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De Quervain’s disease is manifested primarily by severe pain around the wrist, making it difficult to move the hand. This disease affects an average of 5 in 1000 people a year. De Quervain’s disease is defined as a lesion (enthesopathy) of muscle tendon attachments to the bone. It is professionally referred to as inflammation of the wrist tendon sheaths – the muscles of the thumb. This ailment affects women more often. It is very often the result of manual work and accompanies other muscular pathologies, including the so-called elbow tennis player.
The causes of de Quervain’s disease
Your Source de Quervain’s disease it has a number of minor injuries, sometimes even imperceptible for us, and as a result making it into persistent pain. The chronically irritated tendon sheath begins to swell and becomes inflamed. Ultimately, these ailments come down to pressure on the tendons in the wrist. Choroba de Quervaina it most often affects people whose hands are forced to perform high frequency movements with a firm grip. So athletes suffer from it, but also painters, musicians, and people who use cell phones a lot.
Sometimes the cause de Quervain’s disease is damage to the styloid process of the radius.
Symptoms of de Quervain’s disease
The main and most common symptom of de Quervain’s disease there is a sore thumb. This pain is exacerbated by strong movement and grip. Choroba de Quervaina causes inflammation of the muscles, so in addition to the symptoms mentioned above, there is often a warmth at the wrist and swelling. As the disease progresses, the tendon sheath becomes fibered, which in turn causes the so-called crackling finger.
How is de Quervain’s disease diagnosed?
During diagnosis de Quervain’s disease is performed test Muckarda. It involves joining all the fingers together and bending the palm towards the little finger. The appearance of pain confirms the disease. Another test is the test Filkensteina – bend the thumb towards the palm of the hand and hug the other fingers. Then you need to bend your hand towards the little finger. Occurring pain is a positive result.
How can de Quervain’s disease be treated?
The first step in treating de Quervain’s disease Conservative treatment is mainly based on the use of anti-inflammatory drugs. Additionally, the hand is immobilized. It may happen that the hand is immobilized in the orthosis for a period of 3 weeks. Accordingly, with treatment de Quervain’s diseasephysiotherapy is also recommended.
In physiotherapy, cryotherapy and ultrasounds are usually used, additionally supported with steroids. All of these treatments are designed to reduce swelling and relieve pain in the patient. However, it should be remembered that too long a steroid treatment may lead to local damage to the treated areas.
If conservative treatment de Quervain’s disease does not bring the expected results (i.e. time approx. 8 weeks), then surgery of the tendon sheath becomes necessary.
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