De Quervain Tendonitis
De Quervain tendonitis of the thumb is an inflammation of the tendons responsible for moving the thumb away from the hand. It is also known as “washerwoman’s sprain” because it was previously common in women washing and wringing out clothes. Tendonitis of the thumb develops from excessive friction and irritation of the abductor tendons of the thumb. This causes tendon swelling, making it difficult for the usual smooth gliding motion resulting in swelling and distortion. While any adult can get tendonitis, it is a common feature of middle age, with typical onset being 40-50 years. Others susceptible include: people performing constant, rapid and repetitious actions People undertaking considerable washing duties by hand People sustaining direct heavy blow on base sustaingof thumb.
Pain gradually developing on thumb side of wrist
Pain when stretching thumb
Pain increases with use of hand and thumb. especially when forcibly grasping objects and turning wrist
Pain when pinch grasping
Treatment may include:
Rest from strenuous activities
Wearing a splint
Oral anti-inflammatory medication
Cortisone injection into space around tendons
can reduce inflammation and swelling For severe symptoms, surgical correction may help.