De Quervain's stenosing tenosynovitis: symptoms and treatment of 'mothers' disease' tendinitis

De Quervain’s tendinitis (or De Quervain’s stenosing tenosynovitis) is an inflammation of two tendons in the wrist that make the thumb move, the long abductor and short extensor of the thumb

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De Quervain’s stenosing tenosynovitis: what is this tendinitis?

The disease develops when the two tendons that pass through De Quervain’s digital canal at wrist level become inflamed and increase in volume, rubbing against the canal and causing pain in the wrist area.

This condition is also called ‘mothers’ and grandmothers’ disease’ because the movement that puts the long abductor and the short extensor under tension is what is typically done when lifting children.

De Quervain’s tendonitis: what symptoms does it cause?

In De Quervain’s tendonitis, the pain is localised to the wrist and increases with forced extension or flexion of the thumb and wrist.

It is a condition which, even at an early stage, does not need to be examined in order to be diagnosed: the diagnosis is purely clinical.

How is De Quervain’s tendinitis treated?

When the tendonitis is still in its early stages, the patient can be treated by wearing a small brace made to measure for his hand and worn mainly at night.

When the condition worsens, e.g. due to a lack of initial treatment, surgery becomes necessary.

This is a minimally invasive operation that is carried out under local anaesthesia and lasts just over five minutes.

After the operation, the patient is free to resume all activities immediately, as there is no need to immobilise the hand and wrist.

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Source:

Humanitas

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