What is De Quervain’s Tenosynovitis?

De Quervain’s is an inflammation of the tendon sheaths of the muscle tendons that course that run from your wrist to your thumb. The fluid-filled sheath enables the tendon to “glide” or “slide” easily through it. Tenosynovitis is the inflammation of the fluid-filled sheath (called the synovium) that surrounds a tendon. This inflammation can lead to swelling and thickening of the sheath, which restricts the smooth gliding action of the tendons within the tunnel.

Causes

– Overuse (Repeated hand and thumb movements such as grasping, pinching, squeezing, or wringing)

– Arthritic diseases

– Direct injury to the wrist

Symptoms

– Sharp or dull pain and swelling in the thumb side of your wrist

– Pain increases when forming a fist, grasping or gripping something, or when turning the wrist.

– A “catching” or “snapping” sensation may be felt as you move your thumb or wrist

Treatments

Ice – To reduce the symptoms

Deep friction massage – Breaks down scar tissues

Stretching exercises – Allow the thumb tendons to glide smoothly within tunnel

Strengthening exercises – Improve blood circulation of the affected area and promote healing

Electrotherapy – Decrease the pain

If you are having any of these symptoms, do seek the advice of treatment from our physiotherapist. They can guide you in your rehabilitation, and help manage your condition.

 

 

什么是狄魁文式腱鞘炎？

狄魁文式腱鞘炎是手腕外侧，包裹着肌腱的腱鞘因为使用过度而产生的发炎现象。充满液体的腱鞘让其中的肌腱能够顺畅的滑动。腱鞘炎指的就是这个充满液体的腱鞘的发炎现象。因为腱鞘发炎、增厚，进而造成滑动不顺，使得患者在活动手腕或大拇指時出现疼痛。

成因

– 过度使用（重复性的手部及腕部动作，像是捏握、抓握、紧握或者是拧）

– 关节炎疾病

– 对手腕直接的撞击

症状

– 在腕关节附近，大拇指部位感到刺痛或钝痛

– 握拳、抓握或旋转手腕的时候，疼痛会增加

– 手部或腕部做动作的时候会有卡住或弹响的感觉

治疗

冰敷 – 缓解症状

深层横向按摩 – 打破软组织的粘黏，促进组织良好的愈合

伸展 – 让肌腱可以顺畅的滑动

肌力运动 – 增加局部的血液循环，促进恢复

电疗 – 降低疼痛

若您有以上这些症状，可以来咨询我们的物理治疗师，我们的治疗师会提供给你一些建议或者治疗。他们会视您的状况给予恰当的指导，让复健更有效率。