Zapalenie pochewek ścięgnistych de quervaina
Objawy

Zapalenie pochewek ścięgnistych de Quervaina to zapalne schorzenie obejmujące ścięgna prostownika krótkiego kciuka oraz odwodziciela długiego kciuka w pierwszym przedziale prostowników nadgarstka. Charakteryzuje się bólem o charakterze tępo-ostrym, nasilającym się przy ruchach kciuka i nadgarstka, obrzękiem, tkliwością oraz ograniczeniem ruchomości. Objawy mogą promieniować do kciuka i przedramienia, a w zaawansowanych stadiach pojawiają się doznania typu „zacinania się” czy trzaskania ścięgien. Nieleczone zapalenie prowadzi do przewlekłego bólu, znacznego ograniczenia funkcji ręki, a także zmian strukturalnych, takich jak pęknięcie pochewki ścięgna czy naderwanie ścięgna. Wczesne rozpoznanie i leczenie, obejmujące terapię zachowawczą oraz iniekcje kortykosteroidów (skuteczność do 95% po 2-3 iniekcjach w ciągu 6 tygodni), pozwalają na poprawę w ciągu 4-6 tygodni i zapobiegają progresji choroby.

Zapalenie pochewek ścięgnistych de Quervaina – definicja

Zapalenie pochewek ścięgnistych de Quervaina jest bolesnym schorzeniem, które dotyczy ścięgien znajdujących się po stronie kciuka nadgarstka. W tym stanie dochodzi do zapalenia i pogrubienia ścięgien oraz ich pochewek, co prowadzi do zwężenia tunelu (pierwszego przedziału prostowników), przez który przechodzą ścięgna prostownika krótkiego kciuka oraz odwodziciela długiego kciuka. Ścięgna te odpowiedzialne są za ruch kciuka i odgrywają kluczową rolę w wykonywaniu chwytów i ruchów precyzyjnych.123

Stan ten charakteryzuje się obrzękiem i stanem zapalnym, który utrudnia płynny ruch ścięgien w ich pochewkach, powodując tarcie i ból podczas powtarzających się lub długotrwałych ruchów kciuka i nadgarstka. Taka dysfunkcja prowadzi do znaczącego dyskomfortu, który może wpłynąć na codzienne aktywności pacjenta.45

Główne objawy zapalenia pochewek ścięgnistych de Quervaina

Zapalenie pochewek ścięgnistych de Quervaina manifestuje się kilkoma charakterystycznymi objawami, które mogą wystąpić nagle lub rozwijać się stopniowo. Głównym objawem jest ból po stronie kciuka nadgarstka, który może promieniować do kciuka lub w górę przedramienia.12

Ból jako podstawowy objaw

Ból jest najczęstszym i najbardziej charakterystycznym objawem zapalenia pochewek ścięgnistych de Quervaina. Występuje on zazwyczaj u podstawy kciuka i po stronie promieniowej nadgarstka. Pacjenci opisują go jako tępy lub ostry, a czasem jako palący lub piekący. Ból może pojawić się nagle lub narastać stopniowo, ale charakterystycznie nasila się podczas określonych aktywności:123

  • Podczas obracania nadgarstka12
  • Przy chwytaniu przedmiotów12
  • Podczas zaciskania pięści12
  • Przy ruchach wymagających szczypania lub chwytania12
  • Podczas rozciągania kciuka, np. w pozycji „autostopowicza”12

Z czasem, jeśli stan nie jest leczony, ból może się nasilać i rozprzestrzeniać dalej w kierunku kciuka lub przedramienia, co znacząco ogranicza funkcję ręki.12

Obrzęk i tkliwość

Obrzęk w okolicy podstawy kciuka i wzdłuż strony promieniowej nadgarstka jest kolejnym typowym objawem tego schorzenia. Obszar dotknięty zapaleniem może być:123

  • Widocznie opuchnięty12
  • Tkliwy przy dotyku12
  • Czasami zaczerwieniony i ciepły12

W niektórych przypadkach może pojawić się torbiel wypełniona płynem w okolicy podstawy kciuka, co jest dodatkowym objawem stanu zapalnego.12

Ograniczona ruchomość i dysfunkcja

W miarę rozwoju zapalenia pochewek ścięgnistych de Quervaina, pacjenci często doświadczają ograniczenia ruchomości kciuka i nadgarstka. Objawy te mogą się manifestować jako:12

  • Trudności w poruszaniu kciukiem i nadgarstkiem, szczególnie podczas chwytania lub szczypania12
  • Zmniejszona siła chwytu12
  • Uczucie sztywności w kciuku12
  • Ograniczony zakres ruchu nadgarstka12

Nietypowe doznania podczas ruchu

Charakterystycznym objawem zapalenia pochewek ścięgnistych de Quervaina są również nietypowe doznania podczas ruchu kciukiem, które pacjenci często opisują jako:12

  • Uczucie „zacinania się” lub „blokowania” kciuka podczas próby poruszania nim12
  • Przeskakiwanie lub trzaskanie podczas ruchu kciuka12
  • Skrzypienie lub chrzęszczenie ścięgien12

Te doznania są związane z utrudnionym przesuwaniem się zapalnie zmienionych ścięgien w zwężonym tunelu.12

Progresja zapalenia pochewek ścięgnistych de Quervaina

Zapalenie pochewek ścięgnistych de Quervaina może mieć różny przebieg w zależności od wielu czynników, w tym czasu rozpoczęcia leczenia i indywidualnych predyspozycji pacjenta. Poniżej przedstawiono typową progresję tego schorzenia.12

Początkowe stadium

W początkowym stadium zapalenia pochewek ścięgnistych de Quervaina objawy mogą być łagodne i często ograniczają się do:12

  • Niewielkiego bólu w okolicy podstawy kciuka, który pojawia się podczas określonych ruchów12
  • Lekkiego dyskomfortu przy wykonywaniu codziennych czynności1
  • Okresowych dolegliwości, które mogą samoistnie ustępować1

Na tym etapie większość pacjentów może ignorować objawy, traktując je jako przejściowe dolegliwości związane z przeciążeniem.1

Stadium postępujące

Jeśli stan nie jest leczony, zapalenie pochewek ścięgnistych de Quervaina zwykle postępuje, prowadząc do nasilenia objawów:12

  • Ból staje się bardziej intensywny i może promieniować zarówno do kciuka, jak i w górę przedramienia12
  • Obrzęk staje się bardziej widoczny1
  • Pojawia się trudność w wykonywaniu codziennych czynności wymagających użycia kciuka12
  • Uczucie zacinania się lub przeskakiwania staje się bardziej zauważalne1

W tym stadium pacjenci zazwyczaj zauważają, że ból jest obecny nie tylko podczas wykonywania określonych ruchów, ale może również występować podczas spoczynku lub budzić w nocy.1

Stadium zaawansowane

W zaawansowanym stadium zapalenia pochewek ścięgnistych de Quervaina, bez odpowiedniego leczenia, mogą wystąpić poważniejsze konsekwencje:12

  • Znaczne ograniczenie ruchomości kciuka i nadgarstka12
  • Stały, silny ból nawet podczas odpoczynku1
  • Wyraźne osłabienie siły chwytu1
  • Znaczący wpływ na codzienne funkcjonowanie i wykonywanie pracy1

W niektórych przypadkach może dojść do pęknięcia pochewki ścięgna lub nawet do naderwania ścięgna, co jeszcze bardziej komplikuje leczenie.12

Czynniki wpływające na progresję schorzenia

Szybkość postępu zapalenia pochewek ścięgnistych de Quervaina oraz intensywność objawów mogą być zależne od kilku czynników:12

Czas rozpoczęcia leczenia

Wczesne rozpoczęcie odpowiedniego leczenia ma kluczowe znaczenie dla prognozy. Pacjenci, którzy wcześnie zwrócą się po pomoc medyczną i rozpoczną leczenie, zazwyczaj doświadczają poprawy w ciągu 4-6 tygodni.12

Z kolei, opóźnienie leczenia może prowadzić do przewlekłego stanu, który trudniej poddaje się terapii i może wymagać bardziej inwazyjnych metod, takich jak zabieg chirurgiczny.12

Ciąża i okres poporodowy

Zapalenie pochewek ścięgnistych de Quervaina często występuje u kobiet w ciąży lub w okresie poporodowym. W tych przypadkach objawy mogą ustąpić samoistnie pod koniec ciąży lub po zakończeniu karmienia piersią.12

Jest to istotny czynnik prognostyczny, ponieważ dla tej grupy pacjentek często wystarcza leczenie zachowawcze i cierpliwe oczekiwanie na naturalne ustąpienie objawów.12

Nasilenie i czas trwania objawów

Stopień nasilenia objawów oraz czas ich trwania przed rozpoczęciem leczenia ma znaczący wpływ na przebieg choroby. Przypadki z łagodnymi objawami i krótkim czasem trwania lepiej reagują na leczenie zachowawcze.12

Z kolei pacjenci z długotrwałymi, silnymi objawami mogą wymagać dłuższego leczenia, a nawet interwencji chirurgicznej.12

Powracające czynniki wywołujące

Kontynuowanie aktywności, które przyczyniły się do powstania schorzenia, może znacząco wpływać na postęp choroby i skuteczność leczenia.12

