Materiały źródłowe

• #1 De Quervain’s Tenosynovitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis

  De Quervain’s tenosynovitis is swelling of the tendons that run along the thumb side of the wrist and attach to the base of the thumb. This occurs when the tendons are constricted by the sheath that they run through to get from the wrist to the hand. […] De Quervain’s tenosynovitis affects the abductor pollicis longus (APL) and the extensor pollicis brevis (EPB). These are two of the main tendons to the thumb that assist with bringing the thumb out away from the index finger (APL) and straightening the joints of the thumb (EPB). […] De Quervain’s tendinosis is treated by reducing the swelling/irritation of the tendons and tendon sheath, thereby relieving the pain caused by the condition. […] A removeable splint that keeps the wrist straight and the thumb still in a comfortable position may improve pain, especially when worn at night. […] Surgery may be recommended if symptoms are severe or do not improve with non-operative management. […] Most patients with De Quervain’s tenosynovitis do very well and are ultimately relieved of their symptoms with nonsurgical and/or surgical treatment.

• #1 de Quervain’s Tenosynovitis: Signs & Symptoms | The Hand Society

  https://www.assh.org/handcare/condition/dequervains-tenosynovitis

  Patients with de Quervains Tenosynovitis have painful tendons on the thumb side of the wrist. […] In de Quervains Tenosynovitis, the tunnel (the first extensor compartment) where the tendons run can narrow, or the tendons can take up extra space in the tunnel. […] In this condition, hand and thumb motion can cause pain, especially with forceful grasping or twisting. […] Treatments that can relieve symptoms include: A splint that stops you from moving your thumb and wrist, Tylenol or anti-inflammatory medications (e.g., Ibuprofen), A cortisone-type of steroid injection into the tendon compartment, Hand therapy (following decreased symptoms) to focus on strength and stability of the wrist and thumb to prevent reoccurance. […] If these less-invasive options have not provided relief, surgery to open the tunnel and make more room for the tendons may be considered.

• #1 De Quervain tenosynovitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/de-quervain-tenosynovitis/symptoms-causes/syc-20371332

  De Quervain tenosynovitis (dih-kwer-VAIN ten-oh-sine-oh-VIE-tis) is a painful condition affecting the tendons on the thumb side of the wrist. If you have de Quervain tenosynovitis, you will probably feel pain when you turn your wrist, grasp anything or make a fist. […] Symptoms of de Quervain tenosynovitis include: Pain near the base of the thumb, Swelling near the base of the thumb, Difficulty moving the thumb and wrist when doing something that involves grasping or pinching, A „sticking” or „stop-and-go” sensation in the thumb when moving it. […] Consult your health care provider if you’re still having problems with pain or function and you’ve already tried: Not using your affected thumb, Applying cold to the affected area, Using nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] When de Quervain tenosynovitis goes untreated, it can become difficult to use the hand and wrist properly. The wrist may lose some range of motion.

• #1 De Quervain tenosynovitis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/de-quervain-tenosynovitis/diagnosis-treatment/drc-20371337

  To diagnose de Quervain tenosynovitis, your health care provider will examine your hand to see if you feel pain when pressure is applied on the thumb side of the wrist. […] Treatment for de Quervain tenosynovitis is aimed at reducing inflammation, preserving movement in the thumb and preventing recurrence. […] If you start treatment early, your symptoms should improve within 4 to 6 weeks. […] To reduce pain and swelling, your doctor may recommend using pain relievers that you can buy without a prescription. […] Your doctor may also recommend injections of corticosteroid medications into the tendon covering to reduce swelling. […] Initial treatment of de Quervain tenosynovitis may include: Immobilizing the thumb and wrist, keeping them straight with a splint or brace to help rest the tendons.

