How is de Quervain tenosynovitis diagnosed?
To diagnose de Quervain’s tenosynovitis, your doctor will examine your hand to see if you feel pain when pressure is applied on the thumb side of the wrist. Your doctor will also perform a Finkelstein test, in which you bend your thumb across the palm of your hand and bend your fingers down over your thumb.
Which provocative tests is used to diagnose De Quervain’s syndrome?
It is a provocative test for diagnosis of De Quervain’s disease that can easily be performed in an office setting or at the bedside. [1] Finkelstein’s test produces severe tenderness and usually pain on the radial aspect of the wrist when the thumb is flexed into the palm and the wrist is ulnar deviated.
How is radial styloid tenosynovitis diagnosed?
Symptoms
- Pain near the base of your thumb.
- Swelling near the base of your thumb.
- Difficulty moving your thumb and wrist when you’re doing something that involves grasping or pinching.
- A “sticking” or “stop-and-go” sensation in your thumb when moving it.
Can you drive after De Quervain?
Ask your doctor when you can drive again. You may be able to go back to work 1 or 2 days after surgery. It depends on the type of work you do and how you feel. You may shower, but do not get your hand wet until your doctor says it is okay.
Which orthopedic assessment test indicates de Quervain’s tenosynovitis?
The Finkelstein test is used in the diagnosis of De Quervain’s syndrome.
What does a positive Finkelstein test mean?
Positive result: Ask the patient if he or she feels pain radiating up the inside of his or her arm from the thumb. If the patient reports noticeable pain then, the Finkelstein’s test is positive, what indicates De Quervain’s syndrome.
How do you test for tendonitis in the wrist?
The doctor supports the forearm while the patient is asked to make a fist and bend the wrist backward. Simultaneously, the doctor gently pushes the little finger side of the fist toward the thumb side to provide resistance. > If wrist pain is felt when resistance is applied it indicates a tendon is inflamed.
How long does it take to recover from De Quervain’s tenosynovitis?
Most people notice improvement after 4 to 6 weeks of treatment. They are able to use their hands and wrists without pain once the swelling is gone.