Inflammation is usually aggravated by repetitive thumb. Here are some examples of exercises for you to try. Tendons cordlike fibers that attach muscle to bone and synovium a. If you play too long, you might have gamers thumb, too. The lunate derives its name from its similarity in shape to the moon. Department of rehabilitation medicine newyorkpresbyterian. A 23yearold male weightlifter player presented complaining of rightsided. It is a painful irritation of the tendons on the thumb side of the wrist. Touch the tip of your thumb to the tip of your little finger. Dequervains tenosynovitis inflammation of the tendons of the thumb.
Dequervain s tenosynovitis is inflammation of the sheath the synovium. It causes pain at the thumb side of your wrist where the base of your thumb meets your forearm. A sheath, or covering, surrounds the tendons that go to your thumb. At hand to shoulder center of wisconsin, our subspecialty trained hand surgeons conduct a thorough examination. Lift your thumb away from your palm to make a c shape. Your hand should be in the position used for shaking someone s hand. Dequervains tenosynovitis can be caused by a simple strain injury to the extensor. Pdf on jan 1, 2018, andrew p harris and others published dequervains tenosynovitis find. Place your hand on a flat surface, with your palm up. The lubricating sheath lining this tunnel thickens and swells, giving the enclosed tendons less room to move. It is the middle carpal bone of the proximal carpal row and plays an integral part in carpal kinematics.
This compartment contains the abductor pollicis longus apl and extensor pollicis brevis epb tendons. Use your other hand to gently stretch your thumb and wrist downward until you feel the stretch on the thumb side of your wrist. The patient was diagnosed with bilateral breast cancer in 1998 and subsequently underwent bilateral lumpectomies, a right axillary lymph node dissection, and. Tenosynovitis, technique modification, manual therapy. This surrounds the two tendons that are involved in moving the thumb. These two tendons are on the back of your hand, running down.
You may do these exercises when it is not painful to move your hand. Fine fibres of scar adhesions may form between the lining sheath and the tendons. Physiotherapy department dequervains tenosynovitis. There may be swelling and thickening of the sheath and it becomes very painful to move the thumb. Dequervains tenosynovitis is inflammation of the sheath the synovium. The exercises may be suggested for a condition or for rehabilitation. Dequervains tenosynovitis is inflammation of the tendon on the side of the wrist at the base of the thumb.
Swelling of the tendons, and the tendon sheath, can cause pain and tenderness along the thumb side of the wrist. The condition develops when the tendons around the base of the thumb become irritated or. The word tendinosis refers to a swelling of the tendons. A tendon is a strong band of tissue that attaches muscle to bone. Neither heavy manual labor nor trauma could be shown to be predisposing risk factors for dq. There are two tendons that straighten your thumb into a thumbs up by travelling together on the. Dequervains in nursing mothers 1 title page positioning. The cause of tenosynovitis in many cases the cause is unknown. On their way to the thumb, the apl and epb tendons travel side by side.