More About Di Kuifan’s disease, also commonly known as "mother hand"-Dr. Zhang Minguan, Orthopedic Specialist
De Quervain's syndrome (de Quervain's syndrome), also commonly known as "mother hand", is a very common disease. Today we are very pleased to be able to invite orthopedic specialist Dr. Zhang Minguan to explain to us how to diagnose and treat mother's hands.
The formation of the mother's hand is caused by inflammation of the tendon sheaths beside the two tendons that control the movement of the thumb.
Most mothers’ hands are mainly caused by overuse, such as work or caring for young children. It is also related to pregnancy and rheumatoid arthritis. It is common in middle-aged women. There are also a small number of mothers' hands that are caused by inflammation of tendons caused by injuries.
Patients usually complain of pain in the wrist on the thumb side of the wrist, and severe patients may even feel the pain spread along the forearm. The pain is usually worse when using the hand and thumb. This is especially true when grasping an object hard or twisting the wrist. Swelling may be found above the thumb of the wrist. This swelling may be accompanied by a cyst. When you move your thumb, you may feel a "capture" sensation. Pain and swelling may make it difficult to move the thumb and wrist. And most patients complain that the pain will be particularly obvious in the morning or after a period of inactivity.
In order to determine whether the patient has a mother's hand, the doctor will ask the patient to put the thumb in the hand and put the finger above the thumb with the fist, and then bend the wrist to the little finger to perform the Finkelstein test. For people with mother's hand, the test can be very painful, causing pain in the tendon on the thumb side of the wrist.
Dr. Zhang Minguan pointed out that most patients with mothers' hands can recover through non-surgical treatments. Patients should try to avoid overworked movements, wear appropriate hand rests, and take appropriate anti-inflammatory and analgesics to reduce pain. Most orthopedic surgeons refer patients to physical therapists for appropriate physical therapy, such as ultrasound therapy and shock wave therapy. Dr. Zhang Minguan pointed out that more than 80% of patients can be greatly improved after the above treatment without any invasive treatment.
When a small number of patients cannot improve after receiving non-surgical treatments, orthopedic surgeons can give local steroid injections to reduce tendon inflammation and improve the condition.
Dr. Zhang Minguan pointed out that only a very small number of patients will consider surgery to loosen the channel on the tendon sheath for decompression when all the above methods fail to improve properly. This operation can be performed in an outpatient operating room under local anesthesia, and it usually takes only ten minutes to complete. It may take four to six weeks of rehabilitation after surgery to fully recover.
Dr Zhang Minguan
For consultation-contact Zhang Minguan, Dr. Zhang Minguan / Zhang Minguan
Tel: 23920300, Fax: 23921088.