Hand & Wrist Care

Wisconsin Bone & Joint hand & wrist care
experts offer comprehensive services
to individuals with a wide range of
hand & wrist pain issues.

DeQuervain’s Tendinitis

Hand & Wrist Specialists At Wisconsin Bone & Joint

The physicians at Wisconsin Bone & Joint utilize cutting-edge technology to assess, diagnose and work with patients to develop innovative treatment plans for a variety of hand & wrist conditions and injuries. Our team of physicians are committed to providing you with the best treatment options to alleviate your hand and wrist pain.

Providing trusted Orthopedic care in the community for over 40+ years

At Wisconsin Bone and Joint, we pride ourselves with providing you highly personalized and comprehensive orthopedic care. Our philosophy of direct physician-to-patient care means your physician will be an intrical part of every stage of your care. This commitment to a dedicated continuum-of-care model has made us one of the most trusted and respected practices in Southeast Wisconsin and greater Milwaukee area.

Wrist Tendonitis

Your hands and wrists are essential tools that allow you to work, play and perform everyday activities. How well the hand and wrist interact depends on the integrity and function of the ligaments, tendons, muscles, joints and bones.

Wrist tendonitis can affect upper extremity function, causing disruptions at home and work and negatively impacting quality of life.

The human hand itself is very complex and delicate in structure.

Wrist (De Quervain’s) tendinosis occurs when the tendons around the base of the thumb are irritated or constricted.

The word “tendinosis” refers to a swelling of the tendons. Swelling of the tendons, and the tendon sheath, can cause pain and tenderness along the thumb side of the wrist.

This is particularly noticeable when forming a fist, grasping or gripping something, or when turning the wrist.

Cause

De Quervain’s tendinosis may be caused by overuse. It also is associated with pregnancy and rheumatoid disease. It is most common in middle-aged women.

Symptoms

Signs of De Quervain’s tendinosis:

  • Pain may be felt over the thumb side of the wrist. This is the main symptom. The pain may appear either gradually or suddenly. Pain is felt in the wrist and can travel up the forearm. The pain is usually worse when the hand and thumb are in use. This is especially true when forcefully grasping objects or twisting the wrist.
  • Swelling may be seen over the thumb side of the wrist. This swelling may accompany a fluid-filled cyst in this region.
  • A “catching” or “snapping” sensation may be felt when moving the thumb.
  • Pain and swelling may make it difficult to move the thumb and wrist.

Diagnosis

To determine whether or not you have De Quervain’s tendinosis, your physician may ask you to perform the Finkelstein test by placing your thumb against your hand, making a fist with your fingers closed over your thumb, and then bending your wrist toward your little finger.

Finkelstein test

If you have De Quervain’s tendinosis, this test is quite painful, causing tendon pain on the thumb side of the wrist.

Treatment

The goal in treating Wrist (De Quervain’s) tendinosis is to relieve the pain caused by irritation and swelling.

Nonsurgical Treatment

Splints

Splints may be used to rest the thumb and wrist.

Anti-inflammatory medication (NSAIDs)

These medications can be taken by mouth or injected into a tendon compartment. This may help reduce swelling and relieve pain.
Avoiding activities that cause pain and swelling. This may allow the symptoms to go away on their own.

Corticosteroids

Injection of corticosteroids into the tendon sheath may help reduce swelling and pain.

Surgical Treatment

Surgery may be recommended if symptoms are severe or do not improve. The goal of surgery is to open the thumb compartment (covering) to make more room for the irritated tendons.

Surgery opens the sheath over the inflamed tendons.
Regardless of the treatment, normal use of the hand usually can be resumed once comfort and strength have returned.

Your Wisconsin Bone & Joint orthopaedic surgeon can advise you on the best treatment for your situation.