American Academy of Orthopaedic Surgeons. If there is excess tissue (tenosynovium) around the tendons, the surgeon will remove it. It starts in the wrist and can travel up the forearm. Repeating a particular motion day after day may irritate the sheath around the two tendons, causing thickening and swelling that restricts their movement. 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. Rotator Cuff and Shoulder Conditioning Program. Avoiding pinching with the thumb when moving the wrist from side to side. Mayo Clinic is a not-for-profit organization. De Quervain's tenosynovitis is common and may be caused by overuse of the thumb and wrist. Taping De Quervain's Tenosynovitis Option 2. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. Why KT Tape is required in De-Quervain Disease? 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 . https://www.assh.org/handcare/condition/dequervains-tenosynovitis. The test name is Finkelstein's test . What is De Quervain's tenosynovitis. De Quervain's tenosynovitis treatment. Acute musculoskeletal complaints. De Quervain tenosynovitis affects the two tendons on the thumb side of the wrist. Before performing any suggestions in this video please consult with your healthcare professional. It safely decreases . Why KT Tape is required in De-Quervain Disease? . South-Paul JE, et al., eds. 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. 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. You may feel a catching or snapping sensation when moving the thumb. Always seek the guidance of your doctor or licensed therapist regarding your health or any medical condition. It is not intended to be a substitute for medical advice given by your MD or current occupational/physical therapist. This content does not have an English version. Chronic overuse, such as repeating a particular hand motion day after day, may irritate the covering around the tendons. The condition is also known as de Quervain tendinitis or de Quervain's tenosynovitis. De Quervain's Tape is among the best available methods for . The wrist may lose some range of motion. Ice . If the covering becomes irritated, the tendons can thicken and swell. This occurs when the tendons are constricted by the sheath that they run through to get from the wrist to the hand. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 1.3% of women and 0.5% of men are likely to suffer from De Quervain's . 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. The effects of each 20 minute treatment last for up to 4 hours. Swelling and stiffness can also occur. It is effective on restoring movement of your thumb and might even delay or eliminate the need of surgery. 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. Accessed May 15, 2022. 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. 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. For additional resources, please visit www.strengthtape.com STRENGTHTAPE Kinesiology Tape can assist to relieve the pain associated with De Quervain Syndrom. Applying ice to the affected area. I also sleep with it when the pain is particularly bad. These are signs of De Quervain's tenosynovitis: You may feel pain over the thumb side of the wrist. De Quervain's tenosynovitis of the first extensor compartment. Mayo Clinic does not endorse companies or products. https://orthoinfo.aaos.org/en/diseases--conditions/de-quervains-tendinosis. 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. and low level laser therapy (LLLT 2 TAPING: Specialized taping is often beneficial to support the area and decrease pain. When done correctly, this can relieve the symptoms of De Quervain's tenosynovitis without affecting hand/wrist function. A single copy of these materials may be reprinted for noncommercial personal use only. American Academy of Orthopaedic Surgeons, 2005. Required fields are marked *, What is a Cupping Therapy? Tendons connect muscles to bone. Inflammatory arthritis, such as rheumatoid arthritis. Your email address will not be published. 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. De Quervain's Wand and Tape go hand in hand to provide an affordable, safe, and easy method of treating De Quervain's Tenosynovitis. It facilitate the healing process while providing full ROM with support to the joints suppotive structure as well as mobilization effects. Aggarwal R, et al. Tendons are ropelike structures that attach muscle to bone. 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. 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. This is a simple effective taping for people that use their hands for heavy gripping use,. Tendons are covered by a slippery and thin soft-tissue layer called synovium. 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. Wrist brace that immobilizes my thumb. 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. Ferri FF. Yes. In: Current Diagnosis & Treatment: Family Medicine. This area is part of a fibrous tunnel that separates the extensor tendons of the fingers as they branch into the hand. Avoiding repetitive thumb movements as much as possible. Recently, some doctors have been performing a hybrid release using a special needle with a small blade. This layer provides nutrients to the tendons and allows them to slide easily through the sheath that surrounds them. Advertising revenue supports our not-for-profit mission. Finkelsteins test is often positive. 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. During surgery, your doctor will open the tendon sheath over the inflamed tendons. Let us teach you this super simple method. De Quervain tenosynovitis. 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. Your orthopaedic surgeon can advise you on the best treatment for your situation. De Quervain's tenosynovitis. These procedures of taping repeated for four times weekly. Adapted from the American Society for Surgery of the Hand: Brochure: de Quervain's Stenosing Tenosynovitis. 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. 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. Numbness at the back of the thumb. All rights reserved. 