Your hands and wrists are essential tools that allow you to work, play and perform everyday activities. How well the hand and wrist interact depends on the integrity and function of the ligaments, tendons, muscles, joints and bones.
Wrist tendonitis can affect upper extremity function, causing disruptions at home and work and negatively impacting quality of life.
The human hand itself is very complex and delicate in structure.
Wrist (De Quervain’s) tendinosis occurs when the tendons around the base of the thumb are irritated or constricted.
The word “tendinosis” refers to a swelling of the tendons. Swelling of the tendons, and the tendon sheath, can cause pain and tenderness along the thumb side of the wrist.
This is particularly noticeable when forming a fist, grasping or gripping something, or when turning the wrist.
De Quervain’s tendinosis may be caused by overuse. It also is associated with pregnancy and rheumatoid disease. It is most common in middle-aged women.
Signs of De Quervain’s tendinosis:
The goal in treating Wrist (De Quervain’s) tendinosis is to relieve the pain caused by irritation and swelling.
Splints may be used to rest the thumb and wrist.
Anti-inflammatory medication (NSAIDs)
These medications can be taken by mouth or injected into a tendon compartment. This may help reduce swelling and relieve pain.
Avoiding activities that cause pain and swelling. This may allow the symptoms to go away on their own.
Injection of corticosteroids into the tendon sheath may help reduce swelling and pain.
Surgery may be recommended if symptoms are severe or do not improve. The goal of surgery is to open the thumb compartment (covering) to make more room for the irritated tendons.
Surgery opens the sheath over the inflamed tendons.
Regardless of the treatment, normal use of the hand usually can be resumed once comfort and strength have returned.