A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Pain results from resisted gliding of the abductor pollicis longus and the extensor. Repetitive activities requiring sideways movement of the wrist. Symptoms may include pain or tenderness when moving the thumb. It is a painful irritation of the tendons on the thumb side of the wrist. Dequervains tenosynovitis inflammation of the tendons of the thumb. But, its a fairly common condition, especially among new moms hence the name. A case study approach was utilized in this article to demonstrate many of the available medical and occupational therapy modalities to treat this condition. Physiotherapy department dequervains tenosynovitis. The rubbing makes the tendons swell and causes scar tissue to form. It is characterised by atraumatic pain or tenderness along the radial side of the wrist and is often associated with overuse or repetitive movements of the wrist or thumb. Immobilizing your thumb and wrist, keeping them straight with a splint or brace to help rest your tendons.
Tenosynovitis of the hand and wrist bmj best practice. It is diagnosed with a history of pain at the radial aspect. Avoiding repetitive thumb movements as much as possible. A sheath, or covering, surrounds the tendons that go to your thumb. These motions cause the thumb tendons to become irritated or inflamed. The cause of tenosynovitis in many cases the cause is unknown. The full text of this article is available in pdf format. Avoiding pinching with your thumb when moving your wrist from side to side. It occurs when the 2 tendons around the base of your thumb become swollen. Movements involving the thumb and wrist such as pinching, grasping or wringing make the. There is obvious swelling and thickening of the sheath and it becomes very painful to move the thumb. Tendons cordlike fibers that attach muscle to bone and synovium a slick mem brane that. Here are some examples of exercises for you to try. Dequervains tenosynovitis is inflammation of the sheath the synovium.
Pain results from resisted gliding of the abductor pollicis longus and the extensor pollicis brevis tendons in the fibroosseus canal. Women are more likely than men to develop these painful conditions. It is characterised by pain or tenderness along the radial thumb side of the wrist andor base of thumb. The main symptoms are pain and swelling near the base of the thumb.
It causes pain at the thumb side of your wrist where the base of your thumb meets your forearm. This surrounds the two tendons that are involved in moving the thumb. The exercises may be suggested for a condition or for rehabilitation. A person with dequervains syndrome may have pain, tenderness, and swelling over the thumb side of the wrist, as. There may be swelling and thickening of the sheath and it becomes very painful to move the thumb. The use of a thumb spica splint has been shown to assist with pain management by immobilizing the thumb and wrist joints, thereby preventing. If symptoms do not improve, surgery may be an option.
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