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. Therapies. This website also contains material copyrighted by third parties. RADIAL STYLOID TENOSYNOVITIS (SINDROM DE QUERVAIN) (KODE ICD X : M65.4) 1. The taping technique our therapists use is pictured below. Apply oil directly onto the tape,rub it in and wait around 10 to 20 minutes before removing it slowly. As with all tendons, they usually glide smoothly through a covering called a tendon sheath. It usually occurs in middle-aged individuals and is around 3x more common in women (~80% of cases). If you or your patients are suffering from radial wrist pain, try this simple taping technique to help reduce pain! American Society for Surgery of the Hand. 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. You may see swelling over the thumb side of the wrist. Its one of the oldest and most effective methods of releasing toxins from the bodys. The brands of tape that we recommend are RockTape, KT Tape, or Kinesio Tec Tape and are readily found in your pharmacy or online. 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. Finkelstein/Eichhoff test. It is very common ailment of the hand and caused due to constriction of 1st extensor compartment. This swelling may accompany a fluid-filled cyst in this region. De Quervain's tenosynovitis test. 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% . Two of the tendons that move your thumb run along the thumb side of your wrist. KT Tape: Thumb. Females are more likely to suffer from De Quervain's Tenosynovitis than males by about 3-4 times. Pain and swelling may make it difficult to move your thumb and wrist. Start slowly, folding the corners of the edge back gradually, ensuring that youre laying the removed tape on the back of the applied tape. Accessed May 15, 2022. Pinching, grasping and other movements of your thumb and wrist aggravate the pain. Most patients with De Quervain's tenosynovitis do very well and are ultimately relieved of their symptoms with nonsurgical and/or surgical treatment. 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. The pain is usually worse when the hand and thumb are in use. The orange semi-circle indicates the location of pain when the test is positive. Common symptoms of de Quervain's tenosynovitis. 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? All material on this website is protected by copyright. Swelling near the base of the thumb. The test is positive, indicating you may have De Quervain's tenosynovitis, if you experience pain during the maneurver. In severe cases, pinching, gripping or grasping becomes unbearable, and any extra wrist movement only worsens the discomfort. The pain may appear either gradually or suddenly. Dr. Brown demonstrates rocktaping for De Quervian's Tenosynovitis. For best results, do 3-4 treatments per day, spread out over the course of your day. Your email address will not be published. The inflammation is most often caused by overuse or poor biomechanics during of the thumb and wrist. Rosemont, IL. A "sticking" or "stop-and-go" sensation in the thumb when moving it. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. 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. Difficulty moving the thumb and wrist when doing something that involves grasping or pinching. A new approach is introduced that lets you work better. It is most common in women between the ages of 30-50, especially in those with occupations or hobbies involving repetitive movements of the . We used three type I pieces of Kinesio tape for treatment, which is made in Korea. 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 . 5th ed. This is especially true when forcefully grasping and/or lifting objects or twisting the wrist. The pain may appear either gradually or suddenly. De Quervains tenosynovitis is inflammation of the tendons within the first extensor compartment of the wrist, resulting in wrist pain and swelling. DE QUERVAIN'S TENOSYNOVITIS Home Exercises. https://www.uptodate.com/home. The surgeon then releases the sheath in a way that avoids tendon instability. Treatments are simple: plug the device in, turn it on and rest. 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. De Quervain tendinopathy. De Quervain tenosynovitis is the second most common entrapment tendinopathy in the hand following trigger finger. 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. Elsevier; 2022. https://www.clinicalkey.com. It is especially effective in the earlier stages of De Quervain's Syndrome. If you have de Quervain tenosynovitis, you will probably feel pain when you turn your wrist, grasp anything or make a fist. Pain and tenderness on the thumb side of your wrist may be due to de Quervain's tenosynovitis. 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. 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. In de Quervain tenosynovitis, the first dorsal compartment is thickened, raising the skin and creating a prominence at the radial styloid. Tendons are bands of tissue that attach muscles to bones. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Tendons are rope-like structures that attach muscle to bone, allowing the muscle to pull on and move the 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.). Make a donation. 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. In cases that fail simple treatment and one to two De Quervain's injections, surgery to release the tendons is recommended. The BFST Wrap will promote blood flow to your De Quervain's, helping to repair the damaged tissues. De Quervain's tenosynovitis is inflammation of the tendons within the first extensor compartment of the wrist, resulting in wrist pain and swelling. The incision is then closed, and a bandage (and sometimes a splint) is applied. The goal of surgery is to release the tendon sheath to make more room for the irritated tendons. De Quervain's Tenosynovitis. This is the main symptom. Pain during thumb movements. This content does not have an Arabic version. Order Now. Sometimes de Quervain's also brings pain and swelling near the base of the thumb. Reproduced from: Griffin LY (ed): Essentials of Musculoskeletal Care, 3rd Edition. 