De Quervain’s Tendinosis: Causes, Symptoms, and Treatment Options 

De Quervain’s Tendinosis, also called De Quervain’s Tenosynovitis, is a condition that affects the tendons located at the base of the thumb. It involves inflammation and irritation of the tendons and the sheath that surrounds them. This disorder leads to pain and swelling, often making everyday tasks like gripping or turning your wrist difficult. 

What Causes De Quervain’s Tendinosis? 

De Quervain’s Tendinosis is typically caused by repetitive movements or overuse of the wrist and thumb. It is commonly seen in people who perform activities that require gripping, pinching, or twisting motions. For example, frequent texting, using a computer mouse, or lifting heavy objects can contribute to the development of this condition. 

In some cases, De Quervain’s may also be associated with hormonal changes, such as those occurring during pregnancy, or with conditions like rheumatoid arthritis. In these instances, the swelling and irritation of the tendon sheath worsen, leading to more severe symptoms. 

Symptoms of De Quervain’s Tendinosis 

The primary symptom of De Quervain’s Tendinosis is pain at the base of the thumb and the wrist. This pain may increase when performing activities that involve grasping or turning the wrist. Other common symptoms include: 

• Swelling near the base of the thumb 

• A feeling of tightness or restricted movement in the thumb and wrist 

• Difficulty gripping or holding objects 

• Pain that radiates up the forearm 

The pain tends to worsen over time, especially if the condition remains untreated or if the activity causing strain on the tendons continues. 

Treatment for De Quervain’s Tendinosis 

De Quervain’s Tendinosis can often be managed effectively with non-surgical treatments. The goal is to reduce inflammation, relieve pain, and restore normal function to the affected area. Treatment options may include: 

1. Rest and Activity Modification: Taking breaks from activities that strain the wrist and thumb is crucial for reducing irritation and allowing the tendons to heal. In some cases, splints or braces may be used to immobilize the thumb and wrist to promote rest. 

1. Ice and Heat Therapy: Applying ice to the affected area can help reduce swelling, while heat therapy may relieve muscle tension and discomfort. 

1. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications like ibuprofen can help alleviate pain and inflammation. 

1. Corticosteroid Injections: If symptoms persist, a corticosteroid injection may be administered to reduce inflammation and provide long-term relief. 

1. Surgical Intervention: In cases where non-surgical treatments are ineffective, surgery may be required. The procedure typically involves releasing the tendon sheath to relieve pressure and allow the tendons to move freely. 

Recovery and Outlook 

With proper treatment, most individuals with De Quervain’s Tendinosis recover within several weeks to a few months. However, recovery time can vary depending on the severity of the condition and how well the patient follows the prescribed treatment plan. 

If you’re experiencing pain or discomfort in your wrist or thumb, it’s important to consult with a healthcare provider. ROC specializes in diagnosing and treating De Quervain’s Tendinosis, offering personalized care to help you get back to your normal activities. If you would like to learn more, you can schedule a consultation today.