It starts in the wrist and can travel up the forearm. The goal of surgery is to release the tendon sheath to make more room for the irritated tendons. Fifty to 80% of patients can be successfully treated nonsurgically with splints, NSAIDs, and injections. Only 3.7% of the general population is likely to be affected by De Quervain's Tenosynovitis. Finkelstein/Eichhoff test. If the condition goes too long without treatment, the pain may . It's most commonly caused by repetitive activities that strain the thumb, like typing, gardening, or lifting children. It is a disorder characterized by pain of varying degrees of severity in the radial side of the wrist due to restricted . First of all, we curved all borders of tapes to prevent early separation of the tap.The first strip (1-inch wide and 6-inches long) was used to unload from APL( abductor pollicis longus) and EPB (extensor pollicis brevis ) tendons. Thumb pain usually presents as pain at the base of the thumb and wrist. The pain may appear either gradually or suddenly. Tendons are ropelike structures that attach muscle to bone. Pain and tenderness on the thumb side of your wrist may be due to de Quervain's tenosynovitis. I also sleep with it when the pain is particularly bad. De Quervain's tenosynovitis. This is the main symptom. This will help reduce the stickiness of the tape and make it easier to remove. No need to suffer more! If the covering becomes irritated, the tendons can thicken and swell. But in terms of the actual process, firstly make sure youre removing the tape in the same direction as the growth of the hair underneath it,and whatever you do dont rip the tape off like a plaster! Swelling and stiffness can also occur. A "sticking" or "stop-and-go" sensation in the thumb when moving it. The De Quervain's Wand has proven to be a quick and inexpensive solution for De Quervain's Disease, and can easily be used at home. When done correctly, this can relieve the symptoms of De Quervain's tenosynovitis without affecting hand/wrist function. Elsevier; 2022. https://www.clinicalkey.com. If the tape has been applied over a particularly hairy part of the body, it helps to press down on the tape as you are peeling it off, as the pressure helps avoid further pain. Most cases are associated with overuse, however, local trauma can also precipitate the condition. This website also contains material copyrighted by third parties. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. The remaining patients typically respond well to surgery. 1.3% of women and 0.5% of men are likely to suffer from De Quervain's . KT Tape: Thumb. De Quervain tenosynovitis (dih-kwer-VAIN ten-oh-sine-oh-VIE-tis) is a painful condition affecting the tendons on the thumb side of the wrist. Difficulty moving the thumb and wrist when doing something that involves grasping or pinching. Take a full length piece of tape (about 10 inches long) and cut it down the center, rounding the edges, to create two long, thin strips. Tendons connect muscles to bone. Patients with diabetes may be less successfully treated with injections and are more likely to have a surgical complication (infection, wound healing problems, etc.). De Quervain's syndrome is an irritation or inflammation to the tendons that move the thumb as they run through a tunnel at the wrist. It facilitate the healing process while providing full ROM with support to the joints suppotive structure as well as mobilization effects. Two of the tendons that move your thumb run along the thumb side of your wrist. Cortisone shot- helped me SO much. South-Paul JE, et al., eds. Acute musculoskeletal complaints. It is especially effective in the earlier stages of De Quervain's Syndrome. This condition in particular is a degenerative (microscopic injury) condition of the sheath (extensor . In cases that fail simple treatment and one to two De Quervain's injections, surgery to release the tendons is recommended. DeQuervain's tenosynovitis. De Quervain's Wand and Tape go hand in hand to provide an affordable, safe, and easy method of treating De Quervain's Tenosynovitis. Other causes of de Quervain tenosynovitis include: Risk factors for de Quervain tenosynovitis include: When de Quervain tenosynovitis goes untreated, it can become difficult to use the hand and wrist properly. De Quervain's tenosynovitis test. Yes. De Quervain's tenosynovitis treatment. People with de Quervain's typically experience pain in the wrist while pinching, grasping, making a fist, or stretching the wrist towards the small finger. Further information is provided in the video and leaflet below. This content does not have an English version. De Quervain tendinopathy. Our Team : Physiotherapist in Samarpan Physiotherapy Clinic, Physiotherapy clinic near Haridarshan Char Rasta, Physiotherapy Clinic Near Rabari Colony Char Rasta, Samarpan Physiotherapy Clinic Uttamanagar Nikol Road, Samarpan Physiotherapy Clinic Vastral Branch Ahmedabad. De Quervain tenosynovitis is the second most common entrapment tendinopathy in the hand following trigger finger. Your email address will not be published. In: Current Diagnosis & Treatment: Family Medicine. Pain during thumb movements. Kinesiology tape for your de quervain disease of thumb may be one option that your physical therapist uses to treat your condition .Kinesiology taping, also known as K-tape, is a treatment that can be used to decrease your pain, inhibit muscle spasm, or facilitate the correct muscle contraction of your elbow and wrist muscles. Ferri FF. All material on this website is protected by copyright. Physiotherapy Clinic Bapunagar Amaraiwadi Nava Naroda Vastral, Kinesiotapping for De-Quervain Disease is a rehabilitative cum protective use of stretchable kinesiological tapes to provide reduction. 2 TAPING: Specialized taping is often beneficial to support the area and decrease pain. . Adapted from the American Society for Surgery of the Hand: Brochure: de Quervain's Stenosing Tenosynovitis. American Society for Surgery of the Hand. Mayo Clinic does not endorse companies or products. This is a simple effective taping for people that use their hands for heavy gripping use,. Your orthopaedic surgeon can advise you on the best treatment for your situation. For additional resources, please visit www.strengthtape.com STRENGTHTAPE Kinesiology Tape can assist to relieve the pain associated with De Quervain Syndrom. Although the exact cause of de Quervain tenosynovitis isn't known, any activity that relies on repetitive hand or wrist movement such as working in the garden, playing golf or racket sports, or lifting a baby can make it worse. Symptoms of de Quervain tenosynovitis include: If the condition goes too long without treatment, the pain may spread farther into the thumb or forearm or both. The best tip we can offer when it comes to removing your kinesiology tape is to peel the skin from the tape, not the tape from the skin. If you or your patients are suffering from radial wrist pain, try this simple taping technique to help reduce pain! This occurs when the tendons are constricted by the sheath that they run through to get from the wrist to the hand. Common symptoms of de Quervain's tenosynovitis. Aggarwal R, et al. Avoiding pinching with the thumb when moving the wrist from side to side. It is most common in people in their 40s and 50s and affects more women than men. Moving the thumb and wrist may make the pain worse. In severe cases, pinching, gripping or grasping becomes unbearable, and any extra wrist movement only worsens the discomfort. Kinesio Taping for De Quervain's Tendinosis, Intersection Syndrome. Start slowly, folding the corners of the edge back gradually, ensuring that youre laying the removed tape on the back of the applied tape. De Quervains tenosynovitis is inflammation of the tendons within the first extensor compartment of the wrist, resulting in wrist pain and swelling. It safely decreases . De Quervain's tenosynovitis of the first extensor compartment. De Quervain's tendosynovitis is a painful condition in which the tendons in the thumb side of your wrist and the sheath (casing) covering them get inflamed and swollen. Its wise to have shaved the area before applying the tape but, as this isnt always practical, taking this precaution will be necessary to some.Need a little extra assistance? De Quervains disease is a disorder that is characterized by pain, tenderness, swelling and edema over the radial side of the wrist.it is very painful when thumb move.it cause due to constriction of 1st extensor compartment. as opposed to pulling the tape above and away from your arm. This results in increased friction and pain with certain thumb and wrist movements. The test name is Finkelstein's test . Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. It also is associated with pregnancy and breastfeeding. Recently, some doctors have been performing a hybrid release using a special needle with a small blade. de Quervains tenosynovitis is caused by inflammation and swelling of the tendons of the abductor pollicis longus and extensor pollicis brevis tendons at the level of the radial styloid process.The extensor pollicis brevis tendon is typically much smaller than even a single slip of the abductor pollicis longus tendon, and it may be congenitally absent. The pain is usually worse when the hand and thumb are in use. De Quervain tenosynovitis. Females are more likely to suffer from De Quervain's Tenosynovitis than males by about 3-4 times. I have flare ups now and then, so here's what I've done in the past to help this pain, pre and post baby: Ibuprofen . If you or your patients are suffering from radial wrist pain, try this simple taping technique to help reduce pain! Apply oil directly onto the tape,rub it in and wait around 10 to 20 minutes before removing it slowly. Purpose: The purpose of this study was to compare the effects of a therapeutic Kinesio taping (KT) and physical therapy (PT) modalities for the treatment of de Quervain's disease. De Quervain's tenosynovitis is inflammation of the tendons within the first extensor compartment of the wrist, resulting in wrist pain and swelling. This information is provided as an educational service and is not intended to serve as medical advice. Tendons are rope-like structures that attach muscle to bone, allowing the muscle to pull on and move the bone. Pengertian De Quervain's syndrome merupakan penyakit dengan nyeri pada daerah prosesus stiloideus akibat inflamasi kronik pembungkus tendon otot abduktor polisis longus dan ekstensor polisis brevis setinggi radius distal dan jepitan pada kedua tendon tersebut. The taping technique our therapists use is pictured below. In: Ferri's Clinical Advisor 2022. The tape was placed on the insertion of EPB, the base of the thumb, and was stretched by approximately 70% over the original length applied along the radial aspect of the wrist and up on to the extensor surface, ending at the midforearm (origin of APL).The second and the third type I strips with 2-inches width and 4-inches length have correction roles.The second one is named function correcting tape, with the wrist extended, putting the end of the tape at the dorsum of the hand andanother end at the distal forearm, 1 inch upper than styloids. Tendons are covered by a slippery and thin soft-tissue layer called synovium. It is effective on restoring movement of your thumb and might even delay or eliminate the need of surgery. The inflammation is most often caused by overuse or poor biomechanics during of the thumb and wrist. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. The pain may even radiate to the forearm. De Quervain Syndrome, also known as texting thumb or mommy thumb, is an inflammatory condition affecting the sheath around the two tendons that control the thumb. Tendons are bands of tissue that attach muscles to bones. De Quervain's tenosynovitis sometimes called washerwoman's sprain, is a painful wrist condition involving two of the tendons on the thumb side of your wrist tendons, which pass through the first dorsal compartment of the wrist - the thumb extensors called extensor pollicis brevis (EPB) and abductor pollicis longus (APL) at the base of the thumb 1). Make a donation. It is not intended to be a substitute for medical advice given by your MD or current occupational/physical therapist. Accessed May 15, 2022. However, unlike a brace, the tape allows for the thumb to relatively freely. It starts in the wrist and can travel up the forearm. Mayo Clinic is a not-for-profit organization. The pain may appear either gradually or suddenly. de Quervain's tenosynovitis is an inflammation of abductor pollicis longus (APL) and extensor pollicis brevis (EPB) muscle tendon sheaths at the level of radial styloid process. Position your hand so your fingers are pointing outwards, with your thumb in an upright position and the tip of your thumb pointed down. The wrist may lose some range of motion. Swelling near the base of the thumb. Any swelling of the tendons and/or thickening of the sheath can result in a situation where the tendons no longer fit well inside the sheath. RADIAL STYLOID TENOSYNOVITIS (SINDROM DE QUERVAIN) (KODE ICD X : M65.4) 1. The effects of each 20 minute treatment last for up to 4 hours. The pain is usually worse when the hand and thumb are in use. following are the most common symptoms are seen in DQ : KINESIO TAPPING FOR WRIST SPRAIN : KT Taping, Positive Expiratory pressure technique (PEP), Piriformis muscle strengthening exercises, Lumbricals muscle of the foot Anatomy, Origin, Insertion, Function, Exercise, obturator internus stretch in sitting position, physical therapy exercises for wrist pain, Intermittent positive pressure breathing (IPPB). Patients of De Quervain's Tenosynovitis can be painful and disturbing. These are two of the main tendons to the thumb that assist with bringing the thumb out away from the index finger (APL) and straightening the joints of the thumb (EPB). De Quervain's tenosynovitis (DQTS), also known as chronic stenotic tenosynovitis