De Quervain's Tendinitis

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What Is De Quervain's Tendinitis?

De Quervain's Tendonitis is a condition caused by irritation of the nerves and tendons at the base of the thumb. This may occur due to repetitive or compulsive movements. It shows symptoms such as severe pain, swelling and limitation of movement in the thumb and wrist region.

What Causes De Quervain's Tendinitis?

De Quervain's Tendonitis is caused by irritation of the nerves and tendons at the base of the thumb as a result of repetitive or compulsive movements. Especially repetitive movements such as babysitting, gardening, playing a musical instrument or playing sports can cause De Quervain's Tendinitis to develop.

What Are the Symptoms of De Quervain's Tendinitis?

The symptoms of De Quervain's Tendinitis are severe pain, swelling and limitation of movement at the base of the thumb. In addition, difficulty in thumb movements, tenderness and stiffness in the thumb and wrist area may also be seen. In advanced cases, cysts may form at the base of the thumb.

De Quervain's Tendonitis Diagnosis and Treatment

The diagnosis of De Quervain's Tendinitis is usually made based on the patient's symptoms and medical history. Doctors try to make the correct diagnosis using methods such as examination, imaging tests, and laboratory tests. De Quervain's Tendinitis is treated with methods such as rest, ice application, medications and physiotherapy.

Are Medications Used in the Treatment of De Quervain's Tendonitis?

Medications can be used to treat De Quervain's Tendonitis to relieve pain and reduce inflammation. Various medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), steroid injections, and pain relievers can be used during the treatment process.

What Causes De Quervain's Tendinitis?

The most common cause of De Quervain's tendinitis is repetitive movements or strain. Therefore, repeating the same movement or applying too much pressure on the same wrist can lead to this discomfort. Some risk factors include:

• Baby care: Constantly lifting and carrying the baby during baby care may cause this discomfort.
• Gardening: Repeating the same movement while gardening can lead to this discomfort.
• Sports: Sports, especially golf, tennis, bowling, and cricket, can cause De Quervain's tendinitis.
• Age: As age progresses, the tendons also weaken and one becomes more prone to De Quervain's tendinitis.

What Are the Symptoms of De Quervain's Tendinitis?

The most common symptom of De Quervain's tendinitis is pain on the side of the thumb. The pain may worsen over time and cause limitations in your movements. Besides that, other symptoms include:

• Thumb movement restriction: You may experience thumb movement restriction. You may find it difficult to move your thumb sideways.
• Swelling at the base of the thumb: You may feel swelling or a lump at the base of the thumb.
• A painful clicking: You may hear a clicking or crackling sound on thumb movements. This is caused by your tendon becoming stiff as you move.
• Weakness in the thumb: You may feel weak in the thumb. You may feel weakness, especially when holding something or trying to grasp it.

How Is De Quervain's Tendinitis Treated?

Treatment for De Quervain's tendinitis can vary depending on the severity and cause of the symptoms. In mild cases, you may recover spontaneously without treatment. However, if the pain persists or becomes severe, treatment methods include:

• Rest: Resting your wrist can help reduce pain. Getting away from your job for a while can help reduce pain, especially if you work in a job that does repetitive movements. Treatment methods: The aim of treatment for De Quervain's tendinitis is to reduce inflammation, control pain and restore hand functionality. Treatment methods include:

• Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids can be used to reduce inflammation and control pain.

• Splinting: A splint used to stabilize the wrist and thumb can help heal tendinitis. The splint can be used to provide support, especially during activities.

• Physiotherapy: Physiotherapists recommend exercises to strengthen the muscles in the hands and increase flexibility. In addition, therapists may use other treatment modalities such as massage, ultrasound, and applying heat or cold.

• Injections: Corticosteroid injections can be used to reduce inflammation and relieve pain. In some cases, a single injection may be sufficient, while in other cases several injections may be required.

• Surgery: In rare cases, incurable or severe cases, surgical intervention may be required. Surgery may involve releasing the pinched area of ​​tendonitis or repairing damaged tissue. De Quervain's tendinitis is a condition caused by repetitive movements, so the risk can be reduced by taking the following precautions:

• Take frequent breaks from movements.
• Avoid overloading.
• Use hands in different positions to maintain balance.
• Use correct grip techniques.
• Exercise to strengthen muscles and increase flexibility.
• If you feel pain, stop activities and rest.