What does ECU tendonitis feel like?

ECU tendinitis is an inflammation of the extensor carpi ulnaris tendon, found on the pinky side of the hand. Symptoms include wrist pain and loss of grip strength. ECU tendinitis symptoms are made worse by combined wrist motion towards the pinky side and moving the palm up and down.

What causes extensor carpi ulnaris pain?

Pain arising from lesions in the extensor carpi ulnaris (ECU) is known to occur mainly due to tenosynovitis, tendon rupture, and subluxation or dislocation of the ECU tendon [1,2].

How do you treat extensor carpi ulnaris?

Mild cases of ECU Tendinitis can be treated with rest, splinting and non-steroidal anti-inflammatories, whereas severe instances can necessitate cortisone injection or surgery to repair the tendon and its sheath which anchors it to the ulna head and wrist (aka subsheath).

How long does ECU tendonitis take to heal?

In the event of total luxation of the ECU tendon, time to complete recovery is three to four months. In patients with subluxation of the ECU tendon and disorganisation of the tendon subsheath along the medial side of the head of the ulna, recovery takes two to three months.

How do you test for ECU tendonitis?

The presence of both flexor carpi ulnaris (FCU) and ECU muscle contraction is confirmed by direct palpation as the tendon bowstrings under the fingertips. Re-creation of pain along the dorsal ulnar aspect of the wrist is considered to be a positive test for ECU tendonitis.

Can you have tendonitis on the ulnar side of wrist?

One of the most common forms of wrist tendonitis is de Quervain’s tendinitis. It affects the tendons near your thumb. You can also get ulnar tendinitis, which is irritation of the tendons on the pinkie side of your hand.

How do you test extensor carpi ulnaris?

Extensor carpi ulnaris synergy test. The examiner grasps the patient’s thumb and long finger with one hand, palpates the ECU tendon with the other hand, and then has the patient radially deviate the thumb against resistance.

What happens if tendonitis goes untreated?

If tendonitis is left untreated, you could develop chronic tendonitis, a tendon rupture (a complete tear of the tendon), or tendonosis (which is degenerative). Chronic tendonitis can cause the tendon to degenerate and weaken over time.

Does wearing a wrist brace help with tendonitis?

Wrist braces support your wrist in a neutral position, which may help bring relief to wrist discomfort and pain. They prevent repetitive movements, which is helpful for conditions such as arthritis and tendonitis. Some wrist braces also reduce compression of the median nerve, which causes carpal tunnel syndrome.

How do I know if I have ECU subluxation?

What are the symptoms of ECU Subluxation? ECU subluxation most often presents with a searing pain to the affected area, being the ulnar aspect of the wrist. Snapping can also be felt, as the misplaced tendon interacts with the bones of the wrist where it has been moved.

How do you fix ulnar tendonitis?

How is ulnar wrist pain managed or treated?

  1. Taking anti-inflammatory medication, such as naproxen or ibuprofen or newer non-steroidal anti-inflammatory drugs (NSAIDS), or steroid injections to ease pain.
  2. Changing your hand’s position during repetitive motions (ergonomic adjustment)