and de Quervain's disease (DQD), is a condition affecting the thumb extensor tendons and has many non surgical and operative treatments. The peak age group is identified to be between the forties and fifties. These procedures of taping repeated for four times weekly. Numbness at the back of the thumb. Swelling near the base of the thumb. De Quervain's tenosynovitis is swelling of the tendons that run along the thumb side of the wrist and attach to the base of the thumb. Chronic pain and tenderness as well as trouble with grip are classic symptoms. It usually occurs in middle-aged individuals and is around 3x more common in women (~80% of cases). Accessed May 15, 2022. Order Now. De Quervain's tenosynovitis (also known as de Quervain's tendinopathy) is a type of tenosynovitis that affects some of the tendons on the wrist below the thumb, also known as the first dorsal compartment of the wrist. In de Quervain tenosynovitis, the first dorsal compartment is thickened, raising the skin and creating a prominence at the radial styloid. Applying ice to the affected area. This is particularly noticeable when you are: De Quervain's tenosynovitis affects the abductor pollcis longus (APL) and the extensor pollcis brevis (EPB). If you have de Quervain tenosynovitis, you will probably feel pain when you turn your wrist, grasp anything or make a fist. Complications of surgery are rare. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. https://www.uptodate.com/home. Pain and swelling may make it difficult to move your thumb and wrist. Engelwood, CO, 1995. from the American Academy of Orthopaedic Surgeons, Non-steroidal anti-inflammatory drugs (NSAIDs), Lifting something with your arms in front of you and thumbs pointed toward the ceiling (e.g., lifting a child). This helps the skin and the tape to separate more efficiently but with no discomfort. Difficulty moving the thumb and wrist when doing something that involves grasping or pinching, A "sticking" or "stop-and-go" sensation in the thumb when moving it, Using nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). Chronic overuse, such as repeating a particular hand motion day after day, may irritate the covering around the tendons. It is most common in women between the ages of 30-50, especially in those with occupations or hobbies involving repetitive movements of the . Its conservative management includes nonsteroidal anti-inflammatory drugs, wrist and thumb immobilization, ultrasonic therapy (US Th.) The surgeon first identifies and protects the nerves that live near the tendon sheath. Finkelsteins test is often positive. Reproduced from: Griffin LY (ed): Essentials of Musculoskeletal Care, 3rd Edition. This area is part of a fibrous tunnel that separates the extensor tendons of the fingers as they branch into the hand. It is most common in women between the ages of 30-50, especially in those with occupations or hobbies involving repetitive movements of the wrist. Avoiding repetitive thumb movements as much as possible. Accessed May 15, 2022. Accessed May 15, 2022. All rights reserved. The third tape which is called space correcting, originates from the volar side of distal of radius and stretched obliquely to the dorsum of the hand with a lighter tension which is shown at 50% . McGraw Hill; 2020. https://accessmedicine.mhmedical.com. DeQuervain's was named after the Swiss surgeon who first described the condition in 1895. As with all tendons, they usually glide smoothly through a covering called a tendon sheath. Tips:Don't touch adhesiveRemove backing paper completely before laying ends downPress ends down with no stretchRub all loose edges downWash hands thoroughly before applyingThe ends of the half strips can be snipped to allow for greater mobility of application This is especially true when forcefully grasping and/or lifting objects or twisting the wrist. This layer provides nutrients to the tendons and allows them to slide easily through the sheath that surrounds them. This content does not have an Arabic version. Required fields are marked *, What is a Cupping Therapy? Why KT Tape is required in De-Quervain Disease? American Academy of Orthopaedic Surgeons, 2005. Heating pad . A single copy of these materials may be reprinted for noncommercial personal use only. The Finkelstein test draws the tendons of the first dorsal compartment distally and causes sharp, local pain when tendon entrapment has occurred and inflammation is present. So now youve got your tape on and youve gotten that extra support during your chosen sporting activity, its time to take it off, so let us ease the process of removing kinesiology tape for you. Avoid the activity which is responsible