This is also known as washer woman's wrist.
DeQuervain's tenosynovitis is a painful condition affecting the tendons on the
thumb side of your wrist. It hurts when you turn your wrist, grasp an object or
when you try to pinch an object. It can also cause a clicking sensation when
you move the thumb.Pinching, grasping and other movements of your thumb and
wrist aggravate the pain.
of DeQuervain's Tenosynovitis
Most cases of DeQuervain's result from chronic
overuse of the wrist, especially in jobs that require repeated use of the hand
and wrist. Incidence peaks in patients between
the ages of 30 and 50. The condition is more common in women than in men.
Infant care involving using both thumbs
as leverage to lift the child is also commonly related with the condition.
Other causes can be a direct injury to your
wrist resulting in scar tissue that restricts movement of the tendons. Inflammatory
arthritis, such as rheumatoid arthritis can also result in the condition.
Treatment involves resolving the swelling
around the tendon sheaths in this condition. It is generally successful if treated early . This can involve
anti-inflammatory medication and resting the wrist and thumb in a splint for 4
to 6 weeks in early cases.
If the situation is more advanced, a single
injection of corticosteroids into the thumb tendon sheaths will relieve the
pain. When given for a patient with less than 6 months of symptoms, it is
generally successful in healing the problem.
Recurrent cases should be treated with
surgical decompression of the tendon sheath. This is done as an outpatient
surgery and involves opening the tendon sheath to relieve the pinching of the
tendons and restore smooth tendon gliding. It will cure the problem.