De Quervain Syndrome
It is a stenosing tenosynovial inflammation affecting the sleath surrounding two of the tendons responsible for the extent and abduction of the thumb. The main cause of inflammation is repeated injuries of overuse. Symptoms include swelling over the thumb side of the wrist, pain in thumb extension or abduction, difficulty in grasping or holding objects when the thumb is involved and pain in the performance of rotational movements.
⚠️ People at high risk of developing the syndrome include:
- those who text a lot of messages on their mobile phone
- waiters who overuse their thumbs by holding the tray with them
- new mothers who lift their babies incorrectly and repeatedly
🎯 Treatment includes a combination of:
- kinesiotherapy
- massage techniques with or without the use of a medical stick
- a program of strengthening and stretching exercises
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FAQs
1. How many sessions does it take to see improvement?
The number and frequency of sessions are determined by the severity, duration and nature of the condition. Significant improvement is usually observed over a course of 4 to 6 sessions. However, to maintain and enhance the results additional maintenance sessions at regular intervals are recommended. These are individually tailed to the progression of the condition and the needs of the body.
2. Is the treatment combined with other methods?
Treatment is effectively combined with other methods, such as kinesiotherapy to improve range of motion, neuromuscular strengthening exercises to enhance stability and movement control, and a structured stretching program to reduce muscle tension and relieve stress on tendons, as well as organic interventions aimed at modifying activities and avoiding aggravating movements. All instructions are individually designed according to the patient's needs and the characteristics of the dysfunction, in order to achieve optimal rehabilitation. A holistic approach leads to more stable and long-lasting outcomes.
3. How can I identify if my thumb pain is due to De Quervain's syndrome or another condition?
Distinguishing thumb pain caused by De Quervain's syndrome from other conditions requires a detailed clinical evaluation. This syndrome is often characterized by pain and tenderness at the base of the thumb, which intensifies during movements involving gripping objects or rotating the wrist. A specialist will perform the Finkelstein test, which is diagnostic for this condition. Additionally, the physician will review your medical history and the nature of the pain to rule out other conditions such as arthritis or neurological issues. In some cases, diagnostic imaging may be necessary to confirm the diagnosis.
4. Can De Quervain's syndrome occur in both hands at the same time?
Yes, De Quervain's syndrome can affect both hands simultaneously, although it most often starts in one hand. The condition is linked to repetitive movements or overuse of the thumb tendons, which can sometimes involve both hands—especially if the activities are intense or use both hands equally. When both hands are affected, everyday tasks can become quite challenging, so early diagnosis and proper treatment for each hand are very important.