Morbus de quervain

Morbus de quervain is an inflammation of two tendons of the thumb as well as the tendon sheath. This inflammation is often caused by performing the same movement for long periods of time, leading to overuse. Symptoms of a morbus de quervain can include pain and swelling on the thumb side of the wrist and/or difficulty moving. The physiotherapists of Fysiofitaal Tilburg can diagnose morbus de quervain after which the treatment will consist of advice, exercise therapy, dry needling and taping/spalking.

Cause

A morbus de quervain is an inflammation of two tendons of the thumb as well as the tendon sheath. This condition involves the extensor pollicis brevis muscle and the abductor pollicis longus muscle. The tendon sheath holds the tendons in place against the bone. The inside of this tendon sheath is made of a mucous membrane. When this mucous membrane becomes inflamed, the tunnel of the tendon sheath thickens, making it harder for the tendons to move. Because of the friction that occurs, the tendons themselves also become irritated. This creates even less space in the tunnel. This condition is usually caused by performing the same movements for long periods of time, leading to strain.
M. quervain

Symptoms

Patients suffering from morbus de quervain experience a variety of symptoms. Consider a burning pain on the thumb side of the wrist. This pain often occurs gradually and increases over time. There may be swelling on the thumb side of the wrist and movement may be difficult and/or painly.

Diagnosis

The diagnosis morbus de quervain can be made by the physiotherapists of Fysiofitaal Tilburg. They do this on the basis of an interview (anamnesis) general physical examination and the Finkelstein test.

Treatment

Treatment of morbus de quervain at Fysiofitaal Tilburg consists of giving advice, exercise therapy and/or dry needling. In addition, a decision may be made in consultation with the general practitioner as to whether it is useful to administer an injection of anti-inflammatory medication. A splint/taping can also help rest the inflamed structures.
Also suffering from similar symptoms or other hand complaints? Make an appointment now with one of our therapists and they will help you.

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