Kate L. Iwamoto, M.D., is a pediatrician with Mercy Family Care Physicians in Downtown Baltimore.
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Dr. Vipul Nanavati at The Shoulder, Elbow, Wrist and Hand Center at Mercy Medical Center in Baltimore is skilled in the diagnosis and treatment of upper extremity conditions. Dr. Nanavati has advanced training and expertise in wrist and hand conditions such as De Quervain’s tendinitis.
The thumb has two main tendons that go through a tunnel located on the wrist’s thumb side. De Quervain’s tendinitis occurs when the tendons at the thumb’s base are inflamed and swollen. This inflammation causes the tendon’s lining to swell disabling the tendons from moving easily though the tunnel.
De Quervain’s tendinitis may be caused by:
Symptoms of De Quervain’s tendinitis include:
De Quervain’s tendinitis can be diagnosed with a physical exam. The Finkelstein test is performed to help with diagnosis. The patient makes a fist with the thumb placed under the fingers and moves the wrist to the little finger side. Pain in the thumb side of the wrist indicates De Quervain’s tendinitis.
Treatment options for De Quervain’s tendinitis can include:
Surgery may be recommended when non-surgical treatment options do not relieve the symptoms of De Quervain’s tendinitis. The tunnel through which the tendons move is expanded during surgery. This expansion of the tunnel gives the tendons more space enabling them to once again move freely.
The Shoulder, Elbow, Wrist and Hand Center at Mercy Medical Center in Baltimore, Maryland, is led by orthopedic surgeons specializing in the comprehensive diagnosis and treatment of shoulder, elbow, wrist and hand conditions, including but not limited to bursitis, tendonitis, osteoarthritis, carpal tunnel syndrome and tennis elbow. Mercy Medical Center has been named a Best National Hospital in Orthopedics by U.S. News & World Report, placing it among the top shoulder, elbow, wrist and hand hospitals.
The Shoulder, Elbow, Wrist and Hand Center is part of The Orthopedic Specialty Hospital at Mercy Medical Center.
Dr. Vipul Nanavati, Director of The Shoulder, Elbow, Wrist and Hand Center, is an orthopedic surgeon specialized in the repair and reconstruction of injuries to the upper extremities.
An OR nurse gets treatment at Mercy for her torn rotator cuff and now is back to swinging her grandchildren in the air without any pain.