Chronic Pain Relief Webinar with Dr. Iwan on Tues., Dec. 16th
Learn More

De Quervain’s tenosynovitis is a painful condition affecting the tendons on the thumb side of your wrist (tendons making up the first dorsal compartment of the wrist).

Causes

Chronic overuse of your wrist is commonly associated with de Quervain’s tenosynovitis.

When you grip, grasp, clench, pinch or wring anything in your hand, you use two major tendons in your wrist and lower thumb. These tendons normally glide unhampered through the small tunnel that connects them to the base of the thumb. If you repeat a particular motion day after day, it may irritate the sheath around the two tendons, causing thickening that restricts the movement of the tendons.

Other causes of de Quervain’s tenosynovitis include:

Symptoms

If the condition goes too long without treatment, the pain may spread farther into your thumb, back into your forearm or both. Pinching, grasping and other movements of your thumb and wrist aggravate the pain.

Treatment

Cortisone can be injected into the tendon sheaths of the affected tendons, quieting down the irritation and inflammation.  These are usually very successful injections. Regenerative-type injections (such as platelet-rich plasma [PRP]) can theoretically provide longer lasting pain relief and improved function by stimulating the body’s own natural healing response when conventional treatments have failed.