Pacjenci, którzy eliminują lub modyfikują te aktywności, zazwyczaj doświadczają szybszej poprawy, podczas gdy ci, którzy kontynuują powtarzalne ruchy kciuka i nadgarstka, mogą doświadczać nawrotów objawów nawet po skutecznym leczeniu.12

Konsekwencje nieleczonego zapalenia pochewek ścięgnistych de Quervaina

Nieleczone zapalenie pochewek ścięgnistych de Quervaina może prowadzić do szeregu poważnych konsekwencji, które znacząco wpływają na jakość życia pacjenta.12

Trwałe ograniczenie funkcji ręki

Długotrwałe, nieleczone zapalenie może prowadzić do trwałego ograniczenia ruchomości kciuka i nadgarstka. Z czasem może dojść do:12

  • Utraty pełnego zakresu ruchu nadgarstka12
  • Znaczącego ograniczenia funkcji kciuka1
  • Trudności w wykonywaniu codziennych czynności wymagających precyzyjnych ruchów1

Powikłania strukturalne

Długotrwały stan zapalny może prowadzić do zmian strukturalnych w obrębie ścięgien i ich pochewek:12

  • Pęknięcie pochewki ścięgna12
  • Naderwanie lub rozerwanie ścięgna1
  • Zwłóknienie i zmniejszenie elastyczności ścięgien12

Te zmiany strukturalne mogą wymagać bardziej inwazyjnego leczenia, takiego jak zabieg chirurgiczny, i mogą nie dać się w pełni odwrócić.1

Chroniczny ból i ograniczenia w aktywności

Bez odpowiedniego leczenia, zapalenie pochewek ścięgnistych de Quervaina może przekształcić się w przewlekły stan bólowy:12

  • Ciągły ból nawet podczas spoczynku1
  • Rozprzestrzenianie się bólu na większy obszar przedramienia i kciuka12
  • Ograniczenia w aktywności zawodowej i rekreacyjnej1
  • Wpływ na ogólną jakość życia1

Przewlekły ból może również prowadzić do wtórnych problemów, takich jak zaburzenia snu, stres i obniżenie nastroju.1

Rokowanie i przebieg leczenia

Pomimo potencjalnych poważnych konsekwencji nieleczonego zapalenia pochewek ścięgnistych de Quervaina, przy odpowiednim postępowaniu terapeutycznym rokowanie jest zazwyczaj dobre.12

Czas do ustąpienia objawów

Czas potrzebny do ustąpienia objawów może się różnić w zależności od indywidualnych czynników, ale typowo:12

  • Przy wczesnym rozpoczęciu leczenia, poprawa następuje zwykle w ciągu 4-6 tygodni12
  • W przypadkach związanych z ciążą, objawy często ustępują po zakończeniu ciąży lub karmienia piersią12
  • Pełne wyleczenie przy leczeniu zachowawczym może trwać od kilku tygodni do kilku miesięcy1
  • Po zabiegu chirurgicznym, powrót do normalnej aktywności następuje zwykle w ciągu 6-12 tygodni12

Skuteczność leczenia

Zapalenie pochewek ścięgnistych de Quervaina jest stanem, który zazwyczaj dobrze reaguje na leczenie:12

  • Większość pacjentów doświadcza znaczącej poprawy przy leczeniu zachowawczym12
  • Iniekcje kortykosteroidów są skuteczne u wielu pacjentów, z badań wynika, że do 95% pacjentów może być wolnych od objawów po 2-3 iniekcjach w ciągu 6 tygodni1
  • Leczenie chirurgiczne, gdy jest konieczne, ma wysoki wskaźnik powodzenia12

Ryzyko nawrotu

Nawet po skutecznym leczeniu, zapalenie pochewek ścięgnistych de Quervaina może nawracać, szczególnie jeśli pacjent:12

  • Powraca do aktywności, które wywołały schorzenie, bez odpowiednich modyfikacji1
  • Nie stosuje się do zaleceń dotyczących ergonomii i technik zapobiegających przeciążeniu1
  • Ma predyspozycje do rozwoju tego stanu (np. niektóre osoby po porodzie lub pracujące w określonych zawodach)12

W przypadku pacjentek, u których schorzenie rozwinęło się w okresie ciąży, ryzyko nawrotu przy kolejnych ciążach może być podwyższone.1

Podsumowanie progresji zapalenia pochewek ścięgnistych de Quervaina

Zapalenie pochewek ścięgnistych de Quervaina jest schorzeniem, które może mieć znaczący wpływ na funkcję ręki i jakość życia pacjenta. Charakteryzuje się bólem, obrzękiem i ograniczeniem ruchomości w obrębie kciuka i nadgarstka, które mogą ulegać nasileniu wraz z postępem choroby.12

Przebieg schorzenia zależy od wielu czynników, w tym czasu rozpoczęcia leczenia, nasilenia objawów oraz obecności czynników wywołujących. Nieleczone zapalenie może prowadzić do przewlekłego bólu, trwałego ograniczenia funkcji ręki oraz strukturalnych zmian w obrębie ścięgien.12

Jednak przy wczesnym rozpoznaniu i odpowiednim leczeniu, rokowanie jest zazwyczaj dobre. Większość pacjentów doświadcza znaczącej poprawy w ciągu kilku tygodni do kilku miesięcy, a pełne wyleczenie jest możliwe zarówno przy leczeniu zachowawczym, jak i chirurgicznym.12

Kluczowym elementem skutecznego leczenia jest wczesna interwencja oraz eliminacja lub modyfikacja czynników wywołujących, co może zapobiec progresji schorzenia i związanym z nim powikłaniom.1

