DeQuervain Disease, A Simple Guide To The Condition, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
De Quervain’s Disease is the compression of the tendon sheath of one of the two tendons to the thumb at wrist region.
The tendon sheath is a protective cover for the tendon which provides protection for the tendon as it travels across the radius bone especially at the joints.
When the tendon gets caught in the narrowed sheath, the finger becomes locked in the narrowed tendon sheath resulting in pain and swelling
Women are affected more than men.
It is also known as the washer woman's sprain
Local causes are:
1. Trauma of the tendon sheath of the thumb from too much stress on their thumb from carrying their newborn child especially first time parents
2. Pressure on the tendon sheath from weight of the newborn's head on the wrist while feeding the baby
The onset is usually spontaneous with gradual increasing pains and tightness of the wrist tendons which causes the patient to seek treatment:
1. Swelling and pain of the thumb side of the wrist
2. Unable to open door, bottle caps or wring clothes
Tendon nodules are present in flexor tendon of the thumb at wrist level
Diagnosis is confirmed with CAT scan but may not be needed.
Treatment is by:
1. Rest and splinting of affected thumb and wrist
2. Wrist exercise usually good.
3. Non-steroidal anti-inflammatory drugs for inflammation and pain
4. Corticosteroid injection to reduce inflammation under the narrowed sheath
5. Surgery as last resort to release the tendon by cutting the top part of the narrowed inflamed sheath
TABLE OF CONTENT
Introduction
Chapter 1 De Quervain’s Disease
Chapter 2 More about De Quervain’s Disease
Chapter 3 Treatment of De Quervain’s Disease
Chapter 4 Ganglion
Chapter 5 Trigger Finger
Chapter 6 Dupuytren Contracture
Chapter 7 Other Finger Conditions
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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DeQuervain Disease, A Simple Guide To The Condition, Treatment And Related Conditions - Kenneth Kee
DeQuervain
Disease,
A
Simple
Guide
To
The Condition,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2014 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the De Quervain’s Disease, Treatment and Related Conditions or in vernacular terms
(What You Need to treat De Quervain’s Disease)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
Ode to De Quarvain’s Disease
Dequervian tendonitis is compression of the tendon
Of the thumb from a narrowed tendon sheath at the wrist region
When the tendon gets caught in the tight tendon sheath
The finger can become locked and is unable to move with ease
The tendon becomes inflamed with swelling and pain
Women are affected more than men
Often it is due to the baby head lying on the wrist
While milk is being fed to the baby like this
Do not use the thumbs to do repetitive movements
Avoid a direct blow to the area of the first dorsal compartment
There will cause the tendon’s tunnel sheath to be compressed
As a result the sheath tunnel will collapse and become depressed
The treatment is to try exercising the fingers in warm water
And stretch the tendon through the tunnel’s depressed quarter
If that do not work you may need a shot of cortisone into the tendon sheath
Or Surgery to cut the narrowed tendon sheath for the tendon’s relief
-An original poem by Kenneth Kee
Interesting Tips about the De Quarvain’s Disease
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Treatment:
a. Rest and splinting of affected thumb and wrist
b. Wrist exercise usually good.
c. Non-steroidal anti-inflammatory drugs for inflammation and pain
d. Corticosteroid injection to reduce inflammation under the narrowed sheath
e. Surgery as last resort to release the tendon by cutting the top part of the narrowed inflamed sheath
f. Avoid forceful use of the wrist and thumb
g. Avoid carrying newborn baby with head on the wrist
h. Avoid repetitive movement of the thumb.
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D,