De quirvain’s disease

Pain over the outside of the wrist joint.

Symptoms

• Pain over the outside of the wrist joint.
• Painful movements of the thumb.
• Painful gripping or rotation of the hand and wrist.

Causes

• The two tendons – the EPB – ( Extensor polices braves), APL ( Abductor policies longs ) get thickened and their synovial sheath as well. these two tendon pass through a tunnel which gets inflamed.

Treatment

• Rest
• Physical therapy
• Injection – corticosteroid
• If all above fails – Needle release or surgical release can be done.