• #1 De Quervain’s Tenosynovitis: Diagnosis & Treatment | NewYork-Presbyterian

  https://www.nyp.org/orthopedics/columbia-orthopedics/de-quervains-tenosynovitis/treatment

  De Quervain’s tenosynovitis can often be diagnosed during a physical exam. Your doctor will check your hand and wrist for swelling and see if you feel pain when pressure is placed on the thumb side of the wrist. […] Your physician may also perform the Finkelstein test, in which youll make a fist with your thumb under your fingers and bend your wrist toward your pinky finger. If you feel pain along the thumb side of your wrist, you may have de Quervain’s tenosynovitis. Imaging exams such as X-rays are not usually needed. […] Your doctor will most likely recommend nonsurgical de Quervain’s tenosynovitis treatments first. Surgery is not typically used unless nonsurgical methods arent helping to relieve your symptoms. […] About 50%-80% of people with de Quervain’s tenosynovitis respond well to nonsurgical treatments and do not need surgery. You may have one or more of these therapies: Medication to reduce inflammation and relieve pain, such as ibuprofen or naproxen; A splint to keep your wrist in a comfortable position. You may need to wear it 24 hours a day for as long as 4-6 weeks; Applying a cold pack to your wrist to reduce swelling; Avoiding the activities that are causing your discomfort; One or two injections of a corticosteroid, such as cortisone, into the tendon sheath to reduce inflammation; De Quervain’s tenosynovitis massage to help relieve swelling and discomfort; Exercises to strengthen muscles and reduce pain and tendon irritation. An occupational or physical therapist can assess your movements and instruct you about better ways to move your wrist.

• #1 De Quervain’s Tenosynovitis: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.de-quervain’s-tenosynovitis-care-instructions.abk9785

  De Quervain’s (say „duh-kair-VAZ”) tenosynovitis is a problem that makes the bottom of your thumb and the side of your wrist hurt. […] Symptoms often get better in a few weeks with home care. Your doctor may want you to start some gentle stretching exercises once your symptoms are gone. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Until your symptoms are better, stop the activities that caused the pain. […] Follow your doctor’s directions for wearing a splint to keep your thumb and wrist from moving. […] Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). […] Watch closely for changes in your health, and be sure to contact your doctor if: You have new or worse pain. […] You do not get better as expected.

• #1 De Quervain’s Tenosynovitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis/

  De Quervain’s tenosynovitis is swelling of the tendons that run along the thumb side of the wrist and attach to the base of the thumb. This occurs when the tendons are constricted by the sheath that they run through to get from the wrist to the hand. […] This condition can cause pain and tenderness along the thumb side of the wrist. This is particularly noticeable when you are: […] De Quervain’s tenosynovitis is common and may be caused by overuse of the thumb and wrist. […] De Quervain’s tendinosis is treated by reducing the swelling/irritation of the tendons and tendon sheath, thereby relieving the pain caused by the condition. […] A removeable splint that keeps the wrist straight and the thumb still in a comfortable position may improve pain, especially when worn at night. […] Drugs like ibuprofen and naproxen can be taken by mouth or applied topically. They may help reduce swelling and relieve pain.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abk9785

  De Quervain’s (say „duh-kair-VAZ”) tenosynovitis is a problem that makes the bottom of your thumb and the side of your wrist hurt. […] Symptoms often get better in a few weeks with home care. Your doctor may want you to start some gentle stretching exercises once your symptoms are gone. Sometimes treatment with an injection or surgery is needed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Until your symptoms are better, stop the activities that caused the pain. […] Avoid moving the hand and wrist that hurt. […] Follow your doctor’s directions for wearing a splint to keep your thumb and wrist from moving. […] Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Be safe with medicines. Read and follow all instructions on the label. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have new or worse pain. […] You do not get better as expected.

