disappear. The operation is done with local anesthesia and takes half an hour. There is no need to sleep or stay in the hospital. The thumb can be used directly, but it can hurt for a few weeks.
When should you seek care?
If you are in pain and difficult to use your hand, you can contact a health care center.