Dr. Neagle is a leading hand surgeon practising in Carrollton, TX. He provides comprehensive diagnosis and treatment for a wide range of orthopedic conditions affecting the hand and wrist. The doctor uses advanced treatment techniques to help patients find relief from De Quervain Syndrome.

De Quervain Syndrome

De Quervain Syndrome is a medical condition characterized by an inflammation of the tendons at the base of the thumb. Also known as Washerwoman's Sprain and Gamer's Thumb, the condition occurs when the two tendons, extensor pollicis brevis and abductor pollicis longus, become thickened and are unable to pass through the narrow tunnel that extends from the forearm to the hand. The constant rubbing of the tendons against the inner wall of the tunnel leads to pain. Middle aged women and people involved in activities that require repetitive hand or wrist movements are more likely to develop De Quervain Syndrome.

Causes Of De Quervain Syndrome

  • Direct blow or hit to the thumb
  • Joint overuse
  • Playing racquet sports
  • Inflammatory conditions such as Rheumatoid Arthritis
  • Hormonal changes after pregnancy
  • Certain activities such as gardening
  • Prolonged grasping or lifting heavy objects

Symptoms Of De Quervain Syndrome

  • Pain at the base of the thumb
  • Swelling and redness
  • Tenderness to touch
  • Catching or popping sensation while moving the thumb
  • Pain increases while pinching, grasping things or making a fist
  • Pain may radiate to the wrist or forearm
  • Formation of fluid-filled cyst
  • Limited range of motion of the wrist

Diagnosis Of De Quervain Syndrome

The hand surgeon may physically examine the hand and wrist to check for the severity of the symptoms. He may perform the Finkelstein test to diagnose the condition. In this, the patient is asked to make a fist with the thumb placed on the palm. If severe pain and discomfort is experienced, the patient may be suffering from De Quervain Syndrome.

Treatment For De Quervain Syndrome

  • Medication: The patient may be prescribed non-steroidal anti-inflammatory medications to relieve pain and swelling.
  • Ice Packs: Applying ice packs or cold compresses at frequent intervals may reduce stiffness and soreness around the thumb.
  • Activity Modification: The doctor may advise the patient to avoid doing activities that may put pressure on the thumb or wrist.
  • Immobilization: Wearing a splint may help to restrict the movement of the thumb and wrist so as to prevent the condition from worsening.
  • Exercise: Certain strengthening exercises may be suggested by the physical therapist to increase the flexibility of the muscles and promote a faster recovery.
  • Surgery: Severe cases of De Quervain Syndrome may require surgical intervention. The surgeon may enlarge the opening of the tunnel to make space for the swollen tendons.

For treatment of De Quervain Syndrome, visit Dr. Neagle. To schedule an appointment with the hand surgeon in Carrollton, TX, you can call at (972) 492 – 1334.