![]() ![]() The pain from de Quervain’s syndrome is a very ‘safe’ pain – it does not represent damage or harm to the local tissues, and even with the pain, it remains safe to use the hand fairly normally and as tolerated. – If I use my hand and it is painful, am I doing it harm? No. – If my wrist is painful and sore now, what will it be like in a year’s time? The answer is that it is highly likely to have resolved by then. People with this condition often have two worries: This test involves putting a stretch on the thumb tendons to produce pain or discomfort over the compartment.ĭe Quervain’s syndrome is not harmful, and in most cases is self-limiting, meaning that it will resolve on its own without treatment, usually over the course of around 1 year. Doctors use a test called ‘ Finkelstein’s manoeuvre’ to help make the diagnosis. The presence of tenderness over the compartment and pain on movement of the tendons within the compartment usually make the diagnosis clear. The diagnosis is made by clinical examination. Occasionally, patients experience clicking or snapping of tendon. There may also be swelling at the site of tenderness, and some patients develop quite a firm lump over the bony part of the wrist because of the thickening of the compartment. The main symptoms are pain and tenderness at the side thumb side of the wrist, and this can be aggravated by lifting the thumb or side to side movement of the wrist. However, in jobs that require repetitive movements of the wrist and thumb, people may struggle to do their job normally because of pain.ĭe Quervain’s syndrome is more commonly seen in new mothers with small babies (possibly due to hormonal changes) and in those patients who suffer from diabetes, thyroid disease or rheumatoid arthritis. ![]() Many people attribute the symptoms to their job, but there is little evidence that work activities cause the condition, and it does not seem to be more common in any particular occupation. In many cases, there is no obvious cause. This in turn can cause the lubricating layer to become inflamed. In de Quervain’s syndrome the compartment becomes thickened, narrowing the size of the tunnel and obstructing the smooth movement of the tendon. As they run through their compartment, tendons are surrounded by a thin covering of tissue which lubricates the tendon allowing tendons to run smoothly. Tendons run in tunnels or compartments, whose function is to fix the position of the tendon on the bone and prevent the tendons displacing. The tendons running from the forearm into the hand all have to cross the wrist joint, which is very mobile. ![]()
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