Wrist tendon inflammation

With a tendon inflammation in the wrist, the extension of a muscle (the tendon) is affected. The tendon forms the transition between muscle and bone. An abundance of movements with the hand or wrist leads to small tears in the tendon. Recovery from a tendon inflammation is hindered because tendons have hardly any blood vessels and can therefore only take up a limited amount of healing substances.

One of the most common sites for a tendon inflammation in the wrist is on the thumb side. In that case, the tendon sheath of the thumb tendons is irritated. This condition is also referred to as De Quervain's disease, named after the Swiss surgeon Fritz de Quervain who first described it in 1895.

How does a tendon inflammation in the wrist occur?

A tendon inflammation in the wrist is mainly caused by overuse. This applies to both repetitive movements and (too) heavy lifting tasks. Other examples of such tasks or sports are sewing or knitting, computer work with keyboard and mouse, bowling, or weightlifting.

Long-term underuse of the wrist is also a risk factor. This reduces the load tolerance of the muscles and tendons in the wrist and thus leads to overuse more quickly.

What are the symptoms of a tendon inflammation in the wrist?

A hallmark of a tendon inflammation in the wrist is an increase in pain with pressure on the wrist. With insufficient rest, this pain can become more constant. The pain will then also be present without pressure. The wrist may feel stiff and also appear swollen.

How is the diagnosis of a tendon inflammation made?

To diagnose a tendon inflammation in the wrist, a wrist examination by a GP or physical therapist will probably suffice. If necessary, this is supplemented with specific tests.

If there is still doubt after the physical examination, the GP may choose to have imaging performed. In that case, an ultrasound will provide clarity.

How is a tendon inflammation in the wrist treated?

With a tendon inflammation, it is always wise to rest and ice the painful area. Physical therapy is very suitable as a treatment. The hand physical therapist will focus the treatment plan on reducing pain and restoring the flexibility and strength of the wrist. If your job or sport requires specific support for the wrist, a brace can be considered.