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What is De Quervain's tenosynovitis?
De Quervain's disease — inflammation and thickening of the tendon sheaths of the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) thumb tendons in the first extensor compartment of the wrist. The tendons swell and cannot glide freely, causing pain.
Common cause — repetitive movements: computer work (mouse), childcare («mommy's wrist»), gardening, sports (tennis, golf). Occurs in 0.5-1.3% of the population, women are affected 6-10 times more often.
Symptoms:
- Pain in the wrist area on the thumb side
- Worsens with grasping, wrist rotation, lifting objects
- Positive Finkelstein's test (sharp pain with ulnar deviation)
- Swelling in the styloid process area
- Crepitus with thumb movement
Risk factors:
- New mothers (lifting and holding child)
- Computer work (mouse, keyboard)
- Rheumatoid Arthritis
- Hormonal changes (pregnancy, menopause)
Facts about De Quervain's
- ICD-10: M65.4
- Prevalence: 0.5-1.3% of population
- Gender: women 6-10 times more often
- Age: 30-50 years
- «Mommy's wrist»: typical name
How MIBRAR® treats De Quervain's disease
Ultrasound diagnostics
Sono Control Arm™ visualizes thickened tendons, inflamed sheath, presence of septa (partitions) in the first compartment.
Obtaining concentrates
CGF — powerful anti-inflammatory factors. Lipogems® — stem cells for regeneration of damaged tendons and reduction of sheath fibrosis.
Injection into tendon sheath
Under ultrasound guidance, concentrates are injected directly into the first extensor compartment — to the inflamed EPB and APL tendons.
Elimination of inflammation and regeneration
Anti-inflammatory factors reduce swelling, stem cells restore tendon structure. Unlike steroids — long-term effect without weakening tendons.
MIBRAR® Method Advantages
95% of interventions covered
MIBRAR® covers up to 95% of all spinal neurosurgery and orthopedic operations.
No anesthesia or incisions
Outpatient treatment via 0.3-1.5 mm puncture. No general anesthesia or hospitalization.
No age restrictions
Regeneration at any age. Safe for chronic conditions and anesthesia intolerance.
Rapid improvement
Concentrates have analgesic and anti-inflammatory properties. Relief within days.
Multiple zones at once
Simultaneous treatment of multiple discs or joints in one procedure.
Home the same day
No crutches, braces or rehabilitation needed. MRI follow-up at 8-16 weeks.
MIBRAR® Technology
Cyber Navi Hand™
Intraoperative robotic navigation system. Provides precise access to deep structures with 1 mm and 1 degree accuracy.
Sono Control Arm™
Device for intervention under sonographic control. Eliminates open surgeries with real-time visual monitoring.