De Quervain disease
De Quervain's disease, like golfer's elbow or tennis elbow belongs to the so called enthesopathy . It is the inflammation and thickening of the tendon sheath surrounding the tendon running in the so-called first extensor compartment , and so it refers to the tendon of abductor pollicis longus and the tendon of extensor pollicis brevis.
WHAT CAUSE DE QUERVAIN DISEASE
This disease most commonly affects women between 30 and 45 years old , primarily those who work in fixed positions or write numerous text messages using only the thumb and thus overloading the tendon mentioned above . This disease is sometimes called the 'mother's thumb’ as it is observed in young mothers raising small children.
The exact cause of the development of de Quervein' disease is not fully known yet. It is assumed that in addition to:
- the overloading,
- the occurrence of the disease,
- microtrauma or the coexistence of other diseases , such as RA (rheumatoid arthritis), involving a process of inflammation..
Most often it concerns the bones of the wrist. De Quervain's syndrome is counted as the so-called enthesopathy. The main symptom of de Quervain's disease is
- effusion occurring at the base of the thumb on the dorsal surface of the hand
This pain can last continuously or occur suddenly, especially during the flexion in the metacarpophalangeal joint of the thumb and during the movement of the carpal joint in the wrist; it may radiate along the forearm. This pain may be followed by the skipping of joints and a distinctive crackling occurring during the performance of movements. Along with the development of the disease, the increasing symptoms cause significant limitations of the hand functioning and they hinder the performance of basic activities of daily living.
Quick and simple tests are helpful to diagnose the disease.
- The first one involves straightening and abducting the thumb and folding other fingers. During this test, the person who suffers from de Quervain's team syndrome will feel strong pain in the wrist.
- The second alternative is Finkelstein's test - it is based on placing the thumb on the hand, and positioning other fingers so that they cover it. Then, the hand bends in the direction of the elbow. If a person feels pain in the area of the styloid process of the radial bone, it is a clear confirmation of the disease.
There are not many sources of information about the prevention of de Quervain's illness. However, simple exercises are recommended and avoiding a prolonged forced position which may negatively affect the locomotor apparatus movement. Because the very cause of the disease is not fully known, there are no clear indications for exercise. Then, it is necessary to consult a specialist.