• #1 De Quervain’s Tenosynovitis: Symptoms and Treatment

  https://my.clevelandclinic.org/health/diseases/10915-de-quervains-tendinosis

  De Quervains tenosynovitis is painful swelling around your thumb tendons. Doing repetitive motions with your thumbs and wrist at work or for a hobby are the most common causes. Most people need to wear a splint and rest their wrist for a few weeks to recover. Its rare, but you might need surgery to relieve pressure in your tendon sheaths. […] De Quervains tenosynovitis is painful inflammation around your thumb tendons. Its also called de Quervains tendinosis or de Quervains tendinitis. Healthcare providers sometimes use these names interchangeably to refer to the same condition. […] A healthcare provider will usually suggest treatments for de Quervains tenosynovitis that manage your symptoms while your thumb tendons and their sheaths heal. The most common treatments include: Wearing a splint or brace: This will keep your wrist and thumb held in place (immobilized) to take pressure off your thumb tendons. Icing your wrist: Icing can reduce swelling and relieve pain. Wrap ice packs in a thin towel and apply them to your wrist for 20 minutes at a time a few times a day. Rest: Avoid using your affected wrist as much as possible. You’ll need to avoid playing sports or doing repetitive motions (especially the specific activity that caused the de Quervains tenosynovitis).

• #1 De Quervain Tenosynovitis Treatment & Management: Medical Therapy, Surgical Therapy, Postoperative Care

  https://emedicine.medscape.com/article/1243387-treatment

  Splinting of the thumb and wrist relieves symptoms, but most patients find the loss of the thumb for functional activities too restrictive and do not consistently wear the splints. […] Injection of corticosteroid into the sheath of the first dorsal compartment reduces tendon thickening and inflammation. […] A second injection given at least a month later permanently relieves symptoms in another 40-45% of patients. […] Caution should be exercised to ensure that the injection is placed in the sheath rather than subcutaneously, where corticosteroids can lead to fat and dermal atrophy. […] If injection therapy fails, surgical release of the first dorsal compartment relieves the entrapment. […] Surgical release of de Quervain tenosynovitis is an outpatient procedure. […] Early use of the hand for self-care and light activities is encouraged.

• #1 de Quervain’s tenosynovitis: a review of the rehabilitative options

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4349843/

  de Quervains tenosynovitis is an overuse disease that involves a thickening of the extensor retinaculum, which covers the first dorsal compartment. […] Conservative care involved anti-inflammatory medication and corticosteroid injections as well as occupational therapy to include splinting, activity modification, modalities, manual treatment, and therapeutic exercise. […] Conservative management of de Quervains tenosynovitis differs based on the severity of the condition. Options include anti-inflammatory medication, corticosteroid injections, and occupational therapy (OT). […] Specific components of OT include activity modification with patient education, splinting, manual treatment, use of modalities, edema and scar management, as well as desensitization and therapeutic exercises. […] The use of a thumb spica splint has been shown to assist with pain management by immobilizing the thumb and wrist joints, thereby preventing thumb MP joint flexion and wrist ulnar deviation.

• #1 de Quervain’s tenosynovitis: a review of the rehabilitative options

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4349843/

  OT can be used as an adjunct to the NSAIDs, corticosteroid injection, and splinting to decrease pain and inflammation while increasing the patients function, range of motion, and strength. […] Iontophoresis is a therapeutic modality used to deliver anti-inflammatory medications for edema control and to stimulate healing. […] Therapeutic ultrasound is a modality used for a variety of musculoskeletal injuries to improve tissue extensibility, assist with pain relief, as well as promote healing of wounds, tendons, and bone through the use of high-frequency sound waves at varying parameters determined by the goal of treatment. […] The goal of therapeutic exercises is to enhance gliding of the APL and EPB tendons in the first dorsal compartment. […] The treatment plan used by the authors for patients that present to OT for de Quervains tenosynovitis is to splint the joint for immediate support and positioning, initiate range of motion therapeutic exercise, and implement modalities for pain relief such as therapeutic ultrasound and iontophoresis.

• #1 Guide | Physical Therapy Guide to De Quervain’s Tendinitis | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-de-quervains-tendinitis

  The physical therapist may provide a wrist splint. This splint will position your wrist and thumb for rest, and provide compression to help ease pain and swelling. […] Your physical therapist will educate you about your hand injury. They will work with you to identify and suggest changes to external factors that may contribute to your pain. […] Your physical therapist will design a program to address your pain. It may include treatments such as applying ice to the affected area. […] Your physical therapist may teach you self-stretching techniques to decrease tension and help restore normal motion. […] Your physical therapist may treat your condition by applying hands-on treatments to gently move your muscles and joints. […] Your physical therapist will design a safe, progressive resistance program specific to you.

