This disease, known as the first dorsal compartment tendinitis, is a condition that develops due to the strain and inflammation of the wrist tendons (beams) of the thumb. This disease is more commonly known as "de quervain tendinitis" after Swiss surgeon Fritz De Quervain. Inflammation can cause swelling and enlargement around the tendon and pain with thumb movements. Pain may occur during punching, grasping, holding (often at the beginning) and ordinary movements. It is usually seen due to a repetitive activity that has just begun. New mothers are particularly prone to this type of tendinitis. Inverted hand position while holding the baby, hormonal changes associated with pregnancy and breastfeeding also contribute to the occurrence of this disease. A previous wrist fracture may also cause De Quervain's tendinitis due to increased stress on the tendon. . The pain may appear suddenly or gradually. Wrist and thumb movements, including difficult grasping and twisting movements, can cause pain. A fluid-filled cyst may occur at the base of the 1st finger. There may be a feeling of tightness due to pain and swelling during movements. Irritation of the nerve on the tendon sheath may cause numbness at the base of the 1st and 2nd finger. is a common finding. In order to test; the other fingers are covered on the 1st finger and brought to the fist position and the wrist is bent to the side of the little finger. This maneuver is quite painful in patients with De Quervain tendinitis.
What are the Treatment Methods for De Quervain Tendonitis?
The aim is to reduce discomfort and swelling. Avoiding compulsive movements can help relieve symptoms. Your doctor may recommend resting your thumb and wrist with splints. In addition, oral anti-inflammatory drugs can be added to the treatment. r. As another treatment option, steroid-cortisone injection can be applied to the compartment where the tendon is located. All of these non-surgical treatment options help to reduce swelling as well as pain. The area where the tendons are located can be surgically opened to widen the narrow area and relax the tendons. As a result of these treatments, the normal use of your hand may be as comfortable as before, but your complaints may start again with force. Your hand surgeon will recommend the best treatment for you.
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