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  1. 12.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 De Quervain tenosynovitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/de-quervain-tenosynovitis/symptoms-causes/syc-20371332
    De Quervain tenosynovitis (dih-kwer-VAIN ten-oh-sine-oh-VIE-tis) is a painful condition affecting the tendons on the thumb side of the wrist. If you have de Quervain tenosynovitis, you will probably feel pain when you turn your wrist, grasp anything or make a fist. […] Symptoms of de Quervain tenosynovitis include: Pain near the base of the thumb, Swelling near the base of the thumb, Difficulty moving the thumb and wrist when doing something that involves grasping or pinching, A „sticking” or „stop-and-go” sensation in the thumb when moving it. […] If the condition goes too long without treatment, the pain may spread farther into the thumb or forearm or both. Moving the thumb and wrist may make the pain worse. […] When de Quervain tenosynovitis goes untreated, it can become difficult to use the hand and wrist properly. The wrist may lose some range of motion.
  • #1 De Quervain’s Tenosynovitis: Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/10915-de-quervains-tendinosis
    De Quervains tenosynovitis is painful swelling around your thumb tendons. […] The most common de Quervains tenosynovitis symptom is pain in your wrist on the same side as your thumb (the radial side). Some people notice the pain suddenly or all at once, but it can also develop over time. The pain usually: […] Other symptoms include: […] De Quervains tenosynovitis is one of the most common forms of tenosynovitis. Experts estimate that it affects around 1% of people in the U.S. each year. […] It usually takes a few weeks for your tendons to heal after youre diagnosed with de Quervains tenosynovitis. How long youll need depends on what caused the inflammation and how severe your symptoms are. […] De Quervains tenosynovitis is very treatable and is usually a short-term issue. But if its not treated, its more likely that youll need surgery or experience complications. If you put too much pressure on your thumb tendons after you start experiencing de Quervains tenosynovitis symptoms, your tendon sheath can burst or your tendon may tear. […] De Quervains tenosynovitis is swelling in the sheath around your thumb tendons. It can make it painful and hard to use your thumb and wrist.
  • #1 De Quervain’s Tenosynovitis: Symptoms & Causes | NewYork-Presbyterian
    https://www.nyp.org/orthopedics/columbia-orthopedics/de-quervains-tenosynovitis
    De Quervains tenosynovitis causes swelling of the tendons around the base of your thumb, resulting in tenderness and pain along the inside of your wrist. This condition can make turning your wrist, making a fist, or grasping an object uncomfortable. […] If you have de Quervain’s tenosynovitis, you may experience the following symptoms: Pain over the thumb side of the wrist. This is the main symptom of de Quervains tenosynovitis. 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 grasping, pinching, or lifting objects, or when you twist your wrist. […] Feeling a sensation of catching or snapping when you move your thumb […] Swelling over the affected area. In some cases, a cyst forms […] Difficulty moving your thumb or wrist due to discomfort.
  • #1 De Quervain’s syndrome – Newcastle Hospitals NHS Foundation Trust
    https://www.newcastle-hospitals.nhs.uk/services/newcastle-occupational-health-service/physiotherapy/de-quervains-syndrome/
    De Quervain’s Syndrome results in the sheath covering the tendons on the thumb side of the wrist becoming thickened and painful. […] Pain on the thumb side of the wrist, which is usually a gradual onset. […] Pain is aggravated especially by lifting the thumb, as in the hitchhiker position or when using scissors, turning a door handle, turning a tap, texting, and gaming. […] You may experience tenderness if you press on the site of pain and sometimes you can experience swelling of the site of pain – compare it with same spot on the opposite wrist. […] Milder cases recover over a few weeks without treatment. Most will improve over time but may take a long time.
  • #1 De Quervain’s syndrome
    https://www.bssh.ac.uk/patients/conditions/19/de_quervains_syndrome
    De Quervain’s syndrome is a painful condition that affects tendons where they run through a tunnel on the thumb side of the wrist. […] What are the symptoms? […] 1. Pain on the thumb side of the wrist, as shown in the diagram. Pain is aggravated especially by lifting the thumb, as in the hitchhiker position or when using scissors. […] 2. Tenderness if you press on the site of pain. […] 3. Swelling of the site of pain compare it with same spot on the opposite wrist. […] 4. Clicking or snapping of the tendons occurs occasionally.
  • #1 De Quervain’s Tenosynovitis | Memorial Sloan Kettering Cancer Center
    https://www.mskcc.org/cancer-care/patient-education/de-quervain-tenosynovitis
    Some symptoms (signs) of de Quervains tenosynovitis are: […] Pain at the side of your wrist, under the base of your thumb. Moving your thumb can make this pain worse. […] Wrist pain that has spread into your forearm and thumb. […] Mild (slight) swelling, redness, or warmth at your wrist. […] A fluid-filled cyst near the thumb side of your wrist. A cyst is a sac-like pocket of tissue. […] Your healthcare provider can see if you have de Quervains tenosynovitis based on your symptoms and a physical exam. They will also ask you to do certain movements with your hand, wrist, and thumb. […] The amount of time it takes for symptoms to improve or go away is different for everyone.
  • #1 De Quervain’s Tenosynovitis – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis
    De Quervain’s tenosynovitis is swelling of the tendons that run along the thumb side of the wrist and attach to the base of the thumb. This occurs when the tendons are constricted by the sheath that they run through to get from the wrist to the hand. […] This condition can cause pain and tenderness along the thumb side of the wrist. This is particularly noticeable when you are: […] You may feel pain over the thumb side of the wrist. This is the main symptom. The pain may appear either gradually or suddenly. It starts 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 and/or lifting objects or twisting the wrist. […] You may see swelling over the thumb side of the wrist. This swelling may accompany a fluid-filled cyst in this region. […] You may feel a catching or snapping sensation when moving the thumb. […] Pain and swelling may make it difficult to move your thumb and wrist.
  • #1 De Quervain’s Tenosynovitis – Causes, Symptoms & Treatment
    https://www.melbournehandtherapy.com.au/conditions-treated/dequervains-tenosynovitis/
    De Quervains tenosynovitis/disease (DQV), is an overuse condition that results in pain on the radial or thumb side of the wrist. […] The inflammation of the tendon sheaths results in increased fluid and reduced glide of the tendons, leading to friction and pain with repetitive or prolonged thumb and wrist movements. […] Symptoms: Tenderness, swelling and pain at the wrist and near the base of the thumb. Pain can also sometimes radiate up the forearm. […] Pain can be sharp or burning, down to a dull ache and can be constant or with specific activities. […] Pain with picking up larger objects with thumb out stretched and wrist in end range flexion or extension. […] Pain overnight/on waking. […] Decreased thumb/wrist movement and decreased grip strength. […] DQV can present as mild or of a chronic nature, that builds over time or it can come on seemingly suddenly and with a high, debilitating level of pain.
  • #1 Exploring De Quervain’s Tenosynovitis: 10 Signs and Symptoms to Watch Out
    https://www.alleviatepainclinic.com/blog/exploring-de-quervains-tenosynovitis-10-signs-and-symptoms-to-watch-out/
    As the condition progresses, the pain may extend beyond the base of the thumb and into the forearm. This radiation of pain is a characteristic feature of De Quervains tenosynovitis. Individuals may experience discomfort and tenderness along the path of the affected tendons, making it challenging to pinpoint the exact source of the pain. […] Due to the inflammation and swelling of the tendons, individuals with De Quervains tenosynovitis often find it difficult to grasp objects. Simple activities like holding a pen, turning a doorknob, or lifting objects may become painful and cumbersome. This functional impairment can have a significant impact on daily life and work responsibilities. […] Stiffness in the thumb, accompanied by a limited range of motion, is another sign of De Quervains tenosynovitis. The affected thumb may feel rigid, making it challenging to perform movements that require flexibility, such as pinching or grasping. This stiffness can contribute to a decrease in overall hand dexterity.
  • #1
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=zd1018spec
    De Quervain’s may cause pain when you twist your wrist. […] You might also have pain if you grab something between your thumb and fingers. […] Many people hear a funny sound like a squeak, crackle, snap, or creak when they move the wrist or thumb. […] The bottom of the thumb or the side of the wrist might also be sore or swollen. […] This can make it hard to move your thumb or wrist. […] The back of the thumb and index finger may also feel numb. […] Sometimes de Quervain’s can cause a small bump on the thumb side of the wrist. […] If you don’t get treatment, the pain can spread up your forearm or down into your thumb.
  • #1
    https://www.hingehealth.com/resources/articles/de-quervains-tenosynovitis/
    Wrist pain is the most common symptom of de Quervains tenosynovitis, says Dr. Reising. Symptoms typically include: […] Pain on the side of your wrist closest to your thumb. It can feel pretty sharp when its irritated, says Dr. Reising, but some people first notice a soreness that later gets worse. […] Swelling near the base of the thumb. […] Numbness in the thumb and index finger. […] A feeling that the thumb is catching, or a snapping noise when you try to move the thumb. This happens because the area the tendons need to move through gets tight, says Dr. Reising. […] People who have this problem often notice that the pain intensifies when they make a fist, grip an object, or even just rotate their wrist, says Dr. Reising.
  • #1 Exploring De Quervain’s Tenosynovitis: 10 Signs and Symptoms to Watch Out
    https://www.alleviatepainclinic.com/blog/exploring-de-quervains-tenosynovitis-10-signs-and-symptoms-to-watch-out/
