De Quervain’s Tenosynovitisis
Sometimes pain develops, and we’re not altogether why it happens. That’s the case with De Quervain’s Tenosynovitis. There’s no medical consensus on why De Quervain’s develops, but there are some things that make it worse, particularly any repetitive motion involving the thumb. Dr. Polsen has a great deal of experience treating De Quervain’s Tenosynovitis in Clear Lake, TX, and regularly sees patients from all around the Houston area. Often times, the key to treating this painful conditions is a surgical procedure that can mitigate the compression of tendons in the wrist and thumb area.
In this way, De Quervain’s Tenosynovitis is not unlike Carpal Tunnel Syndrome, which is also caused by inflamed tendons. However, the causes behind the development of Carpal Tunnel are quite well understood. What causes De Quervain’s to initially develop is a little bit murkier. That said, the symptoms of Tenosynovitis are relatively clear: pain in the thumb or wrist, especially when the hand is help at specific angles, are all clear signs of Tenosynovitis. This is especially true of pain in wrist that is in line with the thumb. If you are experiencing these symptoms, you should contact a surgeon or hand specialist, such as Dr. Polsen, located in the Houston area.
What are the Symptoms of De Quervain’s Tenosynovitis?
As with many hand conditions, the symptoms for De Quervain’s Tenosynovitis generally manifest slowly, and over time. This can make symptoms difficult to spot early. However, once the symptoms are noticed, they are generally difficult to ignore. If you are experiencing any of the following symptoms, you should contact a hand specialist to determine the extent of injury:
- Difficulty performing “grasping” or “pinching” motions with your thumb
- Swelling around the base of your thumb
- Pain around the base of your thumb area
- A feeling of extra friction in your thumb, sometimes described by patients as “stop and go” or “sticking” sensations
- Pain in the wrist in line with the thumb
These symptoms may grow worse over time, especially if you use your thumb repeatedly. If you begin experiencing pain, you should consult with a trained and experienced hand surgeon in order to discover the best course of action.
De Quervain’s Tenosynovitis is a specific entity involving two of the tendons that control
extension and abduction of the thumb. Specifically, these tendons run through a canal, which can be associated with significant pain at this location. The pain is produced from a relative compression on the tendons as they pass through this canal, and that is why extension or abduction of the thumb or motion of the wrist can produce this pain.
How is De Quervain’s Tenosynovitis Treated?
In some of the least severe cases, the pain associated with De Quervain’s Tenosynovitis may be treated with over the counter pain relievers and ice packs. However, it is vital that you stop using your affected thumb in these cases. Outside of these least severe cases, the most common treatment for De Quervain’s Tenosynovitis is a surgical treatment. Because the pain from De Quervain’s Tenosynovitis comes from inflamed tendons, surgery will involve examining those tendons. In most cases, an incision will be made in the “sheath” surrounding the tendons, effectively relieving pressure and mitigating pain.
Dr. Polsen gives each and every one of his patients an individualized and unique recovery guide in order to ensure the results are as optimal as possible.
If you are experiencing pain in your wrist, in line with your thumb, you may be experiencing this condition. De Quervain’s Tenosynovitisis can be corrected with an outpatient procedure, so contact the staff at Clear Lake Hand Center today to schedule a consultation with Dr. Polsen and begin the healing process as soon as possible.