De Quervain Disease: What You Need To Know

What is De Quervain disease?

De Quervain disease or De Quervain’s tenosynovitis is an inflammation and swelling of the thumb tendons. That is why there will be pain that makes thumb and wrist movements difficult. The pain may also radiate into the forearm. In this disease, the synovial membrane (the covering sheath) does not produce enough synovial fluid to lubricate tendons. As a result, it leads to irritation of the tendons—causing inflammation and swelling.

What are the causes of De Quervain Disease?

The causes or the risk factors of De Quervain diseases are:

What are the symptoms of De Quervain Disease?

If you have De Quervain disease, you may experience the following symptoms:

The pain may radiate into the forearm if it goes unchecked.

How to make a diagnosis of De Quervain Disease?

Your doctor will make a diagnosis based on the physical examination of your thumb. He will look for swelling and tenderness.

Next, your doctor will ask you to perform the Finkelstein test. In this test, you will bend your thumb across your palm and place your fingers over your thumb to make a fist. Then, you will move your wrist towards your little finger. If you feel pain performing this test, you have De Quervain disease.

What is the prognosis of De Quervain Disease?

The condition responds to non-surgical treatments such as medications and physical therapy well. If the treatment starts early, you will feel symptom relief within four to six weeks. But if the condition is due to pregnancy, it may persist up till delivery.

What are the treatments of De Quervain Disease?

The doctor will recommend the following:

What are interventional Pain Management options?

What is the surgical treatment?

Non-surgical interventions work in most situations. But in case non-surgical treatments don’t work for you, the doctor will recommend surgery to relieve your tendons of their sheath so that they can move smoothly.