Table of Contents
Introduction
De Quervain tenosynovitis occurs when the tendons that control thumb movement become irritated or inflamed as they pass through a narrow tunnel in the wrist. This condition can make gripping, pinching, or twisting motions painful and difficult. It is common in people who perform repetitive hand or wrist movements, such as texting, typing, or lifting objects. Early care can help prevent worsening symptoms and improve hand function.
What is De Quervain Tenosynovitis?
The tendons on the thumb side of the wrist glide through a protective sheath. When this sheath becomes inflamed or thickened, the tendons have trouble moving smoothly. This leads to pain, swelling, and sometimes a catching sensation when moving the thumb or wrist.
How Do I Know if I Have De Quervain Tenosynovitis?
Common signs and symptoms include:
- Pain or tenderness at the base of the thumb or wrist
- Swelling along the thumb side of the wrist
- Difficulty gripping, pinching, or making a fist
- A catching or snapping sensation with thumb movement
Diagnosis is usually made through a physical exam and discussion of your symptoms.
Treatments for De Quervain Tenosynovitis
Many cases improve with non-surgical approaches, such as:
- Rest and activity modification to reduce strain on the tendons
- Thumb or wrist splints to immobilize the area and allow healing
- Ice therapy to reduce pain and swelling
- Anti-inflammatory medications to relieve irritation
- Corticosteroid injections to reduce inflammation and improve movement
Do I Need Surgery?
Surgery may be recommended if symptoms persist despite conservative treatment or if daily activities remain limited. Surgical release involves opening the tendon sheath to allow the tendons to glide freely. The procedure is usually quick and effective, restoring pain-free thumb and wrist movement.
Recovery and Rehabilitation
Recovery depends on the severity of the condition and whether surgery is performed. Non-surgical treatments often provide improvement within weeks. After surgery, therapy may include gentle stretching and strengthening exercises to restore motion, reduce stiffness, and improve function. The orthopedic specialists at Premier Podiatry and Orthopedics will guide your recovery, ensuring you regain full hand and wrist strength and can safely return to your daily activities and work tasks.
References
Challoumas D, Ramasubbu R, Rooney E, et al. Management of De Quervain Tenosynovitis: A Systematic Review and Network Meta-Analysis. JAMA Netw Open. 2023;6(10):e2337001. doi:10.1001/jamanetworkopen.2023.37001.
Chong HH, Pradhan A, Dhingra M, et al. Advancements in De Quervain Tenosynovitis Management: A Comprehensive Network Meta-Analysis. J Hand Surg. 2024;49(6):557-569. doi:10.1016/j.jhsa.2024.03.003.
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