De Quervain's disease often occurs during the performance of professional tasks, with constant heavy loads on the hands, caused by the narrowing of the tendon sheath of the thumb. The disease progresses gradually and has a chronic course.
Causes
Orthopedists most often associate the onset of the disease with professional activities. The thumb is involved in many operations – holding objects, tools. Prolonged loads and deviation of the wrist towards the fifth finger create significant stress on the tendons. This can lead to stenosis and an inflammatory process. The disease is frequently registered among keyboard musicians, seamstresses, locksmiths, painters, and dairy workers. Similar disorders can also occur in non-working individuals, such as those engaged only in household chores.
Symptoms of De Quervain's Disease
The disease progresses gradually, so the patient does not seek medical attention immediately, but after several days or weeks of noticing symptoms. Upon reviewing the medical history, it is found that pain at the onset of the disease occurs only during finger extension. Over time, the situation worsens – pain occurs even with slight finger movements. Pain is felt in the forearm and wrist joint and has a pressing, aching character. Occurring with movement, they may not subside even at rest. Swelling may be registered around the first finger, and flattening of the anatomical snuffbox is observed, which is not defined due to swelling.
Diagnosis of De Quervain's Disease in Israel
The diagnosis of the disease in Israel is made by studying the history and symptoms, as well as examining the patient. To confirm the diagnosis, radiological examination and ultrasound are used.
Treatment of De Quervain's Disease in Israel
Treatment of De Quervain's disease in Israel is conducted by specialists in orthopedics or surgery. In the case of conservative treatment, a plaster splint is applied for up to one and a half months. The medication course includes anti-inflammatory drugs, and corticosteroids are prescribed if symptoms are severe. Ineffectiveness of standard treatment leads to surgical intervention. Under local anesthesia, an incision is made in the skin at the previously identified most painful area, followed by excision of the dorsal ligament under the radial nerve. Hand functionality is restored within two weeks.
Prevention
With further progression of the disease, patients are advised to change their type of activity to one with less strain on the hand.