De Quervain’s Tenosynovitis

De Quervain’s tenosynovitis is a condition that involves inflammation of the tendons on the thumb side of the wrist. This inflammation can result in pain and swelling in the wrist and thumb, making it difficult to perform everyday activities that involve gripping or pinching.

Symptoms of De Quervain’s Tenosynovitis

Affected tendons include the abductor pollicis longus and extensor pollicis brevis. The symptoms of De Quervain’s tenosynovitis may consist of the following:

Pain and Tenderness: Pain along the thumb side of the wrist and the base of the thumb. The pain may worsen with movement or pressure.
Swelling: Swelling and inflammation in the wrist and thumb area.
Difficulty Gripping: Weakness or difficulty gripping objects, especially with the thumb.
“Sticking” Sensation: A “sticking” sensation or a catching feeling when moving the thumb.

Treatments for De Quervain’s Tenosynovitis

Treatment for De Quervain’s tenosynovitis typically involves a combination of conservative measures to reduce inflammation and promote healing. Some common treatment options include:

Rest and Immobilization: Avoiding activities that worsen the symptoms and a splint or brace to rest the affected hand and wrist.
Medications: Over-the-counter or anti-inflammatory pain relievers may help reduce pain and inflammation.
Ice Therapy: Applying ice to the affected area can help reduce swelling and provide pain relief.
Activity Modification: Adjusting daily activities to minimize thumb and wrist movements.
Corticosteroid Injections: In cases of severe pain and inflammation, corticosteroid injections may be recommended to provide relief.
Physical Therapy: Hand and wrist exercises and therapies can help improve hand strength and flexibility.

Surgical intervention

In some cases, surgical intervention may be necessary if conservative treatments do not deliver sufficient relief. The surgical procedure involves releasing the constricting tendon sheath to relieve pressure on the tendons. During the surgery, our skilled surgeons at HSA make a small incision along the side of the wrist to access the affected tendons. The constricting tendon sheath is carefully divided, allowing more space for the tendons to glide smoothly without impingement. This relieves pressure on the abductor pollicis longus and extensor pollicis brevis tendons, reducing inflammation and alleviating symptoms.

De Quervain’s release is typically performed outpatient, allowing you to return home on the same day of the procedure. Recovery time varies from person to person, wearing a splint for 1 – 4 weeks, and a full recovery achieved within 6 – 12 weeks, with your wrist and thumb moving comfortably, without pain.

Why choose HSA for De Quervain’s Tenosynovitis?

At HSA, our board-certified hand specialists have extensive experience diagnosing and treating hand and wrist conditions, including De Quervain’s tenosynovitis. We offer a multidisciplinary approach to hand and wrist conditions, providing various treatment options for your unique condition. Because your well-being is our top priority, we take the time to understand your symptoms, conduct a thorough evaluation, and develop a personalized treatment plan.

Same-day appointments with a board-certified hand specialist

If you are experiencing symptoms of De Quervain’s tenosynovitis or any hand or wrist issue, do not hesitate to seek professional care. Contact HSA to schedule an appointment with our experienced specialists and receive expert care for your condition. Our dedicated team is here to support you throughout your treatment process, promoting healing and helping you regain optimal hand and wrist function.