If your tendinitis is chronic, you may need surgery to give the tendon more room to slide without rubbing on the tunnel wall. Remote work advice from the largest allremote company. Place your hand on a flat surface, with your palm up. The irritation causes the compartment lining around the tendon to swell, changing the shape of the compartment. Dequervains pronounced dehkervanes tenosynovitis,also known as dequervains tendinitis and dequervains disease,is a condition that is caused by inflammation of tendons of the thumb at the wrist, characterized by pain and swelling in the thumb and wrist areas. The word tendinosis refers to a swelling of the tendons. With almost any strenuous activity of the hand two tendons that cross the wrist on their way to the thumb are used. Once your symptoms are better, work to prevent the condition from happening again. He described this tendinitis in 1895, and recommended surgical release of the. These tendons are responsible for moving the thumb sideways and backwards and sometimes become trapped as they pass through a small tunnel between the wrist and the thumb.
The discomfort is particularly noticeable when forming a fist or attempting to grip an object. Swelling of the tendons, and the tendon sheath, can cause pain and tenderness along the thumb side of the wrist. If this condition isnt treated, it can permanently limit your movement or cause the tendon sheath to burst. These two muscles, which run side by side, are both responsible for the movement of the thumb away from the hand. Dequervains tenosynovitis dequervains tenosynovitis. Your doctor may also give you a shot of cortisone to help decrease pain and swelling. It causes pain at the thumb side of your wrist where the base of your thumb meets your forearm. On their way to the thumb, the apl and epb tendons travel side by side along the inside edge of the wrist. This irritation causes the lining around the tendon to swell, changing the shape of the lining and making movement of the tendons difficult. It is more common in women with the peak incidence at childbearing and around the menopause.
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