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.
Every patient receives an in-depth consultation to devise a treatment plan that is right for their problem. Our specialists prefer non-operative and non-invasive treatments whenever possible, including physical therapy, medications, and/or injections. When we require surgery, we will then use minimally invasive surgical techniques to fix your problem, whether it is fixing a broken bone or repairing a tendon. Our goal is always to get you back to living your life normally as soon as possible.