De Quervain Disease
De Quervain Disease is a tenosynovitis of the sheath or tunnel that surrounds two tendons that control movement of the thumb.
Causes:
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Chronic overuse of thumb and wrist
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Inappropriate use and poor posture of hand.
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Usually occur in middle- aged women,
postpartum women and computer users.
Symptoms:
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Chronic pain, spasms, tenderness,
occasional burning sensations in the hand,
and swelling over the thumb side of the
wrist and difficulty gripping.
Prevention:
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Avoid repetitive use of thumbs
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To maintain good posture of thumbs during lifting
Treatment:
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Fascial manipulation, cold and heat therapy, ultrasound, interferential therapy, acupuncture, magnetic field therapy and hand exercise can reduce pain and inflammation.
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Splinting can reduce pain.
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If necessary, patients may consider steroid injection.
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In severe condition, patients may need operation.
