Talk:De Quervain syndrome

note
Someone with more medical knowledge than I needs to re-examine this entry, but after being diagnosed with this and doing research on other sites, this is not considered a disease or an illness, and I've found nothing in the literature that specifies a limited time (ie. one year) that this problem lasts, I also read nothing saying it never occurs again. The current text seems to suggest that if one leaves the area alone, eventually it will heal on its own and that use of the area should be based on the person's level of comfort with the pain. This does not appear to be true according to other sources that say the person should limit movement and can aggravate the area and create further damage. There appears to be a lot more data available on the Mayo Clinic website and the Hand University website that sounds a lot more factual than this one. —Preceding unsigned comment added by 71.246.108.57 (talk) 05:46, 15 January 2009 (UTC)

While I certainly understand that--on the basis of your personal experience--some of what I wrote here might be counter-intuitive, I am a hand surgeon and an expert on this illness and I would appreciate you restoring my material. There is limited scientific data on de Quervain's, but I assure you that I have accurately represented it here and I can add additional references if needed. Dr311 (talk) 14:13, 15 March 2009 (UTC) — Preceding unsigned comment added by 117.239.228.5 (talk)

In teno-synovitis the synovial membrane lining the tendon sheath is inflamed. In de Quervain's syndrome the sheath itself is inflamed, hence the different term of teno-vaginitis.--Anthony.bradbury 20:28, 13 August 2006 (UTC)

(Teno-vaginitis is NOT a correct term when applied to this disease. It would apply to a completely different part of the body. Therefore, I feel this term is in error.  Rightly or wrongly, teno-synovitis is the commonly accepted term that is applied to this disease. -=-User:F.Civish)   —The preceding unsigned comment was added by Special:Contributions/ (talk)

rewrites by 72.209.6.180
Today 72.209.6.180 has done massive edits to DeQuervain's syndrome article. Anonymous changed half the Pathology section (with references that I don't have time to check). Anonymous completely rewrote the Causes and Treatment sections (and with no references). Anonymous removed all the external links about Quervain's syndrome, removed the “Diseases of the musculoskeletal system and connective tissue” template tag, removed the categories tags and removed the links to wikipedia's non-english articles about DeQuervain's syndrome. --EarthFurst 17:47, 28 July 2007 (UTC)

Role of therapy
I think it's better to keep comments general and evidence-based. The role of any one health care provider should not be emphasized since most of the treatments for de Quervain's (e.g. splints) can be obtained at the pharmacy. Furthermore, claims for treatment efficacy should be more than bias, preference, or style--references to scientific data should be provided. —Preceding unsigned comment added by Dr311 (talk • contribs) 02:25, 2 February 2008 (UTC)


 * You may well be right, but I have nonetheless undone your edit, as you didn't provide any evidence for your claims. If you can find a web reference for what you say, and link to it in the article, feel free to change the article again. Dyinghappy (talk) 03:09, 2 February 2008 (UTC)

Peakcock term?
Is it necessary to describe sufferers of a disease as "blameless victims"?

--67.87.16.11 (talk) 23:17, 5 April 2008 (UTC)

 "A common cause today in the technology age is from "Blackberry's"???. Also known as "Blackberry Thumb"."

???128.172.18.165 (talk) 16:52, 15 December 2009 (UTC)

Treatment section deleted
Nothing was referenced in the Treatment section. If you give treatment advice in a medical article, it's vital that you cite your sources. Otherwise, Wiki users must delete it for the possible risk that it poses to readers. - Cyborg Ninja  05:20, 12 February 2009 (UTC)

suggestions to alleviate the pain
I have just been diagnosed with De Quervain syndrome. My first appt with an Occupational Therapist is one week away. My doctor has given me a topical anti-inflammatory ointment, Voltaren Gel. It is giving me some relief but not a great deal. I have to use my hands all of the time with my computer and Blackberry. I currently am using a splint on my left hand which is the worst. Unfortunately, the pain never lets up. Does anyone have any suggestions for me? Thank you, Linda Kaykaybigjer (talk) 21:52, 5 November 2009 (UTC)

Etiology
Speculation regarding the etiology of de Quervain's keeps creeping back into the article. Specifically overuse (video games, blackberries, etc.). There is no evidence that these have anything to do with this disease. Until there is evidence, the sentence describing the unsubstantiated claims should suffice.

Blackberry thumb refers to nonspecific thumb pain, not to the discrete pathophysiological process of de Quervain syndrome — Preceding unsigned comment added by Dr311 (talk • contribs) 21:08, 24 August 2011 (UTC)

I understand that etiology is important to people. It matters for insurance claims and legal disputes. But we need to be honest about the current best evidence and de Quervain tendinopathy is currently idiopathic.

Claiming that hand use causes this disease risks reinforcing catastrophic thinking which can increase both symptoms and disability. — Preceding unsigned comment added by Dr311 (talk • contribs) 19:43, 2 September 2013 (UTC)

Treatment
The only known disease modifying treatment for de Quervain's syndrome is surgery. Even steroid injection is not proved to alter the course of the disease.

The claims for therapy and activity modification are not based in evidence. The implication of overuse is also speculative and potentially harmful. With new mom's you risk blaming the victim.

I removed the advertisement for cold laser. Cold laser is probably just wishful thinking. See Bales JG, Meals RA. Low-level laser treatment. J Hand Surg Am. 2010 Mar;35(3):469-71; quiz 472. No abstract available. — Preceding unsigned comment added by Dr311 (talk • contribs) 21:18, 24 August 2011 (UTC)

Merger proposal
I propose that BlackBerry thumb be merged into De Quervain syndrome. I think that the content in the Blackberry thumb article can easily be explained in the context of De Quervain syndrome, and the De Quervain syndrome article is of a reasonable size that the merger will not cause any problems as far as article size or undue weight is concerned.

I note that Consumer Reports says BlackBerry thumb is a more general type of condition: "'BlackBerry thumb' refers to a variety of hand conditions including aggravation of thumb carpometacarpal joint arthritis, a degenerative condition affecting the thumb's base." However, that is not what these two Wikipedia articles currently say.Anythingyouwant (talk) 07:27, 24 April 2015 (UTC)
 * Done Doc James  (talk · contribs · email) 21:57, 5 July 2015 (UTC)

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