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Posted on 09-29-2016

De Quervain's Disease

De Quervain’s disease also known as Texting Tenosynovitis, Blackberry Thumb, and Gamers’ Thumb is characterized by pain on the thumb side of the wrist, impairment of thumb function and thickening of the ligamentous structure covering the tendons of that compartment.  Patients may experience associated symptoms including numbness, tingling, burning, and cramping.

The incidence of De Quervain’s disease is three times greater in women than men, being more common in the fifth and sixth decades and in pregnant and/or lactating women.  Other susceptible groups are musicians, assembly workers, golfers, machinists and more recently, video game players and people who overuse Smartphones.

The disease is caused by overuse and/or an increase in repetitive activity, resulting in shearing microtrauma and tendon thickening from persistent gliding of the tendons of the abductor pollicis longus (APL) and extensor pollicis brevis (EPB)- the muscles that move your thumb.

Conservative treatment includes rest, early immobilization, heat, cold, friction massage, medication (such as non-steroidal anti-inflammatory drugs) wrist adjustments and muscle release therapy.  Active treatment options include active pain-free range of motion exercises, strengthening, tendon gliding, self-administered friction massage and eccentric training exercises. 

Time to recovery in early cases is 6-10 weeks; for chronic cases full recovery may take 3-6 months.  

If you are experiencing similar symptoms don't wait! Call 905-827-4197 to book your appointment today!

205-1131 Nottinghill Gate, Oakville, Ontario, L6M 1K5

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