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Is Your Wrist Pain de Quervain's Tendinopathy?
Published: Jul 04, 2024
De Quervain's tendinopathy is a painful wrist condition affecting the tendons at the base of the thumb. This article explores the causes, symptoms, and diagnosis of this common ailment.
What Causes It?
The exact cause of de Quervain's tendinopathy is not well understood. It is often linked to repetitive thumb or wrist movements, such as those performed by new mothers when lifting their babies. Hormonal changes and fluid retention are also considered possible factors, but evidence is limited.
Spotting the Symptoms
Patients usually report pain on the radial side of the wrist, especially when moving the thumb or wrist. There might be swelling and tenderness, with pain sometimes extending to the thumb or forearm. These symptoms are not typically associated with any trauma.
How Is It Diagnosed?
Diagnosis is based on medical history and physical examination. Key indicators include tenderness at the radial styloid and pain during the Finkelstein test, which involves stretching the thumb tendons. Imaging tests like X-rays are usually normal.
Frequently Asked Questions
Women aged 30-50 are most commonly affected.
No, it's a noninflammatory thickening of tendons.
Yes, it can occur in both wrists.
It usually resolves within a year.
The Bottom Line
Recognizing the symptoms early can help manage de Quervain's tendinopathy effectively.
References
- Schumacher HR Jr, Dorwart BB, Korzeniowski OM. Occurrence of De Quervain's tendinitis during pregnancy. Arch Intern Med 1985; 145:2083.
- Clarke MT, Lyall HA, Grant JW, Matthewson MH. The histopathology of de Quervain's disease. J Hand Surg Br 1998; 23:732.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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