DeQervain's Disease
DeQuervain's Disease or DeQuervain's Tenosynovitis is a condition of the thumb, wrist and sometimes the forearm. DeQuervain's Disease is caused by the inflamation of the tenosynovium (the lubricated tissue lining the tunnel on the side of the wrists just above the thumb) and the two tendons of the thumb side of the wrist. Any action that leads to repeated friction of the tendons in the thier sheath can cause DeQuervain's Disease. Repetitive actions such as pushing the space bar with one thumb, grasping, pinching, squeezing and wringing can lead to inflamation in the tenosynovium. Other conditions, such as an injury in this area that leaves scar tissue, which increases friction in the tendons, or rheumatoid arthritis can also cause DeQuervain's Disease.Symptoms of DeQuervain's Disease can include soreness on the thumb side of the forearm, which can spread up or down the forearm. Occasionally the friction in the tendons may cause the tendons to squeak as they try to move through the constricted tunnel. This condition is called crepitus.
People at risk for developing DeQuervain's Disease include computer users who repeatedly press the space bar with one thumb, people who grip their pen tightly with their thumb while writing, musicians, construction workers who hammer often, and fly fishermen who repeatedly cast their reel.
Prevention of DeQuervain's Disease includes taking frequent breaks from repetitive tasks, doing stretching and strengthening ergocises for the wrists and hands, adopting an ergonomic workstation arrangement, practicing proper wrist alignment while doing computer work, practicing proper posture at the computer, and avoiding tapping the space bar with only one thumb (try switching thumbs ).
Self Treatment of DeQuervain's Disease includes rest, decreasing or eliminating repetitive tasks, doing stretching and strengthening ergocises for the wrists and hands, adopting an ergonomic workstation arrangement, practicing proper wrist alignment while doing computer work, practicing proper posture at the computer, massaging the area to help flush out irritating waste products, applying ice to the region for 10 minute intervals 3-5 times a day for the first 48 hours after experiencing pain, and wearing a wrist brace. With more severe cases professional medical care is warranted and can include anti-inflammatory therapy, steriod injections and/or physical therapy, including electric stimulation or ultrasound as recommended by your physician.
(published with permission in writing from:http://www.ergocise.com)
