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DeQuervain’s Tenosynovitis

DeQuervain’s Tenosynovitis

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This is a painful condition due to swelling and inflammation of the tendons on the thumb side of your wrist. It cause pain and swelling every time you engage in Thumb related activities such as turning jar lid, picking up tea cup or making thumb’s up gesture or even moving the wrist sideways.

The condition can be precipitated by repetitive activities such as excessive use of hand held devices in gaming as well sustained holding of weighty objects such as working in the garden, playing golf or racket sports or lifting your baby.

When Do You See the Doctor

When Do You See the Doctor

  • Painful or swollen wrist in daily use
  • Rest pain in the wrist and unable to function
  • Persistent symptoms even after apply splints and straps to the affected area
  • No relieve with nonsteroidal anti-inflammatory drugs, such as ibuprofen, Ponstan, Naprosyn, Voltaren, Celebrax and Arcoxia

Treatment Options

Management of de Quervain's Tenosynovitis is divided into conservative or surgery.

Treatment is 80% successful if begun early on, though the pain may recur if you can't discontinue the repetitive motions that aggravate your condition.

If you start treatment early on, your symptoms of de Quervain's tenosynovitis should generally improve within four to six weeks.

When de Quervain's tenosynovitis starts during pregnancy, symptoms usually get better around the end of pregnancy or when breast-feeding stops.

Surgery

Surgery is indicated when conservative treatment fails.

It is strongly indicated after failed trial of therapy, 2 intralesional injection and repeated recurrences.

Surgery involves releasing the constricted tendon sheath over the Abductor Policis and Extensor Pollicis Brevis tendon at thumb side of the wrist.

The surgery usually take 30 minutes and is generally carried out as day surgery under local anesthesia

Non-surgical Treatment

Non Steriodal Anti-inflammatory Drugs such as Ponstan, Ibuprofen and Naproxen help to reduce swelling and pain.

Intra Lesional Steriod (H&L) may also recommend for most predictable relief and cure. Injections of insoluble corticosteroid are given into the tendon sheath to reduce swelling.

Therapy includes thumb and wrist splinting with a thumb spica to rest your tendons. Aviod repetitive activities. Local Ultrasound and deep heat to reduce inflammation in the tendon.

Lifestyle modification.

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If you require further information or assistance please feel free to contact us to discuss possible treatment options.

Contact Us


If you require further information or would like to see how we can assist you, Please feel free to contact us to discuss possible treatment options.