    De Quervains tenosynovitis is a painful condition that affects the tendons on the thumb side of your wrist. It occurs when the tendons that control the movement of the thumb become inflamed. This condition can significantly impact your daily life, making even simple tasks a challenge. […] One of the initial signs of De Quervains tenosynovitis is localized pain and tenderness at the base of the thumb on the side of the wrist. This discomfort often worsens when you make a fist, grasp objects, or turn your wrist. The pain may gradually intensify over time, impacting your ability to perform everyday tasks that involve thumb and wrist movement. […] Inflammation is a hallmark of De Quervains tenosynovitis. Swelling around the affected tendons can lead to a noticeable bump or thickening at the base of the thumb. The swelling may extend into the thumb and even up the forearm in severe cases. This symptom is a clear indicator that the tendons are irritated and inflamed.
  • #1 Reddit – The heart of the internet
    https://www.reddit.com/r/DeQuervains/comments/1cg9nyk/first_flare_early_stages/
    Hello all, I (34 F) started to experience mild (3/10) pain last Wednesday night in my left wrist (non-dominant hand) when I was scrolling on my phone in the evening. The pain is exacerbated with certain movements but I brushed it off. It continued to bother me the following day so I looked into what it may be. After some research, I deduced it must be De Quervain’s. […] My symptoms are primarily a sore/aching pain when I move my thumb in certain angles and this morning I just felt a sort of „sticking” resistance when moving my thumb and a sort of „clicking” in my wrist, when I checked again an hr or so later, it seems to have resolved. […] The pain has stayed the more or less since they first appeared 5 days ago.
  • #1 De Quervain syndrome – Wikipedia
    https://en.wikipedia.org/wiki/De_Quervain_syndrome
    Symptoms are pain and tenderness at the radial side of the wrist, fullness or thickening over the thumb side of the wrist, painful radial abduction of the thumb, and difficulty gripping with the affected side of the hand. Pain is made worse by movement of the thumb and wrist, and may radiate to the thumb or the forearm. The onset is often gradual, but sometimes the symptoms seem to come on suddenly and the problem is often misinterpreted as an injury. […] De Quervain syndrome occurs when two tendons that control movement of the thumb become constricted by their tendon sheath in the wrist. This results in pain and tenderness on the thumb side of the wrist. Radial abduction of the thumb is painful. On some occasions, there is uneven movement or triggering of the thumb with radial abduction. Symptoms can come on gradually or be noted suddenly. […] The diagnosis is generally based on symptoms and physical examination. Diagnosis is supported if pain increases when the wrist is bent inwards while a person is grabbing their thumb within a fist.
  • #1
    https://www.parkwayeast.com.sg/conditions-diseases/de-quervains-tenosynovitis/symptoms-causes
    De Quervains tenosynovitis causes wrist pain which might develop gradually or appear suddenly. The main symptom is pain or tenderness over the wrist joint near the base of the thumb, which may also radiate up the forearm. […] Pain beginning as an aching sensation and progressing to a point when any movement of the wrist or thumb produces a sharp pain in the affected area. […] When De Quervain’s tenosynovitis is left untreated, the pain may spread and radiate into the forearm. The pain may also become more intense while performing simple tasks which involve the use of the thumb, such as pinching or grasping. […] Over time, it will become difficult to use your hand. You will likely experience increasingly limited range of wrist motion.
  • #1 De Quervain’s tenosynovitis | Healthify
    https://healthify.nz/health-a-z/d/de-quervains-tenosynovitis
    De Quervains tenosynovitis is a painful hand condition affecting the tendons (part of your muscles) you use to straighten your thumb. […] The main symptom is pain and swelling at the base of your thumb or at your wrist. […] The pain is noticeable when you turn your wrist, grip or grasp anything or make a fist. It is made worse with activity and eased by rest. […] The pain is worse when your hand and thumb are in use. […] It may be sharp or dull, and it may appear gradually or suddenly. […] The pain can be felt all the way up your forearm. […] There may be swelling over the thumb side of your wrist, sometimes together with a fluid-filled sac in that area. […] You may have difficulty moving your thumb and wrist area because of pain and swelling. […] If left untreated, it can cause permanent damage to the movement of your wrist and thumb or cause the tendon sheath to burst.
  • #1 Exploring De Quervain’s Tenosynovitis: 10 Signs and Symptoms to Watch Out
    https://www.alleviatepainclinic.com/blog/exploring-de-quervains-tenosynovitis-10-signs-and-symptoms-to-watch-out/
    De Quervains tenosynovitis is often associated with activities that involve repetitive thumb and wrist movements. If you notice that your symptoms worsen after tasks like typing, texting, or carrying heavy objects, it may be indicative of this condition. The repetitive strain on the tendons exacerbates the inflammation, leading to increased pain and discomfort. […] De Quervains tenosynovitis can significantly impact daily life, but with timely intervention and comprehensive care, individuals can find relief and regain functionality. Recognizing the signs of this condition, understanding its causes, and seeking appropriate medical attention are crucial steps toward effective management.
  • #1 De Quervain tenosynovitis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/de-quervain-tenosynovitis/diagnosis-treatment/drc-20371337
    To diagnose de Quervain tenosynovitis, your health care provider will examine your hand to see if you feel pain when pressure is applied on the thumb side of the wrist. […] If you start treatment early, your symptoms should improve within 4 to 6 weeks. […] If de Quervain tenosynovitis starts during pregnancy, symptoms are likely to end around the end of either pregnancy or breastfeeding. […] Surgery may be recommended for more-serious cases. […] A health care provider who sees you for symptoms common to de Quervain tenosynovitis may ask a number of questions. You might be asked: What are your symptoms and when did they begin? […] Have your symptoms been getting worse or staying the same? […] What activities seem to trigger your symptoms?
  • #1 De Quervain tenosynovitis | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/de-quervain-tenosynovitis?content_id=CON-20371316
    This painful condition affects the tendons on the thumb side of the wrist. If you have de Quervain tenosynovitis, you will probably feel pain when you turn your wrist, grasp anything or make a fist. […] Symptoms of de Quervain tenosynovitis include: Pain near the base of the thumb, Swelling near the base of the thumb, Difficulty moving the thumb and wrist when doing something that involves grasping or pinching, A „sticking” or „stop-and-go” sensation in the thumb when moving it. […] If the condition goes too long without treatment, the pain may spread farther into the thumb or forearm or both. Moving the thumb and wrist may make the pain worse. […] Treatment for de Quervain tenosynovitis is aimed at reducing inflammation, preserving movement in the thumb and preventing recurrence. […] If you start treatment early, your symptoms should improve within 4 to 6 weeks. If de Quervain tenosynovitis starts during pregnancy, symptoms are likely to end around the end of either pregnancy or breastfeeding.
  • #1 De Quervain Tenosynovitis: Practice Essentials, Anatomy, Etiology
    https://emedicine.medscape.com/article/1243387-overview
    In de Quervain tenosynovitis, the first dorsal compartment is thickened, raising the skin and creating a prominence at the radial styloid. […] The Finkelstein test draws the tendons of the first dorsal compartment distally and causes sharp, local pain when tendon entrapment has occurred and inflammation is present. […] Relief is permanent following successful surgery. Some patients who have been successfully treated with injections may have recurrent symptoms when they return to lifting infants aged 6-12 months. This author would suggest the following: Relief is usually permanent.
  • #1 de Quervain’s Tenosynovitis – Sports Clinic NQ
    https://sportsclinicnq.com.au/de-quervains-tenosynovitis/
    de Quervains tenosynovitis results in pain and tenderness over the thumb tendons as they cross the top of the wrist joint. Here the tendons may also be swollen. Pinch grasping and when the thumb and wrist are moved causes pain. Crepitus or creaking of the tendons may also be felt or heard. […] Left untreated, this friction-induced tenosynovitis can progress to fibrosis and lack of flexibility of the thumb. […] It generally does not get better without medical intervention.
  • #1 De Quervain’s Syndrome: Symptoms, Causes and Treatment
    https://www.mountelizabeth.com.sg/health-plus/article/de-quervains-syndrome-explained
    Pain in your thumb or wrist could mean you have de Quervain’s syndrome. […] The main symptoms of de Quervain’s syndrome are sudden or gradual pain: along the back of your thumb, at the base of your thumb, on the side of your wrist. […] If left untreated, de Quervain’s may cause pain and swelling to get progressively worse, resulting in stiffness around the thumb and wrist. This can cause significant disability and affect the performance of everyday tasks.
  • #1 De Quervain Syndrome – Bone, Joint, and Muscle Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/bone-joint-and-muscle-disorders/hand-disorders/de-quervain-syndrome
    De Quervain syndrome is swelling and inflammation of the tendons or tendon sheaths that move the thumb outward. […] The main symptom of De Quervain syndrome is aching pain on the thumb side of the wrist and at the base of the thumb, which becomes worse with movement. The area at the base of the thumb near the wrist is also tender. […] Doctors diagnose De Quervain syndrome when they detect tenderness over the two tendons on the thumb side of the wrist, usually accompanied by swelling. […] People are likely to have De Quervain syndrome if this movement causes pain at the same side of the wrist as the thumb. […] People with more severe symptoms usually feel better after treatment with a corticosteroid injection and a thumb splint. […] If these methods do not relieve symptoms, people may need surgery to free the tendon.
  • #1 Understanding De Quervain Tenosynovitis | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/understanding-de-quervain-tenosynovitis
    De Quervain tenosynovitis is a condition that can cause wrist and thumb pain. […] You may have pain, soreness, redness, and swelling along the side of your wrist and the base of your thumb. You may feel pain when you pinch or grasp things, turn or touch your wrist, or make a fist. Your thumb may catch or make a crackling sound when you move it. […] Without proper care and treatment, healing may take longer than normal. Also, symptoms may continue or get worse. Over time, the problem may become long-term (chronic). This can make it hard to use your wrist and thumb for normal activities.
  • #1 De Quervain Tenosynovitis: Symptoms, Causes, and Treatment
    https://www.healthline.com/health/de-quervain-tenosynovitis
