Best Doctor List Near You for De Quervain Tenosynovitis in Nanaimo

De Quervain Tenosynovitis is a medical condition characterized by inflammation of the tendons located in the wrist that control the movement of the thumb, specifically the abductor pollicis longus and extensor pollicis brevis tendons. This condition is often associated with pain and tenderness in the thumb side of the wrist, making it difficult to perform certain activities, such as grasping objects or turning the wrist. Patients typically experience discomfort when performing tasks that involve gripping or pinching, and they may notice swelling in the affected area. The pain can sometimes radiate from the wrist to the forearm or along the thumb. The exact cause of De Quervain Tenosynovitis can vary, but it commonly arises from repetitive hand and wrist movements, which lead to excessive friction and stress on the tendons. Occupations or activities that involve frequent gripping, such as typing, gardening, or playing certain sports, can predispose an individual to develop this condition. Additionally, hormonal changes, such as those occurring during pregnancy, can contribute to increased susceptibility due to swelling or changes in tendon dynamics. A history of wrist injuries or conditions that cause swelling, such as rheumatoid arthritis, can also increase the risk. In some cases, the exact cause may be idiopathic, meaning it arises without a known reason. A physical examination by a healthcare professional often helps in diagnosing De Quervain Tenosynovitis, where specific tests, such as the Finkelstein test, might be performed to assess pain response when the thumb is moved in particular ways. Imaging studies, like an ultrasound or MRI, are not typically necessary but may be used in complex cases to rule out other potential issues. Treatment options primarily focus on reducing inflammation and managing pain. Initial conservative approaches typically include rest, ice application, and immobilization using a splint to limit movement of the wrist and thumb, allowing the inflamed tendons to heal. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also be prescribed to alleviate pain and reduce swelling. If symptoms persist despite conservative management, corticosteroid injections can be considered to provide targeted relief. In rare cases where both conservative and injection therapies fail, surgical intervention may be required to relieve pressure on the tendons and allow for better movement. Overall, early recognition and treatment of De Quervain Tenosynovitis are essential to prevent the condition from progressing and impacting daily activities, promoting a successful recovery and return to normal functioning of the hand and wrist.