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. Surgery may be recommended if symptoms are severe or do not improve with non-operative management. This is especially true when forcefully grasping and . Most cases are associated with overuse, however, local trauma can also precipitate the condition. This will help reduce the stickiness of the tape and make it easier to remove. McGraw Hill; 2020. https://accessmedicine.mhmedical.com. Accessed May 15, 2022. Difficulty grasping or pinching an object. It is most common in people in their 40s and 50s and affects more women than men. Regardless of the treatment, you can usually resume normal use of the hand once comfort and strength have returned. The pain may even radiate to the forearm. However, unlike a brace, the tape allows for the thumb to relatively freely. DeQuervain's was named after the Swiss surgeon who first described the condition in 1895. 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). 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. Symptoms of de Quervain tenosynovitis include: Pain near the base of the thumb. If you or your patients are suffering from radial wrist pain, try this simple taping technique to help reduce pain! Complications of surgery are rare. No need to suffer more! It is a disorder characterized by pain of varying degrees of severity in the radial side of the wrist due to restricted . 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. You may struggle to move your thumb without pain. You may feel pain when you use your hand, thumb, or wrist. 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. Accessed May 15, 2022. It starts in the wrist and can travel up the forearm. 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. 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! 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. 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. De Quervain's tape can be applied from the thumb to the wrist for all-day wear. Accessed May 15, 2022. as opposed to pulling the tape above and away from your arm. It's most commonly caused by repetitive activities that strain the thumb, like typing, gardening, or lifting children. The surgeon first identifies and protects the nerves that live near the tendon sheath. DeQuervain's tenosynovitis. Further information is provided in the video and leaflet below. Active Chiropractic and Laser Center (714) 639 - 4640195 South C Street Suite 100Tustin, CA 92780 . The peak age group is identified to be between the forties and fifties. If the condition goes too long without treatment, the pain may . The pain is usually worse when the hand and thumb are in use. This condition in particular is a degenerative (microscopic injury) condition of the sheath (extensor . 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. Only 3.7% of the general population is likely to be affected by De Quervain's Tenosynovitis. 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. 1998-2022 Mayo Foundation for Medical Education and Research (MFMER). 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. Please remember to visit a healthcare professional for evaluation. This is particularly noticeable when you are: De Quervain's tenosynovitis affects the abductor pollcis longus (APL) and the extensor pollcis brevis (EPB). Ice application on the affected area for 15 minutes 2 times a day by using an ice gel pack. This condition can causepain and tenderness along the thumb side of the wrist. It also is associated with pregnancy and breastfeeding. Chronic pain and tenderness as well as trouble with grip are classic symptoms. Cortisone shot- helped me SO much. Heating pad . This thickening and swelling restrict the movement of the tendons through the small tunnel that connects them to the base of the thumb. The remaining patients typically respond well to surgery. 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. "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. STRENGTHTAPE will stick for up to 7 days. This site complies with the HONcode standard for trustworthy health information: verify here. 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. 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. This helps the skin and the tape to separate more efficiently but with no discomfort. Swelling near the base of the thumb. Rest and avoiding activities that cause pain are crucial for healing. 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. Its conservative management includes nonsteroidal anti-inflammatory drugs, wrist and thumb immobilization, ultrasonic therapy (US Th.) This needle releases the tendon using ultrasound. This results in increased friction and pain with certain thumb and wrist movements. Moving the thumb and wrist may make the pain worse. This is the main symptom. 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. 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. The subsequent pain can cause challenges with everyday tasks, and can be impacted by overuse of the inflamed hand. Kinesio Taping for De Quervain's Tendinosis, Intersection Syndrome. Patients of De Quervain's Tenosynovitis can be painful and disturbing. All rights reserved. De Quervain tenosynovitis. In: Ferri's Clinical Advisor 2022. 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). This information is provided as an educational service and is not intended to serve as medical advice. 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. Position your hand so your fingers are pointing outwards, with your thumb in an upright position and the tip of your thumb pointed down. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an Orthopaedist. Thumb pain usually presents as pain at the base of the thumb and wrist. 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 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. Fifty to 80% of patients can be successfully treated nonsurgically with splints, NSAIDs, and injections. 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. Then by flexing the wrist, the tape was fixed. 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). 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). 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). Funnily enough, I had a diagnosis of Dequervain's before I even got pregnant. De Quervain's tendinosis is a painful swelling (inflammation) of specific tendons of the thumb. Snapping sensation during thumb movements. 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. You may feel pain over the thumb side of the wrist. 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