    De Quervain tenosynovitis is pain and swelling in the tendons around your thumb. Specifically, it affects the tendons of two muscles called abductor pollicis longus and extensor pollicis brevis. […] Symptoms of de Quervain tenosynovitis include: pain and swelling over the thumb side of your wrist, a fluid-filled cyst in this area, catching or snapping sensation when moving your thumb, pain that may come on suddenly or gradually, starts in your wrists and may travel up your forearm, is worse when you’re using your wrist or forearm. […] Some people who don’t receive treatment for de Quervain tenosynovitis may have progressive pain when using their affected hand or wrist. This pain may make some motions or sporting activities difficult. […] If left untreated, de Quervain tenosynovitis might cause progressive pain and discomfort. […] Many people with de Quervains tenosynovitis have complete resolution of their symptoms with conservative treatment alone.
  • #1 How to Stop De Quervain’s Tenosynovitis From Being a Pain in the Wrist | University of Utah Health
    https://healthcare.utah.edu/healthfeed/2024/05/how-stop-de-quervains-tenosynovitis-being-pain-wrist
    Chronic pain has a way of reminding us of the body parts we often take for grantedparticularly our hands and wrists. When simple daily tasks cause ongoing pain on the thumb side of your wrist, you may have De Quervain’s Tenosynovitis. […] People with this condition feel pain at the base of the thumb that radiates into the radial side (thumb side) of the wrist. Certain movements, such as grabbing, pinching, and twisting, will intensify the pain and may cause swelling and tenderness in the area. […] If you’re feeling sharp pain along the thumb side of the wrist while conducting this test, you may have De Quervain’s Tenosynovitis. […] If you’re experiencing symptoms of De Quervain’s Tenosynovitis, it’s time to limit or stop the activities that are causing this pain. […] The good news is that your painful symptoms can be alleviated with time and rest. […] If youve tried everything and still feel persistent pain, make an appointment with your doctor to discuss further treatment options, which may include cortisone (steroid) injections or surgery.
  • #1 De Quervain’s Tenosynovitis – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis/
    You may feel a catching or snapping sensation when moving the thumb. […] Pain and swelling may make it difficult to move your thumb and wrist. […] Most patients with De Quervain’s tenosynovitis do very well and are ultimately relieved of their symptoms with nonsurgical and/or surgical treatment.
  • #1 De Quervain’s Tenosynovitis – AOA Orthopedic Specialists
    https://www.arlingtonortho.com/conditions/hand-and-wrist/hand-and-wrist-de-quervains-tenosynovitis/
    De Quervain’s Tenosynovitis is a painful condition affecting the tendons located on the thumb side of your wrist. […] It is commonly associated with pain that starts in the base of the thumb that gets worse when gripping, pinching, or turning the wrist. […] Symptoms of De Quervain’s Tenosynovitis include but are not limited to: Pain near the base of the thumb, Swelling near the base of your thumb, Difficulty moving your thumb and wrist when grasping or pinching, A sticking or catching sensation in your thumb while moving it. […] If this gesture induces pain then De Quervain’s Tenosynovitis could be the cause. […] Many people improve within a few weeks to a few months with appropriate treatment and relaxation. The recuperation period, however, can differ based on the severity of the ailment and individual circumstances.
  • #1 What is de Quervain’s Tenosynovitis? | Raleigh Ortho
    https://www.raleighortho.com/specialties/hand-and-wrist/de-quervains-tenosynovitis-wrist-tendonitis/
    Tendinosis refers to a swelling of the tendons. De Quervains tenosynovitis, or wrist tendonitis, occurs when the tendons around the base of the thumb are irritated or constricted, causing pain and tenderness along the thumb side of the wrist. […] Symptoms of de Quervains tenosynovitis can include: Pain over the thumb side of the wrist, Pain felt in the wrist that travels up the forearm, Pain that worsens with movement of the wrist or when moving the thumb down or up, Swelling over the thumb side of the wrist, sometimes accompanied by a fluid-filled cyst in the same area, A catching or snapping sensation when moving the thumb, Pain and swelling that makes it difficult to move the thumb and wrist. […] Most patients will fully recover from de Quervains tenosynovitis surgery within six to twelve weeks.
  • #1 Nonsurgical Treatment for De Quervain’s Tenosynovitis
    https://www.sports-health.com/sports-injuries/hand-and-wrist-injuries/nonsurgical-treatment-de-quervains-tenosynovitis
    Once De Quervains tenosynovitis is diagnosed, nonsurgical treatments often will succeed in resolving it. […] Most cases of De Quervains tenosynovitis can be treated without surgery. Typically, symptoms should start to improve after 4 to 6 weeks of treatment. […] Pain medications that also alleviate inflammation, such as ibuprofen (Advil) and naproxen (Alieve), can help ease De Quervains tenosynovitis symptoms. […] One study of 80 patients with De Quervains tenosynovitis found that 95% were symptom-free after two or three injections over the course of 6 weeks.
  • #1 de Quervain’s Tenosynovitis Test, Treatment & Symptoms
    https://www.emedicinehealth.com/de_quervains_tenosynovitis/article_em.htm
    de Quervain’s tenosynovitis causes pain at the base of the thumb. De Quervain’s tenosynovitis causes pain at the base of the thumb. […] The main symptom of de Quervain’s tenosynovitis is wrist pain. The pain is located at the base of the thumb and may extend up the side of the forearm. The pain is usually worse with movement of the thumb and wrist. The pain can be worse with tasks such as opening a jar lid. The symptoms are usually on one side but can be on both sides, especially in new mothers and child care workers. The pain can be associated with tenderness at the location and sometimes swelling. […] The prognosis for de Quervain’s tenosynovitis is good. Symptoms generally respond to appropriate treatment. If the initial treatment is ineffective, surgery has a high rate of symptom relief.
  • #1 Anyone had De Quervain tenosynovitis? – TrainerRoad
    https://www.trainerroad.com/forum/t/anyone-had-de-quervain-tenosynovitis/85132
    This painful condition affects the tendons on the thumb side of the wrist. […] Dequairvains is the tendon getting compressed or trapped in its sheath it causes pain with thumb flexion/extension, and responds to injections at least 50% of time, and can be permanent fix. […] The test to see if it is Dequervains is to hold your thumb with the rest of your fingers and then bend your wrist away from your hand (so keep your thumb inside the grip of the other four fingers and move your hand toward your pinky side of your forearm – as if you were mimicking chopping). If that hurts – it is likely Deq. […] Anything else then steroid injections to treat it conservatively, Id rather not? […] I finally solved it after concluding that the hours of overhand grip while riding was the problem and I then started doing chin-ups (underhand bar grip) instead of pull-ups for my gym work. Marked improvement after 2 weeks but almost 6 months for full resolution but I had been struggling with DQT for 7+ years.
  • #1 de Quervain’s Tenosynovitis: Causes & Treatment – familydoctor.org
    https://familydoctor.org/condition/de-quervains-tenosynovitis/
    Most people notice improvement after 4 to 6 weeks of treatment. They are able to use their hands and wrists without pain once the swelling is gone. […] De Quervain’s tenosynovitis is a temporary condition. It generally responds well to treatment. It is important to treat de Quervain’s tenosynovitis. If this condition isn’t treated, it can permanently limit your movement or cause the tendon sheath to burst. Once your symptoms are better, work to prevent the condition from happening again.
  • #1 Hand and wrist pain – De Quervain’s Tenosynovitis | Musculoskeletal Matters
    https://www.mskdorset.nhs.uk/hand-and-wrist-pain/hand-and-wrist-pain-de-quervains-tenosynovitis/
    De Quervains tenosynovitisis caused by irritation between the extensor pollicis brevis (EPB) and the abductor pollicis longus (APL) tendons of the thumb. This causes inflammation and pain which becomes worse on moving the thumb or wrist and you may feel an associated creaking around the tendons. […] The symptoms can start following prolonged or unusual activity such as gardening, DIY, or use of a gaming console. […] It is also common in new mums although whether this is due to hormonal changes or repetitive lifting of the baby is unclear. […] The majority of symptoms associated with De Quervains tenosynovitis will settle with rest and the correct changes to activity. […] Swelling and pain can also be eased by applying an ice pack/frozen peas wrapped in a damp cloth for 10-15 minutes at a time, 3 times a day to the area.
  • #1 Tenosynovitis: Symptoms, Causes, Types & Treatment
    https://my.clevelandclinic.org/health/diseases/23448-tenosynovitis
    The most common tenosynovitis symptoms include: […] Tenosynovitis is usually painful. It can affect tendons connected to any muscle that helps one of your limbs push, pull, bend or straighten (your flexor and extensor muscles). You might also have trouble moving the affected part of your body like you usually can. […] Tenosynovitis can be a serious condition because it can lead to complications, including: […] The outlook for tenosynovitis is generally positive, depending on the cause. Almost everyone who develops it makes a full recovery and resumes their normal activities. You might need to take a break from the activity that caused you to overuse your tendon, but once you’ve healed you should have no long-term effects. Most people recover within a few weeks, even if they need surgery. […] Tenosynovitis is painful and can be dangerous if you don’t seek treatment right away. But most people make a full recovery, and you’ll likely only need conservative treatments like rest to give your body time to heal.
  • #2 De Quervain’s Tenosynovitis – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis
    De Quervain’s tenosynovitis is swelling of the tendons that run along the thumb side of the wrist and attach to the base of the thumb. This occurs when the tendons are constricted by the sheath that they run through to get from the wrist to the hand. […] This condition can cause pain and tenderness along the thumb side of the wrist. This is particularly noticeable when you are: […] You may feel pain over the thumb side of the wrist. This is the main symptom. The pain may appear either gradually or suddenly. It starts 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 and/or lifting objects or twisting the wrist. […] You may see swelling over the thumb side of the wrist. This swelling may accompany a fluid-filled cyst in this region. […] You may feel a catching or snapping sensation when moving the thumb. […] Pain and swelling may make it difficult to move your thumb and wrist.
