Call Now: 248.680.9000


Michigan Sports and Spine

De Quervain's Tenosynovitis


De Quervain's tenosynovitis is the inflammation of the tendons of the side of the wrist and the base of the thumb

Overuse of the wrist
Direct injury to the wrist or tendon
Rheumatoid arthritis

Pain and tenderness at the side of the wrist and base of the thumb
Slight swelling and redness

Based on typical appearance, location of pain, and tenderness

Application of ice
Anti-inflammatory drugs
Cortisone injections
Surgery (rare)


Carpal Tunnel Syndrome


Carpal tunnel syndrome affects the median nerve, which runs from the forearm into the palm of the hand.  The nerve in encased in a narrow, rigid passageway of ligament and bones called the carpal tunnel.  Pain, weakness, and numbness may occur when thickening from irritated tendons or other swelling compress the median nerve inside the carpal tunnel.

Burning, tingling, or itching numbness in the palm of the hand and fingers, especially the thumb, index and middle fingers which can radiate up the wrist
Difficulty making a fist

Genetics (the carpal tunnel is simply smaller in some people than in others)
Trauma that causes swelling such as a fracture or sprain
Over activity of the pituitary gland
Rheumatoid arthritis
Mechanical problems with the wrist joint
Work stress
Repeated use of vibrating hand tools
Fluid retention associated with pregnancy or menopause
A cyst or tumor

Physical examination of the neck, shoulders, hands, wrist and fingers
Routine laboratory tests and x-rays
Symptom inducing tests


Rest and immobilization
Application of cool packs
Stretching and strengthening exercises




Sprain Injuries

The joints of your body are supported by ligaments. Ligaments are strong bands of connective tissue that connect one bone to another. A sprain is a simple stretch or tear of the ligaments.

The areas of your body that are most vulnerable to sprains are your ankles, knees, and wrists.

A sprained ankle can occur when your foot turns inward. This can put extreme tension on the ligaments of your outer ankle and cause a sprain.

A sprained knee can be the result of a sudden twist.

A wrist sprain most often occurs when you fall on an outstretched hand.

Most mild sprains heal with "R.I.C.E." (rest, ice, compression, and elevation) and exercise. Moderate sprains may also require a period of bracing. The most severe sprains may require surgery to repair torn ligaments.



Why Choose Us

Our studies prove that MSSC has patient success rates much higher than the national average.

Innovative leaders utilizing cutting-edge technologies such as muskuloskeletal ultrasounds.

MSSC is committed to resolving your pain, not simply masking it. 

We treat everyone from high-profile athletes to your neighbor next door.