De Quervain Syndrome Treatment

De Quervain syndrome involves the **abductor pollicis longus** and **extensor pollicis brevis** tendons as they pass through a narrow tunnel on the thumb side of the wrist. When these tendons become irritated, inflamed, or thickened, movement within the sheath becomes restricted and painful. The condition is often triggered by repetitive gripping, lifting objects with the thumb extended, forceful wrist deviation, or prolonged hand use. Hormonal changes during pregnancy and the postpartum period may also increase susceptibility, which is why the condition is common in new mothers. Patients usually report pain when pinching, lifting, or twisting the wrist, and tenderness over the radial styloid is a classic finding. Diagnosis is commonly supported with **Finkelstein's test**, which reproduces pain when the thumb is tucked into the palm and the wrist is moved into ulnar deviation. Early recognition helps guide effective conservative management and prevents prolonged disability.