for pain and swelling; intake of NSAIDs to reduce pain; Wear the splint for a full time one month. Most patients with De Quervain's tenosynovitis do very well and are ultimately relieved of their symptoms with nonsurgical and/or surgical treatment. You may be asked toperform the Finkelstein/Eichhoff test, which involves placing your thumb in your palm, grasping it with your other fingers, and bending your wrist toward your little finger. Ice . DE QUERVAIN'S TENOSYNOVITIS Home Exercises. These two tendons arise from muscles in the forearm and then run together in a sheath that keeps them close to the bone as they cross over from the thumb side of the wrist into the hand. You may feel pain over the thumb side of the wrist. Rest and avoiding activities that cause pain are crucial for healing. This condition can causepain and tenderness along the thumb side of the wrist. Regardless of the treatment, you can usually resume normal use of the hand once comfort and strength have returned. For additional resources, please visit www.strengthtape.com STRENGTHTAPE Kinesiology Tape can assist to relieve the pain associated with De Quervain Syndrome and other causes of pain with thumb extension. Sometimes de Quervain's also brings pain and swelling near the base of the thumb. Accessed May 15, 2022. Rosemont, IL. Always seek the guidance of your doctor or licensed therapist regarding your health or any medical condition. The surgeon then releases the sheath in a way that avoids tendon instability. and low level laser therapy (LLLT Why KT Tape is required in De-Quervain Disease? De Quervain's Wand and Tape work with De Quervain's Self-Healing Jelly to provide a conservative treatment that makes use of the latest technology of ultrasound and infrared radiation. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an Orthopaedist. De Quervain's Tape is among the best available methods for . Dr. Brown demonstrates rocktaping for De Quervian's Tenosynovitis. De Quervain's tenosynovitis is common and may be caused by overuse of the thumb and wrist. https://www.assh.org/handcare/condition/dequervains-tenosynovitis. Active Chiropractic and Laser Center (714) 639 - 4640195 South C Street Suite 100Tustin, CA 92780 . The condition is also known as de Quervain tendinitis or de Quervain's tenosynovitis. A new approach is introduced that lets you work better. Inflammatory arthritis, such as rheumatoid arthritis. This is the main symptom. Consult your health care provider if you're still having problems with pain or function and you've already tried: When you grip, grasp, clench, pinch or wring anything in your hand, two tendons in your wrist and lower thumb normally glide smoothly through the small tunnel that connects them to the base of the thumb. 1998-2022 Mayo Foundation for Medical Education and Research (MFMER). Taping De Quervain's Tenosynovitis Option 2. Treatments are simple: plug the device in, turn it on and rest. Inflammatory arthritis, such as rheumatoid arthritis, scar tissue can restrict movement of the tendons, Difficulty moving your thumb and wrist when youre doing something that involves grasping or pinching, A sticking or stop-and-go sensation in your thumb when moving it. The subsequent pain can cause challenges with everyday tasks, and can be impacted by overuse of the inflamed hand. The incision is then closed, and a bandage (and sometimes a splint) is applied. Let us teach you this super simple method. The tape secures the thumb in an extended position to provide comfort and moderate any pain or spam that is caused by the thumb and wrist movements made while performing daily activities. Then we fixed them with a light massage and suggested not to use water for 6 hour in this area All the taping was applied by the physiotherapist fully trained in KT . Wrist brace that immobilizes my thumb. American Academy of Orthopaedic Surgeons. You may feel a catching or snapping sensation when moving the thumb. De Quervain's Tenosynovitis. These are signs of De Quervain's tenosynovitis: You may feel pain over the thumb side of the wrist. Direct injury to the wrist or tendon, which may cause scar tissue that restricts movement of the tendons, Fluid retention, such as from changes in hormones during pregnancy. STRENGTHTAPE will stick for up to 7 days. Repeating a particular motion day after day may irritate the sheath around the two tendons, causing thickening and swelling that restricts their movement. Patients with De Quervains tenosynovitis will often complain of pain near the base of the thumb with an associated swelling (secondary to thickening of the tendon sheath).Movements involving grasping or pinching are particularly painful and difficult.On examination, there will be swelling and palpable thickening over the tendon group fibrous sheath. What is De Quervain's tenosynovitis. The test is positive, indicating you may have De Quervain's tenosynovitis, if you experience pain during the maneurver. This site complies with the HONcode standard for trustworthy health information: verify here. A notable thumb pain condition includes De Quervain Syndrome, also known by many other names such as gamer's thumb, mother's wrist, and mommy thumb. Then by flexing the wrist, the tape was fixed. Its one of the oldest and most effective methods of releasing toxins from the bodys. