Diagnosing de Quervain's: What Tests Should You Expect?
Published: Sep 28, 2023
Diagnosing de Quervain's tendinopathy involves specific tests and exams. Learn what to expect and how these tests work.
Contents
Physical Examination Basics
Diagnosis typically starts with a physical exam. Doctors check for tenderness at the first dorsal compartment and perform the Finkelstein test, which involves bending the thumb and wrist to identify pain. These exams help differentiate de Quervain's from other conditions.
Imaging Tests
While imaging isn't usually necessary, it can help rule out other issues. X-rays are typically normal, but ultrasound can show thickened tendons and increased blood flow. These findings support a diagnosis when symptoms alone are inconclusive.

Frequently Asked Questions
A test to check for pain in the thumb and wrist.
X-rays are usually normal and not needed for diagnosis.
Yes, it can show tendon thickening and blood flow.
Key Takeaways
Accurate diagnosis is key to effective treatment of de Quervain's tendinopathy.
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References
Sato J, Ishii Y, Noguchi H. Clinical and ultrasound features in patients with intersection syndrome or de Quervain's disease. J Hand Surg Eur Vol 2016; 41:220.
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