De Quervain’s tenosynovitis, also known as de Quervain’s disease, is a painful condition affecting the tendons on the thumb side of the wrist. Let’s explore the specifics:

1. Symptoms:

   • Pain near the Base of the Thumb: You’ll experience pain when turning your wrist, grasping objects, or making a fist.

   • Swelling near the Base of the Thumb.

   • Difficulty Moving the Thumb and Wrist during activities that involve grasping or pinching.

   • A “Sticking” or “Stop-and-Go” Sensation in the thumb during movement.

   • If left untreated, the pain may spread farther into the thumb or forearm.

2. Causes and Risk Factors:

   • Chronic Overuse: Repeating specific hand motions day after day can irritate the tendons around the thumb.

   • Inflammatory Arthritis: Conditions like rheumatoid arthritis.

   • Direct Injury to the Wrist or Tendon: Scar tissue from injury can restrict tendon movement.

   • Fluid Retention: Hormonal changes during pregnancy.

3. Diagnosis and Treatment:

   • Clinical Evaluation: Based on symptoms and physical examination.

   • Nerve Conduction Studies (NCS): Assess nerve function.

   • Electromyography (EMG): Evaluate muscle activity.

   • Treatment Options:

     • Wrist Splints: Maintain a neutral wrist position.

     • Anti-Inflammatory Medications: Control pain and inflammation.

     • Physical Therapy: Improve strength and flexibility.

     • Corticosteroid Injections: Reduce inflammation.

     • Surgery (Carpal Tunnel Release): In severe cases.

4. Prevention and Self-Care:

   • Ergonomics: Maintain proper wrist posture during work.

   • Take Frequent Breaks to rest and stretch your hands.

   • Avoid Repetitive Motions that strain the wrist.

 

Remember, early intervention and proper management are crucial for alleviating de Quervain’s tenosynovitis symptoms effectively. You can always consult Dr Chinmoy Roy at Rajarhat Pain Clinic Kolkata.