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. De Quervain tenosynovitis. Initial treatment of de Quervain tenosynovitis may include: Immobilizing the thumb and wrist, keeping them straight with a splint or brace to help rest the tendons. All rights reserved. 5th ed. This is especially true when forcefully grasping and . The BFST Wrap will promote blood flow to your De Quervain's, helping to repair the damaged tissues. Snapping sensation during thumb movements. For best results, do 3-4 treatments per day, spread out over the course of your day. It is very common ailment of the hand and caused due to constriction of 1st extensor compartment. This thickening and swelling restrict the movement of the tendons through the small tunnel that connects them to the base of the thumb. Symptoms of de Quervain tenosynovitis include: Pain near the base of the thumb. Please remember to visit a healthcare professional for evaluation. This needle releases the tendon using ultrasound. The orange semi-circle indicates the location of pain when the test is positive. De Quervain's tape can be applied from the thumb to the wrist for all-day wear. Surgery may be recommended if symptoms are severe or do not improve with non-operative management. Let us teach you this super simple method so you can start the road to improvement today!Send us an email at the.upper.hand.02@gmail.com if you would like us to point you in the right direction for a certain tape that we like using!Check us out on other platforms https://linktr.ee/TheUpperHandMake sure to like TheUpperHand on Facebook at https://www.facebook.com/TheUpperHand.OTCheck us out on Instagram at https://www.instagram.com/the__upper__hand/We are a participate in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking Amazon.com and affiliated sites.Disclaimer: The content in this video and description should not be taken as sole medical advice as it is intended for educational and informational purposes only. Funnily enough, I had a diagnosis of Dequervain's before I even got pregnant. Ice application on the affected area for 15 minutes 2 times a day by using an ice gel pack. Advertising revenue supports our not-for-profit mission. If there is excess tissue (tenosynovium) around the tendons, the surgeon will remove it. Therapies. Rotator Cuff and Shoulder Conditioning Program. You may see swelling over the thumb side of the wrist. De Quervain tenosynovitis affects the two tendons on the thumb side of the wrist. De Quervain's tendinosis is a painful swelling (inflammation) of specific tendons of the thumb. These are signs of De Quervain's tenosynovitis: To determine whether you have De Quervain's tenosynovitis, your doctor may touch along the thumb side of your wrist, looking for pain and swelling. Your email address will not be published. As youre peeling off the tape, hold your skin down with your other hand and either tap it or pull it gently in the opposite direction of the tape. Pinching, grasping and other movements of your thumb and wrist aggravate the pain. This swelling may accompany a fluid-filled cyst in this region. The brands of tape that we recommend are RockTape, KT Tape, or Kinesio Tec Tape and are readily found in your pharmacy or online. Before performing any suggestions in this video please consult with your healthcare professional. Difficulty grasping or pinching an object. During surgery, your doctor will open the tendon sheath over the inflamed tendons. We used three type I pieces of Kinesio tape for treatment, which is made in Korea. De Quervain's tendinosis is treated by reducing the swelling/irritation of the tendons and tendon sheath, thereby relieving the pain caused by the condition. You may struggle to move your thumb without pain. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. You may feel pain when you use your hand, thumb, or wrist. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. https://orthoinfo.aaos.org/en/diseases--conditions/de-quervains-tendinosis. 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