De Quervain’s Disease | DQ Disease

What Is DQ Disease?

De Quervain’s disease (DQ Disease), also known as De Quervain’s tenosynovitis, is a painful condition affecting the tendons on the thumb side of the wrist. It causes inflammation, leading to pain and difficulty in wrist movement. People who frequently use their wrists in repetitive motions, such as new mothers, gamers, and office workers, are more prone to this condition.

Causes of DQ Disease

Understanding the causes can help prevent and manage this condition effectively.

Repetitive Motion and Overuse

Activities that require constant gripping, twisting, or lifting can strain the tendons. Typing, gardening, playing sports, and lifting babies frequently contribute to overuse injuries.

Hormonal Changes

Pregnant and postpartum women often experience De Quervain’s disease due to hormonal shifts and increased fluid retention, which put pressure on the tendons.

Injury or Trauma

A direct injury to the wrist or a sudden strain can cause inflammation in the tendons, leading to this condition.

Arthritis and Other Medical Conditions

People with rheumatoid arthritis or inflammatory diseases are at higher risk, as these conditions can weaken tendons and increase swelling.

Recognizing the Symptoms

Early detection can prevent the condition from worsening. Common symptoms include:

  • Pain near the base of the thumb – It worsens with wrist movement, grasping, or twisting.
  • Swelling on the thumb side of the wrist – A visible lump may form over time.
  • Difficulty moving the thumb – Stiffness and reduced grip strength occur in advanced cases.
  • Clicking or popping sensation – Some people feel a snapping feeling when moving the thumb.

Diagnosis of De Quervain’s Disease (DQ Disease)

A healthcare provider can diagnose this condition with a simple physical exam. The Finkelstein test is commonly used, where the patient bends their thumb across the palm and folds their fingers over it. If sharp pain occurs when moving the wrist downward, it confirms the condition.

Effective Treatment Options

Several treatments help reduce pain and improve wrist function.

USG-Guided Steroid Injection for DQ Disease

One of the most effective treatments for De Quervain’s disease is ultrasound-guided (USG) steroid injection. This minimally invasive procedure delivers corticosteroids precisely to the inflamed tendons, reducing swelling and pain significantly. USG guidance ensures accuracy, minimizing complications and improving outcomes. Many patients experience significant relief after a single injection.

Fenestration of the Extensor Retinaculum

Daradia first introduced fenestration of the extensor retinaculum as an advanced treatment for De Quervain’s disease. This procedure involves creating small perforations in the extensor retinaculum, reducing pressure on the tendons, and allowing better movement. It has shown excellent results in providing long-term relief.

Home Remedies and Lifestyle Changes

  • Rest the wrist – Avoid repetitive movements to prevent further irritation.
  • Apply ice packs – Ice helps reduce swelling and pain.
  • Use a splint – Immobilizing the thumb and wrist allows the tendons to heal.

Medications for Pain Relief

  • Over-the-counter NSAIDs, such as ibuprofen, help reduce inflammation.

Physical Therapy

A therapist can recommend exercises that strengthen the wrist and improve flexibility. Gentle stretching and strengthening techniques prevent future flare-ups.

Surgical Intervention

If conservative treatments fail, surgery may be necessary. A minor outpatient procedure releases the tendon sheath, reducing pressure and restoring movement.

Preventing De Quervain’s Disease (DQ Disease)

Simple lifestyle adjustments can reduce the risk of developing this condition.

  • Modify hand movements – Avoid excessive thumb strain by changing how you grip objects.
  • Use ergonomic tools – Proper wrist support while typing or using tools prevents overuse injuries.
  • Take breaks – Frequent rest periods during repetitive activities reduce tendon strain.
  • Perform wrist exercises – Strengthening and stretching help maintain flexibility and reduce stiffness.

When to See a Doctor for DQ Disease

If wrist pain persists despite rest and home remedies, consult a doctor. Early treatment prevents long-term complications and ensures quick recovery.

Conclusion

De Quervain’s disease can be painful, but with the right approach, relief is possible. USG-guided steroid injections offer an advanced and precise treatment, while fenestration of the extensor retinaculum, pioneered at Daradia, provides long-term relief. Identifying symptoms early, making lifestyle changes, and seeking appropriate treatment can restore wrist function. If pain persists, consult a healthcare provider for a tailored treatment plan.

For more information on pain management and treatment options, visit Daradia Pain Management.

References:

Orlandi D, Corazza A, Fabbro E, Ferrero G, Sabino G, Serafini G, et al. Ultrasound-guided percutaneous injection to treat de Quervain’s disease using three different techniques: a randomized controlled trial. Eur Radiol. 2015 May;25(5):1512-9. doi: 10.1007/s00330-014-3515-0. PubMed

Bhat AK, Vyas R, Acharya AM, Rajagopal KV. De Quervain’s tenosynovitis: a non-randomized two-armed study comparing ultrasound-guided steroid injection with surgical release. Musculoskelet Surg. 2023 Mar;107(1):105-114. doi: 10.1007/s12306-022-00735-0. PubMed