  • #2 De Quervain’s Tenosynovitis: Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/10915-de-quervains-tendinosis
    De Quervains tenosynovitis is painful swelling around your thumb tendons. […] The most common de Quervains tenosynovitis symptom is pain in your wrist on the same side as your thumb (the radial side). Some people notice the pain suddenly or all at once, but it can also develop over time. The pain usually: […] Other symptoms include: […] De Quervains tenosynovitis is one of the most common forms of tenosynovitis. Experts estimate that it affects around 1% of people in the U.S. each year. […] It usually takes a few weeks for your tendons to heal after youre diagnosed with de Quervains tenosynovitis. How long youll need depends on what caused the inflammation and how severe your symptoms are. […] De Quervains tenosynovitis is very treatable and is usually a short-term issue. But if its not treated, its more likely that youll need surgery or experience complications. If you put too much pressure on your thumb tendons after you start experiencing de Quervains tenosynovitis symptoms, your tendon sheath can burst or your tendon may tear. […] De Quervains tenosynovitis is swelling in the sheath around your thumb tendons. It can make it painful and hard to use your thumb and wrist.
  • #2 De Quervain’s Tenosynovitis: Symptoms & Causes | NewYork-Presbyterian
    https://www.nyp.org/orthopedics/columbia-orthopedics/de-quervains-tenosynovitis
    De Quervains tenosynovitis causes swelling of the tendons around the base of your thumb, resulting in tenderness and pain along the inside of your wrist. This condition can make turning your wrist, making a fist, or grasping an object uncomfortable. […] If you have de Quervain’s tenosynovitis, you may experience the following symptoms: Pain over the thumb side of the wrist. This is the main symptom of de Quervains tenosynovitis. 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 grasping, pinching, or lifting objects, or when you twist your wrist. […] Feeling a sensation of catching or snapping when you move your thumb […] Swelling over the affected area. In some cases, a cyst forms […] Difficulty moving your thumb or wrist due to discomfort.
  • #2
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=zd1018spec
    De Quervain’s may cause pain when you twist your wrist. […] You might also have pain if you grab something between your thumb and fingers. […] Many people hear a funny sound like a squeak, crackle, snap, or creak when they move the wrist or thumb. […] The bottom of the thumb or the side of the wrist might also be sore or swollen. […] This can make it hard to move your thumb or wrist. […] The back of the thumb and index finger may also feel numb. […] Sometimes de Quervain’s can cause a small bump on the thumb side of the wrist. […] If you don’t get treatment, the pain can spread up your forearm or down into your thumb.
  • #2 De Quervains Tenosynovitis – Swansea Bay University Health Board
    https://sbuhb.nhs.wales/hospitals/a-z-services/physiotherapy/musculoskeletal-physiotherapy/hand-wrist-pain/de-quervains-tenosynovitis/
    Symptoms may include pain when you move your wrist or thumb and swelling or soreness on the thumb side of your wrist. […] A steroid injection may be of benefit if the symptoms persist or recur. A corticosteroid injection combined with anaesthetic may help to reduce the pain and swelling. […] The operation involves dividing part of the roof of the tendon sheath in which the tendons run. This allows the tendon to move more freely, relieving the inflammation and the pain.
  • #2 Symptoms and Risk Factors for De Quervain’s Tenosynovitis
    https://www.sports-health.com/sports-injuries/hand-and-wrist-injuries/symptoms-and-risk-factors-de-quervains-tenosynovitis
    De Quervains tenosynovitis is a condition in which inflammation in tendons in the thumb cause pain in the thumb and hand. […] The symptoms of De Quervains tenosynovitis may start suddenly (rare) or may come on gradually (more common). […] Pain at the base of the thumb close to the the wrist is a classic symptom of De Quervains tenosynovitis. […] De Quervains tenosynovitis typically causes: Pain and tenderness at the base of the thumb and/or on the side of the wrist closest to the thumb, Stiffness in the thumb, Pain that gets worse when moving the wrist, picking up an object, or making a fist, Pain thats triggered by playing sports that involve extensive wrist motion, such as golf, tennis, or rowing, Swelling on the thumb-side of the wrist, Numbness in the thumb or index finger, A sensation of catching or popping when moving the thumb.
  • #2 De Quervain’s syndrome
    https://www.bssh.ac.uk/patients/conditions/19/de_quervains_syndrome
    De Quervain’s syndrome is a painful condition that affects tendons where they run through a tunnel on the thumb side of the wrist. […] What are the symptoms? […] 1. Pain on the thumb side of the wrist, as shown in the diagram. Pain is aggravated especially by lifting the thumb, as in the hitchhiker position or when using scissors. […] 2. Tenderness if you press on the site of pain. […] 3. Swelling of the site of pain compare it with same spot on the opposite wrist. […] 4. Clicking or snapping of the tendons occurs occasionally.
  • #2
    https://www.parkwayeast.com.sg/conditions-diseases/de-quervains-tenosynovitis/symptoms-causes
    De Quervains tenosynovitis causes wrist pain which might develop gradually or appear suddenly. The main symptom is pain or tenderness over the wrist joint near the base of the thumb, which may also radiate up the forearm. […] Pain beginning as an aching sensation and progressing to a point when any movement of the wrist or thumb produces a sharp pain in the affected area. […] When De Quervain’s tenosynovitis is left untreated, the pain may spread and radiate into the forearm. The pain may also become more intense while performing simple tasks which involve the use of the thumb, such as pinching or grasping. […] Over time, it will become difficult to use your hand. You will likely experience increasingly limited range of wrist motion.
  • #2 De Quervain’s syndrome – Newcastle Hospitals NHS Foundation Trust
    https://www.newcastle-hospitals.nhs.uk/services/newcastle-occupational-health-service/physiotherapy/de-quervains-syndrome/
    De Quervain’s Syndrome results in the sheath covering the tendons on the thumb side of the wrist becoming thickened and painful. […] Pain on the thumb side of the wrist, which is usually a gradual onset. […] Pain is aggravated especially by lifting the thumb, as in the hitchhiker position or when using scissors, turning a door handle, turning a tap, texting, and gaming. […] You may experience tenderness if you press on the site of pain and sometimes you can experience swelling of the site of pain – compare it with same spot on the opposite wrist. […] Milder cases recover over a few weeks without treatment. Most will improve over time but may take a long time.
  • #2 De Quervain’s Release McAllen | De Quervain Tenosynovitis Treatment Edinburg
    https://www.drelzaim.com/dequervains-release-haissam-s-elzaim-orthopaedic-surgeon-mcallen.html
    The symptoms of De Quervain’s tenosynovitis include pain and tenderness on the side of the wrist at the base of the thumb. You may also have a little swelling and redness in the area. Your symptoms may get worse while making a fist, grasping or gripping things, or turning the wrist. You may experience a „catching” or „snapping” sensation while moving your thumb.
  • #2 De Quervain’s Tenosynovitis | Memorial Sloan Kettering Cancer Center
    https://www.mskcc.org/cancer-care/patient-education/de-quervain-tenosynovitis
    Some symptoms (signs) of de Quervains tenosynovitis are: […] Pain at the side of your wrist, under the base of your thumb. Moving your thumb can make this pain worse. […] Wrist pain that has spread into your forearm and thumb. […] Mild (slight) swelling, redness, or warmth at your wrist. […] A fluid-filled cyst near the thumb side of your wrist. A cyst is a sac-like pocket of tissue. […] Your healthcare provider can see if you have de Quervains tenosynovitis based on your symptoms and a physical exam. They will also ask you to do certain movements with your hand, wrist, and thumb. […] The amount of time it takes for symptoms to improve or go away is different for everyone.
  • #2 6 Signs of De Quervain’s Tenosynovitis | Alaska Orthopedic Specialists
    https://www.akortho.com/%EF%BF%BC6-signs-of-de-quervains-tenosynovitis/
    If you suffer from pain on the thumb side of the wrist, you might be experiencing De Quervain’s Tenosynovitis. This condition occurs when the tendons on the thumb side of the wrist become inflamed and cause pain when extending the thumb. […] Symptoms of De Quervain’s Tenosynovitis include: Pain near the base of the thumb especially with pinching or grasping, Aching near the base of the thumb, Swelling along the base of the thumb, Acute pain when extending the thumb, Reduced grip strength, Feeling of creaking as the tendons slide. […] Treatment can either be non-surgical or surgical. Conservative or non-surgical treatment for DeQuervain’s tenosynovitis may include: Restricting activities that aggravate the tendon of the thumb, Wearing a supportive splint, Taking anti-inflammatory medications, Icing the area, Steroid injections to reduce inflammation, Basic exercises may also be recommended to strengthen your muscles, reduce pain, and limit tendon irritation. If conservative treatment fails, surgery to open the tunnel and release pressure on the tendons may be considered.
  • #2 De Quervain tenosynovitis | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/de-quervain-tenosynovitis?content_id=CON-20371316
    This painful condition affects the tendons on the thumb side of the wrist. If you have de Quervain tenosynovitis, you will probably feel pain when you turn your wrist, grasp anything or make a fist. […] Symptoms of de Quervain tenosynovitis include: Pain near the base of the thumb, Swelling near the base of the thumb, Difficulty moving the thumb and wrist when doing something that involves grasping or pinching, A „sticking” or „stop-and-go” sensation in the thumb when moving it. […] If the condition goes too long without treatment, the pain may spread farther into the thumb or forearm or both. Moving the thumb and wrist may make the pain worse. […] Treatment for de Quervain tenosynovitis is aimed at reducing inflammation, preserving movement in the thumb and preventing recurrence. […] If you start treatment early, your symptoms should improve within 4 to 6 weeks. If de Quervain tenosynovitis starts during pregnancy, symptoms are likely to end around the end of either pregnancy or breastfeeding.
  • #2 de Quervain’s Tenosynovitis: Causes & Treatment – familydoctor.org
    https://familydoctor.org/condition/de-quervains-tenosynovitis/