• #1 de Quervain’s tenosynovitis: a review of the rehabilitative options

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4349843/

  Although the use of splints has shown differing levels of effectiveness for conservative care of de Quervains tenosynovitis, postsurgical patients are recommended to be placed in a thumb spica splint for 1 to 2 weeks to allow for healing and immobilization. […] Once the splint is discontinued, a formal OT consultation is performed to assess for postoperative edema, scar sensitivity, ROM deficits as well as deficits in nerve function for motor and sensation. […] Two weeks postoperatively, active and active-assisted range of motion exercise is initiated in an effort to decrease stiffness and promote healing of the affected joints. […] Edema noted postoperatively in the thenar eminence, thumb MP joint, or wrist joint near the radial styloid can be treated with retrograde massage, which is a manual technique in which fluid is guided from a distal location to more proximal.

• #1 De Quervain’s Tenosynovitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis/

  Avoiding activities that cause pain and swelling may allow the symptoms to go away on their own. […] An injection of corticosteroids into the tendon sheath can be effective in addressing the condition by reducing swelling and relieving pain. […] Surgery may be recommended if symptoms are severe or do not improve with non-operative management. […] The goal of surgery is to release the tendon sheath to make more room for the irritated tendons. […] Most patients with De Quervain’s tenosynovitis do very well and are ultimately relieved of their symptoms with nonsurgical and/or surgical treatment. […] Fifty to 80% of patients can be successfully treated nonsurgically with splints, NSAIDs, and injections. […] The remaining 20% of patients typically respond well to surgery.

• #1 De Quervain’s Tenosynovitis – Clinical Features – Management – TeachMeAnatomy

  https://teachmesurgery.com/orthopaedic/wrist-and-hand/de-quervains-tenosynovitis/

  For those failing to respond to conservative management, surgical decompression of the extensor compartment can be performed under local or general anaesthetic. […] Most cases can be managed conservatively with wrist splints and steroid injections, yet surgical decompression is available for resistant cases.

• #1 Recovering from De Quervain’s Tenosynovitis Surgery

  https://www.sports-health.com/treatment/hand-and-wrist-injury-treatment/recovering-de-quervains-tenosynovitis-surgery

  The purpose of surgery for De Quervains tenosynovitis is to open the compartment that encases the inflamed tendons, so they can move freely without causing pain. […] Once patients are back home after De Quervains tenosynovitis and the local anesthesia begins to wear off, they will notice pain and swelling in the thumb and wrist, and possibly also numbness and tingling at the incision site. […] There are several measures patients can take to alleviate pain and swelling as healing begins: Keeping the affected hand immobile and elevated whenever possible for the first 2 or 3 days. […] Patients will need to keep the incision site clean and dry until the physician removes the stitches 1 to 2 weeks after the procedure. […] Patients can begin to do some gentle range of motion movements and exercises to keep the hand flexible within a few days of surgery.

• #1 De Quervain Tenosynovitis Treatment & Management: Medical Therapy, Surgical Therapy, Postoperative Care

  https://emedicine.medscape.com/article/1243387-treatment

  The suture is removed approximately 10 days after surgery. […] Although de Quervain tenosynovitis features a simple tendon entrapment and the treatment is quick and straightforward, complications of surgical treatment can be profound and permanent. […] Superficial radial nerve injury is the most irksome complication. […] Persistent entrapment symptoms are possible if the tendon slips of the abductor pollicis longus are mistaken for the tendons of the abductor pollicis longus and the extensor pollicis brevis. […] Subluxation of released tendons is possible.

