Wrist tendon inflammation

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

One of the places in the wrist where a tendon inflammation occurs most often 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 the condition in 1895.

How does a tendon inflammation in the wrist occur?

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

Long-term underloading of the wrist is also a risk factor. This reduces the load capacity of the muscles and tendons in the wrist and thus causes overuse more quickly.

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

Characteristic of a tendon inflammation in the wrist is an increase in pain when pressure is applied to the wrist. If insufficient rest is taken, this pain can become more constant and then also be present without pressure. The wrist may feel stiff and also look 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 physiotherapist 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 carried out. In that case, an ultrasound scan will provide the answer.

How is a tendon inflammation in the wrist treated?

With a tendon inflammation, it is always sensible to take rest and to cool the painful area. As a treatment, physiotherapy is very suitable. The hand physiotherapist will focus the treatment plan on reducing pain and restoring the suppleness and strength of the wrist. If work or sport requires specific support of the wrist, a brace can be considered.