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Morbus de quervain

A morbus de quervain is an inflammation of two tendons in the thumb and the tendon sheath. This inflammation is often caused by making the same movement for a long time, which leads to overburdening. Symptoms of a morbus de quervain can include pain and swelling on the thumb side of the wrist and/or difficulty moving. The physiotherapists at Fysiofitaal Tilburg can diagnose the morbus de quervain after which the treatment will consist of advice, exercise therapy, dry needling and taping/plastering.

Cause

Morbus de quervain involves inflammation of two tendons in the thumb and the tendon sheath. This condition involves the extensor pollicis brevis muscle and the abductor pollicis longus muscle. The tendon sheath ensures that the tendons are held in place against the bone. The inside of the 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. The tendons themselves become irritated by the friction that occurs. This results in even less space in the tunnel. This condition is usually caused by performing the same movements for a long time, which leads to overburdening.
M. quervain

Symptoms

Patients who suffer from a morbus de quervain experience various symptoms. Think of a burning pain on the thumb side of the wrist. This pain often occurs gradually and increases over time. There can be swelling on the thumb side of the wrist and movement can be difficult and/or impossible. painbe like this.

Diagnosis

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

Treatment

The treatment of morbus de quervain at Fysiofitaal Tilburg consists of giving advice, exercise therapy and/or dry needling. In addition, in consultation with the doctor it can be decided whether an injection with anti-inflammatory medication would be useful. A splint/taping can also help rest the inflamed structures.
Also suffer from similar complaints or other hand problems? Make an appointment now with one of our therapists and they will help you further.

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