Get to know “De Gavin’s Disease”, a disease that should not be overlooked.
Many patients may be careless when they have pain in their wrist or above their thumb, thinking that this symptom will not have much effect on their body. But did you know that if left untreated and not treated properly, it can result in carpal tunnel syndrome or De Gavin’s disease ?
What is De Gaulle disease?
De Quervain ‘s tenosynovitis, medically known as De Quervain’s tenosynovitis, is an inflammation of the tendon sheath on the thumb side of the wrist, resulting in pain and limited movement in the คาสิโนออนไลน์ UFABET ฝากถอนรวดเร็ว เริ่มต้นเล่นง่าย area.
Causes of De Gavin’s disease
- Repetitive wrist use from activities that require frequent wrist or thumb movement, such as typing, using a phone, using tools, or lifting heavy objects.
- Injuries caused by impact or injury to the wrist or tendons.
- Hormonal changes can occur in pregnant or postpartum women due to hormonal changes and wrist use while caring for a baby.
- It can occur due to underlying diseases such as rheumatoid arthritis or gout.
Symptoms of the disease
- Pain in the thumb side of the wrist. The pain may radiate to the forearm or finger joints.
- Swelling: The wrist area may be swollen and painful when pressed.
- Difficulty moving the thumb, especially when trying to make a fist, pick up objects, or rotate the wrist.
- A clicking sound in the wrist, sometimes with a grinding sound during movement.
Diagnosis
- During a physical examination, the doctor will look for areas of pain and assess wrist movement.
- Finkelstein Test: A test in which the patient makes a fist with the thumb pressed into the fist and then bends the wrist toward the little finger. If there is pain, it indicates inflammation of the tendon sheath.
- Ultrasound is an ultrasound of the tendons and tendon sheaths using an ultrasound machine to look at images of the wrist. The images show the location of inflammation and swelling, as well as indicate the severity of the symptoms and the amount of scar tissue in the area. The ultrasound machine can be used to determine where to perform injections or surgery.
Treatment
- Rest and avoid movements or activities that may aggravate symptoms.
- Cold compresses reduce swelling and inflammation.
- Use of drugs: NSAIDs, such as ibuprofen
- Wearing a wrist brace can help reduce movements that cause pain.
- Physical therapy to restore strength and movement
- Steroid injection under ultrasound if symptoms do not improve after initial treatment.
- Surgery: In severe cases where symptoms do not respond to other treatments, your doctor may consider surgery to open up the tendon sheath.
Prevention of De Gavin’s disease
- Avoid repetitive or improper use of your wrist.
- Rest your hands and wrists while working, such as typing or using the phone.
- Practice stretching and exercising your wrists regularly.
- Use proper posture when working, such as adjusting your desk and chair to the correct height.
Carpal tunnel syndrome is usually not a serious condition, but if left untreated, it can make wrist use less effective. If you have symptoms similar to this condition, you should see a doctor for proper diagnosis and treatment.