    De Quervain’s tenosynovitis is a painful condition that affects the tendons in your wrist. It occurs when the 2 tendons around the base of your thumb become swollen. The swelling causes the sheaths (casings) covering the tendons to become inflamed. This puts pressure on nearby nerves, causing pain and numbness. […] The main symptom of de Quervain’s tenosynovitis is pain or tenderness at the base of your thumb. You might also feel pain going up your forearm. The pain may develop slowly or come on suddenly. It may get worse when you use your hand, thumb, or wrist. […] Other symptoms include: Swelling near the base of your thumb, Numbness along the back of your thumb and index finger, A “catching” or “snapping” feeling when you move your thumb, A squeaking sound as the tendons move within the swollen sheaths.
  • #2 De Quervain’s Tenosynovitis: a painful inflammation
    https://www.rebeccaayers.co.nz/procedures-and-information/hand-surgery/de-quervain-s-tenosynovitis
    In De Quervains tenosynovitis, inflammation of the tenosynovium narrows the tunnel. This means that the two tendons do not move easily but graunch and grind their way through, which is very painful. […] Your symptoms may include: Pain near the base of your thumb, Swelling near the base of the thumb and up onto the thumb side of the lower forearm, Pain on moving the thumb, making a fist, grasping or holding objects, A snapping or catching feeling when you move your thumb, A positive Finkelsteins test: The pain gets worse when you grasp your thumb within the palm, and you bend your wrist to the side. […] I often recommend that you try non-surgical treatment first, as non-surgical measures may resolve up to 70% of De Quervains symptoms over about 6 weeks.
  • #2 De Quervain’s Tenosynovitis Causes & Treatment | Baptist Health
    https://www.baptisthealth.com/care-services/conditions-treatments/de-quervains-tenosynovitis
    De Quervain’s Tenosynovitis is a painful condition that affects the tendons on the thumb side of the wrist. The condition causes pain when you rotate your wrist, make a fist, or grasp an object. […] If you develop De Quervains Tenosynovitis, you will likely experience noticeable signs and symptoms. The main symptom is pain in your thumb, hand, and wrist. Left untreated, the pain can spread deeper into your thumb and forearm. You may also experience severe pain. […] Additional Tenosynovitis symptoms include: Targeted pain You will likely feel pain at the bottom of your thumb. Swollen thumb The base of your thumb might swell. Difficulty with movement You may notice increased difficulty performing thumb and wrist motions that involve a pinching or grasping movement. Sticking sensation When you move your thumb, you may feel a sticking or catching sensation. It may seem as if your thumb temporarily stops working or does not want to move. […] The treatments focus on decreasing symptoms, reducing inflammation, and returning normal functioning. If you treat the condition early, most symptoms resolve in under six weeks.
  • #2 Reddit – The heart of the internet
    https://www.reddit.com/r/DeQuervains/comments/1cg9nyk/first_flare_early_stages/
    Hello all, I (34 F) started to experience mild (3/10) pain last Wednesday night in my left wrist (non-dominant hand) when I was scrolling on my phone in the evening. The pain is exacerbated with certain movements but I brushed it off. It continued to bother me the following day so I looked into what it may be. After some research, I deduced it must be De Quervain’s. […] My symptoms are primarily a sore/aching pain when I move my thumb in certain angles and this morning I just felt a sort of „sticking” resistance when moving my thumb and a sort of „clicking” in my wrist, when I checked again an hr or so later, it seems to have resolved. […] The pain has stayed the more or less since they first appeared 5 days ago.
  • #2 De Quervain’s tenosynovitis | Healthify
    https://healthify.nz/health-a-z/d/de-quervains-tenosynovitis
    De Quervains tenosynovitis is a painful hand condition affecting the tendons (part of your muscles) you use to straighten your thumb. […] The main symptom is pain and swelling at the base of your thumb or at your wrist. […] The pain is noticeable when you turn your wrist, grip or grasp anything or make a fist. It is made worse with activity and eased by rest. […] The pain is worse when your hand and thumb are in use. […] It may be sharp or dull, and it may appear gradually or suddenly. […] The pain can be felt all the way up your forearm. […] There may be swelling over the thumb side of your wrist, sometimes together with a fluid-filled sac in that area. […] You may have difficulty moving your thumb and wrist area because of pain and swelling. […] If left untreated, it can cause permanent damage to the movement of your wrist and thumb or cause the tendon sheath to burst.
  • #2 Nonsurgical Treatment for De Quervain’s Tenosynovitis
    https://www.sports-health.com/sports-injuries/hand-and-wrist-injuries/nonsurgical-treatment-de-quervains-tenosynovitis
    Once De Quervains tenosynovitis is diagnosed, nonsurgical treatments often will succeed in resolving it. […] Most cases of De Quervains tenosynovitis can be treated without surgery. Typically, symptoms should start to improve after 4 to 6 weeks of treatment. […] Pain medications that also alleviate inflammation, such as ibuprofen (Advil) and naproxen (Alieve), can help ease De Quervains tenosynovitis symptoms. […] One study of 80 patients with De Quervains tenosynovitis found that 95% were symptom-free after two or three injections over the course of 6 weeks.
  • #2 de Quervain’s Tenosynovitis: Causes & Treatment – familydoctor.org
    https://familydoctor.org/condition/de-quervains-tenosynovitis/
    Most people notice improvement after 4 to 6 weeks of treatment. They are able to use their hands and wrists without pain once the swelling is gone. […] De Quervain’s tenosynovitis is a temporary condition. It generally responds well to treatment. It is important to treat de Quervain’s tenosynovitis. If this condition isn’t treated, it can permanently limit your movement or cause the tendon sheath to burst. Once your symptoms are better, work to prevent the condition from happening again.
  • #2 Understanding De Quervain Tenosynovitis | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/understanding-de-quervain-tenosynovitis
    De Quervain tenosynovitis is a condition that can cause wrist and thumb pain. […] You may have pain, soreness, redness, and swelling along the side of your wrist and the base of your thumb. You may feel pain when you pinch or grasp things, turn or touch your wrist, or make a fist. Your thumb may catch or make a crackling sound when you move it. […] Without proper care and treatment, healing may take longer than normal. Also, symptoms may continue or get worse. Over time, the problem may become long-term (chronic). This can make it hard to use your wrist and thumb for normal activities.
  • #2 De Quervain Tenosynovitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK442005/
    De Quervain tenosynovitis manifests as a thickening and myxoid degeneration of the tendon sheaths, specifically affecting the abductor pollicis longus and extensor pollicis brevis tendons as they traverse through the fibro-osseous tunnel situated along the radial styloid at the distal wrist. […] Patients with this condition often experience exacerbated pain during thumb movement and radial or ulnar wrist deviation. […] The condition typically affects women in the late pregnancy or the postpartum period. […] The management starts with nonoperative treatment in the form of immobilization and corticosteroid injection in the first dorsal compartment. The majority of the patients benefit from conservative treatment. In patients where nonoperative treatment doesn’t provide pain relief, surgical release of the first dorsal compartment is indicated.
  • #2 De Quervain Tenosynovitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK442005/
    Patients present with radial-sided wrist pain typically worsened by thumb and wrist motion. […] The typical patient population is a pregnant woman in the third trimester or a breastfeeding mother who holds her child repeatedly. […] Most patients are treated successfully with nonoperative management. Corticosteroid injection, with or without immobilization, is effective in many patients. Even when the nonoperative command fails, releasing the first dorsal compartment relieves pain in almost all patients. Hence, the prognosis is usually good for these patients.
  • #2 De Quervain’s Tendinosis: Symptoms, Causes, Diagnosis & Treatment
    https://www.clevelandclinicabudhabi.ae/en/health-hub/health-resource/diseases-and-conditions/de-quervains-tendinosis
    Pain and tenderness along the thumb side of the wrist or directly over two specific tendons in the thumb is common in cases of de Quervain’s. Pain worsens when the hand and thumb are in use. Pain can appear suddenly or develop over time. In either case, the pain may travel into the thumb or from the wrist to the lower arm (forearm). […] Some people also experience swelling and pain on the side of the wrist at the base of the thumb. The pain may increase with thumb and wrist-twisting motion. Some people feel pain if direct pressure is applied to the area. […] In cases that have developed gradually, the tendinosis is usually more difficult to manage. It may take longer for symptoms to disappear and for the thumb and wrist to regain their range of motion.
  • #2 Anyone had De Quervain tenosynovitis? – TrainerRoad
    https://www.trainerroad.com/forum/t/anyone-had-de-quervain-tenosynovitis/85132
    This painful condition affects the tendons on the thumb side of the wrist. […] Dequairvains is the tendon getting compressed or trapped in its sheath it causes pain with thumb flexion/extension, and responds to injections at least 50% of time, and can be permanent fix. […] The test to see if it is Dequervains is to hold your thumb with the rest of your fingers and then bend your wrist away from your hand (so keep your thumb inside the grip of the other four fingers and move your hand toward your pinky side of your forearm – as if you were mimicking chopping). If that hurts – it is likely Deq. […] Anything else then steroid injections to treat it conservatively, Id rather not? […] I finally solved it after concluding that the hours of overhand grip while riding was the problem and I then started doing chin-ups (underhand bar grip) instead of pull-ups for my gym work. Marked improvement after 2 weeks but almost 6 months for full resolution but I had been struggling with DQT for 7+ years.
  • #2 Wrist Tendonitis & De Quervain’s Tenosynovitis: Symptoms, Causes and Treatment
    https://sforzodillingham.com/wrists-hands__trashed/wrist-tendonitis-dequervains-tenosynovitis/
