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De Quervain's Tenosynovitis

De Quervain’s Tenosynovitis is a common condition we see at RAD Clinics, characterised by pain and inflammation in the tendons located on the thumb side of the wrist. This condition occurs when the sheath surrounding the tendons that facilitate thumb movement becomes irritated or inflamed, often as a result of repetitive hand and wrist motions. At RAD Clinics, our team is dedicated to providing comprehensive care for De Quervain’s Tenosynovitis, ensuring that you receive the appropriate assessment and treatment to help restore your thumb function and alleviate pain

Causes of De Quervain's Tenosynovitis

The exact cause of De Quervain’s tenosynovitis is often multifactorial. Common contributing factors include:

Repetitive Hand Movements: Activities involving repetitive thumb or wrist motions, such as typing, playing musical instruments, or certain sports (e.g., tennis).
Overuse: Frequent use of tools or equipment that place strain on the wrist and thumb.
Age and Gender: More prevalent in individuals aged 30 to 50, and women are at a higher risk than men.
Hormonal Changes: Conditions such as pregnancy can lead to hormonal fluctuations that may increase susceptibility.
Underlying Health Conditions: Conditions like rheumatoid arthritis may also contribute to the development of De Quervain’s tenosynovitis.

Symptoms of De Quervain's Tenosynovitis

The symptoms of De Quervain’s tenosynovitis can vary in intensity but typically include:

Pain: A sharp, aching pain on the thumb side of the wrist, which may radiate up the forearm.
Swelling: Noticeable swelling near the base of the thumb.
Limited Range of Motion: Difficulty moving the thumb or wrist, especially when grasping or pinching.
Tenderness: Increased pain with movement, often worsened by specific activities or gripping.

Anatomy of the Affected Area

To better understand De Quervain’s tenosynovitis, it is essential to be familiar with the relevant anatomical structures:

Tendons: The condition primarily affects two tendons:
- Abductor Pollicis Longus: Responsible for moving the thumb away from the hand.
- Extensor Pollicis Brevis: Involved in extending the thumb.
Sheath: These tendons are enclosed in a protective sheath, which can become inflamed, causing pain and restricted movement.
Wrist: The wrist joint is composed of several bones and connective tissues that support the thumb’s range of motion.

Diagnosis of De Quervain's Tenosynovitis

A proper diagnosis of De Quervain’s tenosynovitis involves the following:

Clinical Examination: A healthcare professional will perform a physical examination, assessing pain, swelling, and tenderness in the wrist and thumb.
Finkelstein Test: This is a specific diagnostic test. The patient is asked to make a fist with the thumb tucked inside, then bend the wrist towards the little finger. If this movement elicits pain, it indicates De Quervain’s tenosynovitis.
Imaging Studies: X-rays may be ordered to rule out other conditions or injuries, while ultrasound may be used to assess the extent of tendon inflammation.

Cortisone Injections for De Quervain's Tenosynovitis

At RAD Clinics, we offer ultrasound-guided cortisone injections as an effective treatment for De Quervain’s tenosynovitis. This minimally invasive procedure can provide significant relief and aid in the recovery process.

Benefits of Ultrasound-Guided Cortisone Injections

Precision Targeting: The use of ultrasound allows for real-time imaging, ensuring the injection is delivered directly into the inflamed tendon sheath for maximum effectiveness.
Rapid Pain Relief: Cortisone is a powerful anti-inflammatory medication that can reduce swelling and pain, leading to faster symptom relief.
Minimal Downtime: This procedure is quick and can be performed in an outpatient setting, allowing patients to resume daily activities shortly after treatment.
Reduced Need for Surgery: By alleviating symptoms and promoting healing, ultrasound-guided injections can help avoid more invasive surgical options.

What to Expect During the Procedure

During your ultrasound-guided cortisone injection at RAD Clinics, you can expect the following:
1. Preparation: The clinician will explain the procedure and answer any questions. The injection site will be cleaned and sterilised to minimise infection risk.
2. Ultrasound Imaging: The clinician will use ultrasound to visualise the affected area, identifying the tendon sheath and ensuring precise injection placement.
3. Injection: A thin needle will be inserted into the inflamed area, and the cortisone solution will be administered.
4. Post-Procedure Monitoring: After the injection, you will be monitored briefly to ensure there are no immediate complications.

When to Seek Treatment

It is advisable to seek treatment at RAD Clinics if you experience any of the following:

Persistent Pain: Ongoing discomfort that does not improve with rest or over-the-counter pain relievers.
Functional Limitations: Difficulty in performing daily activities, such as grasping objects or using the thumb.
Worsening Symptoms: Increasing pain, swelling, or stiffness in the wrist and thumb area.

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DISCLAIMER

We do not accept insurance coverage. If you wish to reimburse your fees, then please kindly check with your insurance provider prior to booking as we cannot be held responsible for any non-payments.