Mayo Clinic Minute: Is your thumb pain de Quervain’s tenosynovitis?

De Quervain’s tenosynovitis (pronounced da-KWUHR-vanes teena-sine-ah-VITE-us) is an advanced title for a situation that is been referred to as “mother’s thumb,” “mommy wrist” and “gamer’s thumb” — all related to repetitive use of the palms and wrist. It is a situation that causes excessive pain within the wrist and thumb space. While the precise trigger is just not identified, Dr. Sanjeev Kakar, a Mayo Clinic orthopedic surgeon, says that there are particular treatment options that may assist.

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When a easy hand motion, resembling making a fist or transferring the thumb, turns into painful, it might be from every day overuse. 

“One of the most common is something called de Quervain’s tenosynovitis,” says Dr. Kakar.

He says it is primarily a tendon drawback. 

“If you think of the wrist, basically what we have here is that we have the tendons, which move your thumb. And they are covered by this band, and this is natural. We all have this, but in certain patients, they can have inflammation in this area,” says Dr. Kakar.

When the tendons beneath this band turn into infected, they’ll trigger intense pain.

“Now, fortunately, the treatment for that is comparatively easy.”

Hand remedy and carrying a splint could assist. 

“Sometimes we have to do a corticosteroid injection to lower irritation, and a lot of the occasions, it will get higher. But typically we have to do surgical procedure,” says Dr. Kakar.

It’s an outpatient process that includes opening the sheath surrounding the tendon to launch pressure, and permit the tendons to glide extra freely and pain-free. 

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