de Quervain’s tendonitis (DQT) is a common painful disorder of the wrist. It was known as “wash-woman’s wrist” and now as “new mommy wrist” and “gamer’s wrist” due to the prevalence encountered in these groups.
The condition was named after a Swiss surgeon Fritz de Quervain, who incidentally, was famous for his work on thyroid disease and the public introduction of iodine into table salt decreasing the incidence of “goiters” (swollen thyroid glands) in Switzerland. The U.S. adopted this policy in the 1920s starting in the iodine deficient Midwest where goiters affected 20-30% of the population.
A trigger finger is defined by Cambridge Dictionary as “the finger that someone uses to point a gun.” Medically speaking a trigger finger refers to a condition where a finger locks, clicks, or catches. It is a very common hand disorder known as “stenosing tenosynovitis.”
A illustration of trigger finger. Credit: Shutterstock
Patients more frequently affected include females between the ages of 40-60, persons who work manually via their hands, and those with diabetes, rheumatoid arthritis and gout. The thumb, ring, and long fingers are most often involved. Unlike other finger conditions that cause stiffness, it is often associated with swelling, numbness, or redness.
The tendons in the palm of the hand “flex” or pull your finger into the palm to allow for gripping and manipulation. The muscles or muscles that flex your finger are in your forearm. These muscles are connected to semi-elastic cords known as tendons. The tendons travel up through you hand and into each digit. The tendon is tethered to the finger to prevent it from bowstringing by fibrous tunnels known as “pulleys.” The first pulley is at the very base of the finger in the palm.
Some cases of trigger finger resolve spontaneously. Others can be chronic and disabling. Treatment varies with the severity and chronicity and may include observation (also known as “benign neglect”), splinting, activity modification, and the use of a topical or oral anti-inflammatory agent.
The tendon or the pulley can be mechanically altered by swelling, scarring or inflammation. When the tendon can no longer easily transit the pulley- it clicks, catches, and locks. It can be painful and interrupt normal everyday hand function.
For many cases or trigger finger an orthopedist can provide a tendon sheath injection of a locally acting, low dose corticosteroid which works in most cases after only one or two shots. Failing that the condition can be alleviated by a minor outpatient surgical procedure that can be performed under local anesthesia.
If you suffer from a painful stiff finger that may be clicking, popping, or locking- or any painful hand condition- please come in for an evaluation as many of these conditions can be successfully treated. be sure to make an appointment with us: http://robertmoriartymd.com/contact-us/ or 631-423-BONE (2663).
Stand-up desks have become very popular in the workplace as the answer to the unhealthy practice of sitting. Many have heard the new mantra that “sitting is the new smoking” which can lead to a variety of health risks from weight gain, cardiovascular disease, cancer, and musculoskeletal demise. Stand up desks are being marketed to workers promising better health and increased productivity.
A “stand-up desk” includes a wide variety of options from economical DIY furniture adaptations (a stack of books under your laptop) to custom free-standing furniture designs with electric motors to adjust height costing thousands of dollars. Popular versions include adjustable devices placed upon an existing desktop.
The popularity of the standing desk has exploded in part as “the answer” to the mental and physical detriments of sitting. However, recent studies caution the claims of this device as a workplace panacea. The reported benefits of the stand-up desk have yet to be proven and are for the most part overstated. One of the claims is that of weight loss. Standing in lieu of sitting burns a modest 8 calories per hour or 60 calories in a work day. You could skip the extra cookie and save more. Standing all day may also increase the incidence of symptomatic varicose veins and pain in the feet and back.
Dr. Robert Moriarty, MD and his team are excited to introduce their newest team member: Michelle Mesh, MS, PA-C!
Michelle joins our practice with ten years orthopedic experience. She is knowledgeable and professional, with expertise in managing routine to more complex musculoskeletal conditions. Michelle also has expertise in administering trigger point injections.
Michelle received her undergraduate degree from the University of Michigan, her MS from University of Medicine and Dentistry of New Jersey and completed her residency at NYU- Hospital for Joint Diseases in their PA Orthopedic Residency Program.
In her free time, Michelle enjoys going for walks, working out, watching a good movie and most importantly, spending time with her husband and two adorable little girls.
Please join us as we welcome our newest team member Michelle!