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De Quervain's tenosynovitis

Tendovaginitis stenosans de Quervain · De Quervainova tendovaginitida

What it is

The two tendons that lift the thumb swell in their tunnel at the wrist — new parents lifting babies, thumbs on phones.

Symptoms & signs

  • Pain on the thumb side of the wrist
  • swelling over the radius
  • pain gripping or lifting
  • pain when the thumb is tucked in the fist and the wrist bent (Finkelstein test)

🚩 Get help if…

  • call 112 / 911 now Red, hot, swollen wrist with fever
  • see a doctor soon Numbness or tingling in the thumb or fingers
  • see a doctor soon Pain after a fall on the hand (fracture)
  • see a doctor soon No better after 6 weeks of rest and a splint

Where it strikes

Medical treatment

  • Thumb splint
  • NSAIDs
  • steroid injection (cures most)
  • surgical release of the tunnel

Natural & lifestyle

  • Rest from the trigger movement
  • lift babies with the palms up
  • ice

Emerging & experimental

  • Ultrasound-guided release
  • platelet-rich plasma

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Acupuncture — small trials early / small studies
  • Arnica and ginger compresses — anecdotal anecdotal / traditional
  • Kinesio taping — small trials disagree mixed evidence

ICD codes