De Quervain snydrome is a common cause of wrist pain.
It is inflammation of the sheath that surrounds two critical tendons which are responsible for thumb moment. Just a like the outer plastic lining on any electrical cord holds all the small wires together, the tendon sheath holds the extensor pollicis brevis and abductor pollicis longus tendons in a protective sleeve.
Inflammation and or chronic degeneration of the sheath or tendons can result in pain, swelling over the radial side of the wrist accompanied with difficulty in gripping. The Finkelstein test is a common diagnostic test.
Treatment options include rest, splinting, injection of steroids and surgery.
At the Centeno-Schultz Clinic we understand the risks involved with steroids and offer alternatives in the form of prolotherapy, PRP and Regenexx PL. Clinical success comes from accurately delivering the prescribed solution to the targeted area. To that extent we use ultrasound to that ensure growth factors or stem cells are placed within the damaged tissue. Below is an ultrasound image from clinic of the two tendons and the enveloping sheath.