De Quervain’s tenosynovitis produces pain over the thumb side of the wrist.
De Quervain’s tenosynovitis produces pain over the thumb side of the wrist. This area is called the first dorsal compartment of the wrist. This compartment contains the abductor pollicus longus and extensor pollicus brevis tendons which help control thumb motion. Swelling of the soft tissues surrounding this compartment may cause narrowing and pain. Pain will commonly be elicited with any kind of lifting, pinching or grasping activity in ulnar deviation and with use of the thumb. The diagnosis can usually be made on physical exam alone. Initial treatment is immobilization with a brace and often a cortisone injection is offered. Patients will usually feel relief within a couple of days after the injection. If the pain does not respond to the cortisone injection or recurs, then surgical intervention may be indicated. Refer to our “Procedures” section for more information.
Finkelstein test. Pain to the thumb side of the wrist indicates a positive test.
As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free.