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Quervain's syndrome corresponds to inflammation of the tendons that are located at the base of the thumb, with pain and swelling of that region being perceived, which can worsen when performing movements with the thumb. The cause of this syndrome is still not very clear, however the symptoms usually worsen when repetitive movements such as typing, for example, are performed.
Treatment should be indicated by the orthopedist according to the symptoms presented by the person, with immobilization of the thumb and the use of anti-inflammatory drugs to relieve the symptoms being often indicated. However, in cases where the symptoms do not go away even with the treatment or when the symptoms are so intense that they interfere with the performance of daily activities, surgery may be indicated.
Symptoms of Quervain syndrome
Symptoms of Quervain's syndrome arise when the tendons located at the base of the thumb become inflamed, making it difficult for the tendons to slip and, thus, there is pain when the finger moves. Thus, the main ones related to the syndrome are:
- Pain in the thumb, especially when there is movement of the finger;
- Pain in the region when the wrist is moved laterally with the bent finger;
- Pain in the region when touching;
- Site stiffening;
- Local swelling, noticed mainly in the morning;
- Difficulty holding an object;
- Pain and discomfort when performing common everyday movements, such as opening a can, buttoning a shirt or opening the door, for example.
Although the cause of Quervain's syndrome is still not very clear, it is believed that repetitive movements on a daily basis may favor inflammation or worsen symptoms in people who have already been diagnosed with the syndrome, and may also be associated with chronic and systemic diseases such as diabetes, gout and rheumatoid arthritis, for example.
In addition, some people are more likely to develop Quervain's syndrome as pre-menopausal women, pregnant women or people who have had a wrist fracture at some point in their lives.
How the treatment is done
The treatment of Quervain's syndrome should be carried out according to the orthopedist's guidance, in most cases the immobilization of the thumb and wrist is indicated to prevent movement and aggravation of the inflammation. In addition, in these cases the use of analgesic or anti-inflammatory drugs may also be indicated to help relieve symptoms. In some cases, corticosteroid infiltration may also be indicated to accelerate recovery.
When treatment with drugs is not enough or when symptoms limit daily activities, the doctor may recommend surgery to treat inflammation and promote symptom relief and relief. It is also common that after surgery, physiotherapy sessions are indicated to speed up the recovery process.