De Duervain's Tendonitis

What is De Duervain's Tendonitis?

De Duervain's Tendonitis is an inflammation of the tendons on the thumb side of the wrist, often causing pain during gripping or twisting motions.

• Affects the first dorsal compartment of the wrist
• Commonly seen in repetitive wrist activities

Overview of the Condition

The condition is characterized by pain and swelling near the base of the thumb.

Symptoms

• Pain and tenderness at the thumb side of the wrist
• Swelling and difficulty grasping objects
• A snapping sensation during thumb movement

Causes

Repetitive wrist and thumb movements can lead to irritation of the tendons in the first dorsal compartment.

Diagnosis

Diagnosis is based on physical examination and can be confirmed with a Finkelstein test.

Treatment Options

• Rest and splinting
• NSAIDs for pain relief
• Corticosteroid injections
• Surgical release if conservative treatment fails

Conservative Management

Non-surgical treatment focuses on rest, ice, and activity modification.

Rehabilitation Exercises

1. Wrist stretching exercises
2. Strengthening exercises for the thumb
3. Gradual return to activity

Surgical Options

Surgery may be considered if symptoms persist despite conservative management.

Anatomy Overview

This condition affects the tendons in the first dorsal compartment of the wrist, near the base of the thumb.

Affected Areas

• Radial side of the wrist
• Thumb base

Frequently Asked Questions

QuestionAnswerIs rest enough for recovery?Many patients improve with rest and conservative treatment, though some require injections.How long does recovery take?Recovery typically takes several weeks with proper management.

Prevention Strategies

• Avoid repetitive wrist and thumb motions
• Use ergonomic tools
• Take frequent breaks during repetitive tasks

Related Conditions

• Carpal tunnel syndrome
• Wrist tendonitis

Additional Treatments

Physical therapy can aid in recovery and prevent recurrence.