Hand & Wrist Care
Dr. Henry Backe is an integral part of the Orthopaedic Specialty
Group, P. C. team for over 25 years. Dr. Backe’s exceptional surgical skills are complemented by a personable style and dedication to the highest quality patient outcomes and satisfaction. He is a board certified orthopaedic surgeon and is fellowship trained in the area of hand and wrist and joint replacement.
Hand & Wrist Specialist In The Greater Fairfield & Shelton Connecticut Areas
Dr. Backe of Orthopedic Specialty Group P.C., is a specially-trained orthopedic surgeon specializing in hand and wrist conditions and injuries. He treats hand and wrist injuries at his offices in Fairfield and Shelton, Connecticut. His patients receive a unique treatment plan matching their lifestyle and return-to-work goals. Dr. Backe offers innovative and less-invasive treatment options and state-of-the-art technologies that benefit his patients in many ways.
FAQs on Wrist Tendonitis
Your hands and wrists are essential tools that allow you to work, play and perform everyday activities. How well the hand and wrist interact depends on the integrity and function of the ligaments, tendons, muscles, joints and bones.
Wrist tendonitis can affect upper extremity function, causing disruptions at home and work and negatively impacting quality of life.
The human hand itself is very complex and delicate in structure.
Wrist (De Quervain’s) tendinosis occurs when the tendons around the base of the thumb are irritated or constricted.
The word “tendinosis” refers to a swelling of the tendons. Swelling of the tendons, and the tendon sheath, can cause pain and tenderness along the thumb side of the wrist.
This is particularly noticeable when forming a fist, grasping or gripping something, or when turning the wrist.
De Quervain’s tendinosis may be caused by overuse. It also is associated with pregnancy and rheumatoid disease. It is most common in middle-aged women.
Signs of De Quervain’s tendinosis:
- Pain may be felt over the thumb side of the wrist. This is the main symptom. The pain may appear either gradually or suddenly. Pain is felt in the wrist and can travel up the forearm. The pain is usually worse when the hand and thumb are in use. This is especially true when forcefully grasping objects or twisting the wrist.
- Swelling may be seen over the thumb side of the wrist. This swelling may accompany a fluid-filled cyst in this region.
- A “catching” or “snapping” sensation may be felt when moving the thumb.
- Pain and swelling may make it difficult to move the thumb and wrist.
To determine whether or not you have De Quervain’s tendinosis, Dr. Backe may ask you to perform the Finkelstein test by placing your thumb against your hand, making a fist with your fingers closed over your thumb, and then bending your wrist toward your little finger.
If you have De Quervain’s tendinosis, this test is quite painful, causing tendon pain on the thumb side of the wrist.
The goal in treating Wrist (De Quervain’s) tendinosis is to relieve the pain caused by irritation and swelling.
Splints may be used to rest the thumb and wrist.
Anti-inflammatory medication (NSAIDs)
These medications can be taken by mouth or injected into a tendon compartment. This may help reduce swelling and relieve pain.
Avoiding activities that cause pain and swelling. This may allow the symptoms to go away on their own.
Injection of corticosteroids into the tendon sheath may help reduce swelling and pain.
Surgery may be recommended if symptoms are severe or do not improve. The goal of surgery is to open the thumb compartment (covering) to make more room for the irritated tendons.
Surgery opens the sheath over the inflamed tendons.
Regardless of the treatment, normal use of the hand usually can be resumed once comfort and strength have returned.
Your Dr. Henry Backe orthopaedic surgeon can advise you on the best treatment for your situation.