Nonsurgical treatment for de Quervain's tenosynovitis.

N D c m Q f c HE PATIENT 33-year-old, left-handed woman who is a homeaker reports 2 months of left wrist pain. The pain is orse when lifting her children, opening bottles, or urning doorknobs. She has seen her primary care docor who diagnosed her with “tendonitis” and prescribed er an unscheduled nonsteroidal anti-inflammatory rug (NSAID) and a wrist splint. Physical exam idenifies tenderness and swelling along the first dorsal ompartment. Pain is elicited with ulnar deviation of the rist with the thumb in a clenched-fist position. There s no pain with palpation, movement, or compression of he trapeziometacarpal joint.