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De Quervain Tenosynovitis Specialist in Augusta GA
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11/4/2014
De Quervain Tenosynovitis, otherwise known as De Quervain Tendinosis, is a painful inflammation of specific tendons that extend the thumb.
  1. De Quervain’s tenosynovitis, also known as De Quervain's stenosing tenosynovitis, is tendonitis of the wrist. Tendonitis of the wrist is an irritation and swelling of the wrist tunnel that the tendons of the thumb pass through on the way into the hand. The most common symptom of De Quervain's is a pain over the tunnel in the wrist when pinching, grasping, or stretching the wrist toward the small finger. Sometimes a swelling can be felt over this inflamed tunnel. 

    De Quervain's (Say "duh-Kair-VAZ") syndrome or de Quervain's disease named after the Swiss surgeon Fritz de ‘Quervain, who identified it first in 1895. It’s an inflammation of the sheath or tunnel that surrounds two tendons that control the movement of the thumb. It’s caused by repetitive use of the thumb in combination with radial deviation of the wrist. (pinching, wringing, lifting, grasping, gardening, knitting). In this position the tendons of the EPB and the APL are pressed to the processus styloideus and when the movement is repeated frequently it can cause irritation of the tendons by friction. The tendons swell, the tunnel becomes too small.

Signs and Symptoms
Commonly reported symptoms associated with De Quervain's tenosynovitis include the following:

  • Pain and tenderness to the thumb base and wrist area near the thumb
  • Swelling to the wrist area near the thumb
  • Fluid filled cyst may occur at the thumb base
  • Pain may radiate up the arm
  • Pain may occur gradually or suddenly
  • Pain tends to increase with thumb movement
  • Difficulty or inability to grip objects
  • Impaired thumb function affecting daily activities

  1. Causes and Risk Factors
    The cause of De Quervain's tenosynovitis is idiopathic or unknown. However, there are certain risk factors that may increase your chance of developing the condition.

    These can include the following:
    Gender: The condition is more common in females than males.
    Age: It occurs more frequently around ages 30-50.
    Social Habits: The condition may be caused by overuse such as with frequent texting or typing on mobile devices with your thumbs.
    Work Habits: Occupations that require repetitive hand and wrist movements such as with construction or playing music may increase your risk of developing the condition.
    Medical Conditions: Patients with diabetes, alcoholism, cirrhosis of the liver, and seizure disorders appear to be at increased risk of developing the condition.
  2. Treatment for De Quervain Tenosynovitis in Augusta GA
    For a chiropractor in Augusta GA and chiropractor in Evans GA that can provide FDA approved Cold Laser treatments, Georgia Clinic of Chiropractic has had tremendous success with repetitive strain injuries (RSI) that result in persistent or recurring pain from overuse of muscles and tendons. Our patients who have come in with De Quervain Tenosynovitis have had great success with our cold laser treatments.
  3. Cold Laser Therapy has been shown in numerous studies to decrease inflammation.  Be aware that although many people believe it to be true, inflammation is not synonymous with swelling --- it's much more serious than that.  Inflammation is a largely "systemic" chemical issue that causes all sorts of problems (swelling is one of many).  This probably helps explain why Cold Laser Therapy can help so many different problems.

    With no side effects associated with cold laser, many of our patients were able to not only successfully treat their De Quervain Tenosynovitis, but they were able to avoid surgery and the complications that can arise from it.
  4. We welcome you to schedule a complimentary consultation at Georgia Clinic of Chiropractic to find out if our customized cold laser treatments are the right fit for your condition.
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