De Quervain Tenosynovitis

Overview

A healthcare provider will diagnose de Quervain’s tenosynovitis with a physical exam. They’ll examine your thumb and wrist. Tell your provider when you first noticed pain around your wrist and if any activities make it noticeably worse.

Which tests do providers use to diagnose de Quervain’s tenosynovitis?

Healthcare providers use a physical motion called the Finkelstein test to diagnose de Quervain’s tenosynovitis. Your provider will have you make a fist with your fingers wrapped over your thumb. Holding that fist shape, you’ll move your wrist up and down (as if you were shaking someone’s hand). This position and motion singles out your thumb tendons. If you have de Quervain’s tenosynovitis, it’ll usually hurt when you move your wrist during the Finkelstein test.

Your provider might also use imaging tests like X-rays to check your wrist joint for signs of other conditions that cause wrist pain (like osteoarthritis).

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Symptoms

When to see a doctor

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Complications

Blood clots are a dangerous complication of atrial fibrillation (AFib). Blood clots can lead to stroke.

The risk of stroke from AFib increases as you grow older. Other health conditions also may increase the risk of a stroke due to AFib. These conditions include:

High blood pressure.
Diabetes.
Heart failure.
Some types of heart valve disease.

Blood thinners are commonly prescribed to prevent blood clots and strokes in people with atrial fibrillation.

Prevention

Healthy lifestyle choices can reduce the risk of heart disease and may prevent atrial fibrillation (AFib). Here are some basic heart-healthy tips:

Control high blood pressure, high cholesterol and diabetes.
Don't smoke or use tobacco.
Eat a diet that's low in salt and saturated fat.
Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
Get good sleep. Adults should aim for 7 to 9 hours daily.
Maintain a healthy weight.
Reduce and manage stress.

By Freedmans Health Clinic Staff

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