    If the three do not work, then it is an indication that you need to contact our doctors for further assistance. Waiting for long periods can lead to complications, and at the end of the day, you might have to undergo surgery for a condition that could have been avoided. […] Usually, de Quervain’s tenosynovitis reacts well as expected to treatment. In most cases, patients do not need surgery as non-surgical methods such as cold press, braces, and anti-inflammatory medicine, and injections work well. […] If wrist tendonitis is left untreated, it can become severe and affect one’s ability to carry out simple daily tasks. […] De Quervain’s tenosynovitis is usually a mild condition that can be easily treated without surgery. If you experience more than one tendonitis wrist symptom, you should seek medical help instead of letting the symptoms progress.
  • #2 de Quervain’s Syndrome Overview: Symptoms, Causes & Treatments
    https://m.aidyourtendon.com/tendinitis-injuries/hand-wrist-tendonitis/de-Quervains-syndrome.php
    If you have contracted De Quervain’s Stenosing Tenosynovitis, you will notice a painful irritation below the thumb in the area of the wrist. The primary symptom of de Quervains tendonitis is pain at the base of the thumb near the wrist. The pain can be sudden and sharp or increase on a gradual basis with use of the thumb or hand. De Quervain’s tendonitis results from inflammation or constriction of the tendons of the muscles of the thumb at the point where they pass into the wrist. Diagnosis of this condition is based on the location of pain, decreased hand function, and the presence of swelling in the hand. […] Pain can radiate into the forearm and thumb and you may feel a „snapping” sensation when the thumb is moved. […] Scar tissue buildup is one of the main reasons we advocate the use of a TShellz Wrap over the long term once the swelling is down. Much of the pain may have disappeared with the swelling, but that does not mean your tendonitis has healed. The trick is to continue boosting blood flow to the area on a daily basis, helping keep tissues in the area flexible and less likely to strain while your tendon(s) continue to build up strength.
  • #2 De Quervain Tenosynovitis: Symptoms, Causes, and Treatment
    https://www.healthline.com/health/de-quervain-tenosynovitis
    De Quervain tenosynovitis is pain and swelling in the tendons around your thumb. Specifically, it affects the tendons of two muscles called abductor pollicis longus and extensor pollicis brevis. […] Symptoms of de Quervain tenosynovitis include: pain and swelling over the thumb side of your wrist, a fluid-filled cyst in this area, catching or snapping sensation when moving your thumb, pain that may come on suddenly or gradually, starts in your wrists and may travel up your forearm, is worse when you’re using your wrist or forearm. […] Some people who don’t receive treatment for de Quervain tenosynovitis may have progressive pain when using their affected hand or wrist. This pain may make some motions or sporting activities difficult. […] If left untreated, de Quervain tenosynovitis might cause progressive pain and discomfort. […] Many people with de Quervains tenosynovitis have complete resolution of their symptoms with conservative treatment alone.
  • #2 De Quervain’s Tenosynovitis | Orthopedic Medical Center
    https://www.orthomedctr.com/de-quervains-tenosynovitis.php
    De Quervain’s causes pain, swelling and tenderness over the thumb side of the wrist, and makes gripping difficult. […] If left untreated, de Quervain’s can get worse, with pain spreading up the forearm or down to the thumb.
  • #2 de Quervain’s Tenosynovitis Test, Treatment & Symptoms
    https://www.emedicinehealth.com/de_quervains_tenosynovitis/article_em.htm
    de Quervain’s tenosynovitis causes pain at the base of the thumb. De Quervain’s tenosynovitis causes pain at the base of the thumb. […] The main symptom of de Quervain’s tenosynovitis is wrist pain. The pain is located at the base of the thumb and may extend up the side of the forearm. The pain is usually worse with movement of the thumb and wrist. The pain can be worse with tasks such as opening a jar lid. The symptoms are usually on one side but can be on both sides, especially in new mothers and child care workers. The pain can be associated with tenderness at the location and sometimes swelling. […] The prognosis for de Quervain’s tenosynovitis is good. Symptoms generally respond to appropriate treatment. If the initial treatment is ineffective, surgery has a high rate of symptom relief.
  • #2 De Quervain’s Tenosynovitis | Orthopedics | Mercy Health
    https://www.mercy.com/health-care-services/orthopedics-sports-medicine-spine/specialties/hand-wrist-elbow/conditions/de-quervains-tenosynovitis
    De Quervains (pronounced d kr-vnz’) tenosynovitis is a hand condition that causes pain on the base of the hand behind the thumb. The condition occurs when tendons in the base of the thumb become inflamed and swollen. […] The inflammation causes pressure on nerves nearby, which leads to pain and numbness. […] The most common symptoms of de Quervains tenosynovitis are pain or swelling near the base of the thumb. The pain typically worsens gradually and can come on periodically. […] Other symptoms of de Quervains tenosynovitis include: Inability to move the thumb and wrist when doing something involving grasping or pinching, Sticking sensation when moving the thumb, Numbness between back of thumb and index finger, A fluid-filled cyst in the area impacted. […] After surgery for de Quervains tenosynovitis, recovery may involve wearing a split for one to four weeks. In most cases, patients will resume normal activities without pain within six to 12 weeks.
  • #2
    https://www.orthobullets.com/hand/6026/de-quervains-tenosynovitis
    De Quervain’s Tenosynovitis is a stenosing tenosynovial inflammation of the 1st dorsal compartment. […] Diagnosis is made clinically with radial sided wrist pain made worse with the Finkelstein maneuver. […] Symptoms include gradual onset, radial sided wrist pain, and pain exacerbated by gripping and raising objects with wrist in neutral. […] Physical exam reveals tenderness over 1st dorsal compartment at level of radial styloid, usually normal wrist motion, and pain with resisted radial deviation. […] Most cases resolve with non-operative management. […] High recurrence rate.
  • #2 Surgery for de Quervain’s disease | healthdirect
    https://www.healthdirect.gov.au/surgery/surgery-for-de-quervains-disease
    De Quervains disease causes pain when you move your wrist and thumb, and usually a tender swelling at the base of your thumb. […] The pain is usually worse when your thumb is extended. Sometimes your wrist and thumb may feel stiff and your thumb may lock slightly when you move it. […] For 8 in 10 people, symptoms improve quickly but your wrist and thumb may ache for a number of weeks. […] De Quervains disease causes pain when you move your wrist and thumb, and usually a tender swelling at the base of your thumb. If treatment with steroid injections has failed, surgery should relieve your pain.
  • #2 De Quervain’s Tenosynovitis – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis/
    You may feel a catching or snapping sensation when moving the thumb. […] Pain and swelling may make it difficult to move your thumb and wrist. […] Most patients with De Quervain’s tenosynovitis do very well and are ultimately relieved of their symptoms with nonsurgical and/or surgical treatment.
  • #3 de Quervain’s Tenosynovitis: Signs & Symptoms | The Hand Society
    https://www.assh.org/handcare/condition/dequervains-tenosynovitis
    Patients with de Quervains Tenosynovitis have painful tendons on the thumb side of the wrist. […] In de Quervains Tenosynovitis, the tunnel (the first extensor compartment) where the tendons run can narrow, or the tendons can take up extra space in the tunnel. […] In this condition, hand and thumb motion can cause pain, especially with forceful grasping or twisting. […] Patients with de Quervains Tenosynovitis often describe a feeling of sharp or dull pain and swelling. This is either at the base of the thumb or at the wrist.
  • #3 De Quervain’s Tenosynovitis: Chronic Wrist Pain | HSS
    https://www.hss.edu/condition-list_de-quervain-syndrome.asp
    The chief symptom is pain in the radial side (thumb side) of the wrist. This pain is usually noticed while forming a fist, grasping objects or turning the wrist, and it may radiate out to the thumb or the forearm. […] Other signs and symptoms can include: inflammation (swelling) or tenderness of the radial side of the wrist, popping or snapping sounds while moving the thumb.
  • #3 De Quervain’s syndrome
    https://www.bssh.ac.uk/patients/conditions/19/de_quervains_syndrome
    De Quervain’s syndrome is a painful condition that affects tendons where they run through a tunnel on the thumb side of the wrist. […] What are the symptoms? […] 1. Pain on the thumb side of the wrist, as shown in the diagram. Pain is aggravated especially by lifting the thumb, as in the hitchhiker position or when using scissors. […] 2. Tenderness if you press on the site of pain. […] 3. Swelling of the site of pain compare it with same spot on the opposite wrist. […] 4. Clicking or snapping of the tendons occurs occasionally.
  • #4 De Quervain’s Tenosynovitis – Causes, Symptoms & Treatment
    https://www.melbournehandtherapy.com.au/conditions-treated/dequervains-tenosynovitis/
    De Quervains tenosynovitis/disease (DQV), is an overuse condition that results in pain on the radial or thumb side of the wrist. […] The inflammation of the tendon sheaths results in increased fluid and reduced glide of the tendons, leading to friction and pain with repetitive or prolonged thumb and wrist movements. […] Symptoms: Tenderness, swelling and pain at the wrist and near the base of the thumb. Pain can also sometimes radiate up the forearm. […] Pain can be sharp or burning, down to a dull ache and can be constant or with specific activities. […] Pain with picking up larger objects with thumb out stretched and wrist in end range flexion or extension. […] Pain overnight/on waking. […] Decreased thumb/wrist movement and decreased grip strength. […] DQV can present as mild or of a chronic nature, that builds over time or it can come on seemingly suddenly and with a high, debilitating level of pain.
  • #5 De Quervain’s Tenosynovitis: a painful inflammation
    https://www.rebeccaayers.co.nz/procedures-and-information/hand-surgery/de-quervain-s-tenosynovitis
    In De Quervains tenosynovitis, inflammation of the tenosynovium narrows the tunnel. This means that the two tendons do not move easily but graunch and grind their way through, which is very painful. […] Your symptoms may include: Pain near the base of your thumb, Swelling near the base of the thumb and up onto the thumb side of the lower forearm, Pain on moving the thumb, making a fist, grasping or holding objects, A snapping or catching feeling when you move your thumb, A positive Finkelsteins test: The pain gets worse when you grasp your thumb within the palm, and you bend your wrist to the side. […] I often recommend that you try non-surgical treatment first, as non-surgical measures may resolve up to 70% of De Quervains symptoms over about 6 weeks.