Diagnosing de Quervain's: What Tests Should You Expect?
Diagnosing de Quervain's: What Tests Should You Expect?
The Essentials
Diagnosing de Quervain's tendinopathy involves specific tests and exams. Learn what to expect and how these tests work.
Contents
- Physical Examination Basics
- Imaging Tests
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.
FAQs
What is the Finkelstein test?
A test to check for pain in the thumb and wrist.
Are X-rays used for diagnosis?
X-rays are usually normal and not needed for diagnosis.
Can ultrasound be helpful?
Yes, it can show tendon thickening and blood flow.
Final Thoughts
Accurate diagnosis is key to effective treatment of de Quervain's tendinopathy.
Additional 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.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.