DeQuervain’s Syndrome occurs at an area known as the Anatomical Snuff Box. Let me explain. Spread your fingers as wide as you can possibly get them, and at the same time raise your fingers ‘up’. You can see the two thumb tendons mentioned above. There is a small grove between them that apparently used to be used to hold the pinch of snuff that men would snort up their noses back in the day, in order to get them to sneeze (yeah; I don’t get it either).
The picture above shows the ‘Anatomical Snuffbox’. The test for DeQuervain’s Syndrome — Finklestein’s Test — involves making the ‘thumb’s up’ sign, grasping your thumb with the fingers of the same hand, and pulling the thumb downward so as to stress or stretch the thumb tendons (kind of like you were casting a fishing pole). If it hurts big time, you likely have it.
TREATING THOSE WITH DeQUERVAIN’S SYNDROME
“Tendinosis, sometimes called tendinitis, or tendinopathy, is damage to a tendon at a cellular level (the suffix ‘osis‘ implies a pathology of chronic degeneration without inflammation). It is thought to be caused by micro-tears in the connective tissue in and around the tendon, leading to an increased number of tendon repair cells. This may lead to reduced tensile strength, thus increasing the chance of repetitive injury or even tendon rupture. Tendinosis is often misdiagnosed as tendinitis due to the limited understanding of tendinopathies by the medical community.” Tendon researcher and orthopedic surgeon, Dr. GA Murrell from an article called, “Understanding Tendinopathies” in the December 2002 issue of The British Journal of Sports Medicine.