De Quervains

Overview of De Quervain’s

De Quervain’s tenosynovitis is a painful inflammation of the tendons on the thumb side of your wrist, causing discomfort when turning, gripping, or making a fist. Although the cause of this condition isn’t known, it can be aggravated by any activity that causes repetitive hand or wrist movement.

It is useful to identify the cause (often, repetitive activity such as hammering or playing tennis) so it can be avoided, ice packs and splints can also help settle acute symptoms of De Quervain’s,  along with painkillers and anti-inflammatory agents.

If these actions prove to be unsuccessful, or the condition reoccurs, surgery is recommended to open the fibrous tunnel to release the tendons and reduce friction. This usually gets rid of the pain quickly.

 

 

What To Expect

Surgery is done on an outpatient basis under local anaesthesia or an arm block.

The procedure removes the dense bands of fibrous tissue, so the joints can then be straightened. Treating the wound with steroid before closure may help prevent further fibrosis, particularly in severe cases.

Following surgery, the hand is put in a high sling to reduce swelling. Firm padded bandaging is applied with a splint, usually for 1 – 4 weeks post-operatively.

 

 

 

 

If you would like to book a consultation, we can outline your options, and ensure that all the important details are explained and your questions and concerns fully answered.