October 24, 2011

Tendinitis Of The Wrist

What Is Tendinitis of the Wrist?
Tendonitis of the wrist (properly termed DeQuervain’s stenosing tenosynovitis) is an irritation and swelling of the sheath or ‘tunnel’ which surrounds the tendons of the thumb. A pain in the front of the wrist is a common indication of tendonitis.

There may also be pain when grasping something or pinching with the fingers. Occasionally, a lump or thickening can be felt in the wrist directly over the carpal tunnel. Bending and extending the wrist usually painful and there may be local swelling plus creaking at the injury site.

Physicians may use the Finkelstein test to diagnose tendonitis. In this test the hand is made into a fist with the thumb tucked in towards the little finger. If pain gets worse, it is a sign of tendonitis.

Causes of Tendinitis of the Wrist
Tendonitis of the wrist may develop due to biomechanical problems, pre-existing injury to any area in the arm, improper technique in racket sports or key boarding, inadequate equipment and increasing the time or intensity of exercise.

Treatment of Tendinitis of the Wrist
If treated early, many cases improve with short periods of rest in a splint, followed by stretching exercises designed to get the tendons gliding. Injection with steroids and/or taking anti-inflammatory medications.

More severe cases or those that do not respond to other treatment may require surgery. Modification of the activities which caused the symptoms initially also may be required.

Elizabeth Quinn



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