• #1 Recovering from De Quervain’s Tenosynovitis Surgery

  https://www.sports-health.com/treatment/hand-and-wrist-injury-treatment/recovering-de-quervains-tenosynovitis-surgery

  Most individuals who undergo this procedure will be able to drive again as soon as they are no longer taking opioid medications. […] Typically, patients symptoms begin improving immediately after surgery and most experience free movement of wrist and thumb without pain after 6 to 12 weeks. […] Patients can decrease their risk for complications by following their post-surgical care instructions. […] Nearly all those who undergo surgery for De Quervains tenosynovitis have a complete recovery from pain and symptoms within a few weeks.

• #1 De Quervain Tenosynovitis: Practice Essentials, Anatomy, Etiology

  https://emedicine.medscape.com/article/1243387-overview

  Splinting of the thumb and wrist relieves symptoms, but compliance with splinting is a problem. […] Injection of corticosteroid into the sheath of the first dorsal compartment reduces tendon thickening and inflammation. […] If injection therapy fails, surgical release of the first dorsal compartment relieves the entrapment. […] Relief is permanent following successful surgery. […] Some patients who have been successfully treated with injections may have recurrent symptoms when they return to lifting infants aged 6-12 months. […] This author would suggest the following: Relief is usually permanent.

• #1 De Quervain Tenosynovitis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK442005/

  Corticosteroid injection has been reported to provide near complete relief with one or two injections in 52% to 90% of patients. […] If symptoms fail to improve or recur after two corticosteroid injections, operative management is an option. […] Most patients are treated successfully with nonoperative management. Corticosteroid injection, with or without immobilization, is effective in many patients. Even when the nonoperative command fails, releasing the first dorsal compartment relieves pain in almost all patients. Hence, the prognosis is usually good for these patients. […] The patients should be educated about the risk factors of the disease, its treatment options, and potential complications. […] De Quervain tenosynovitis is a relatively common disorder. The patient may present to several specialists, including a hand surgeon, orthopedic surgeon, primary care provider, or an emergency room physician. Nurses may encounter this disorder at workers’ compensation clinics and rehabilitation centers. […] For patients who seek treatment, the outcomes are excellent. For patients who don’t get treatment, the resulting pain often results in disability.

• #1 De Quervain tenosynovitis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/de-quervain-tenosynovitis/diagnosis-treatment/drc-20371337

  You may also see a physical therapist or an occupational therapist. […] Surgery may be recommended for more-serious cases. […] Your health care provider will talk to you about how to rest, strengthen and rehabilitate your body after surgery. […] If you don’t need surgery, caring for your condition is much the same as preventing it: Avoid moving your wrists the same way repeatedly. […] Wear a brace or splint if suggested by your health care provider. […] Follow through with recommended exercises. […] Make an appointment with your health care provider if you have hand or wrist pain and if avoiding the activities that trigger the pain aren’t helping. […] A health care provider who sees you for symptoms common to de Quervain tenosynovitis may ask a number of questions.

• #1 Understanding De Quervain Tenosynovitis

  https://www.veteranshealthlibrary.va.gov/RelatedItems/3,82380

  Treatments may include: Resting the wrist and thumb. This involves limiting movements that make your symptoms worse. You also may need to stay away from certain hobbies, sports, and types of work for a time. […] Cold packs. These help reduce pain and swelling. […] Prescription or over-the-counter medicines. These help relieve pain and swelling. NSAIDs (nonsteroidal anti-inflammatory drugs) are the most common medicines used. Medicines may be prescribed or bought over the counter. They may be given as pills. Or they may be put on the skin as a gel, cream, or patch. […] Splint or brace. This helps keep the thumb and wrist from moving. It also gives time for your tendons to heal. […] Exercises or physical therapy. These help stretch, strengthen, and improve the range of motion in your wrist and thumb.

• #1 Understanding De Quervain Tenosynovitis

  https://www.veteranshealthlibrary.va.gov/RelatedItems/3,82380

  Shots of medicine into the area around the tendon. These often are anti-inflammatory medicines called corticosteroids. They may help ease pain and swelling. […] Surgery. You may need surgery if other treatments dont relieve symptoms. During surgery, the surgeon releases the sheath that surrounds the tendons. This is so the tendons can move more easily. […] Without proper care and treatment, healing may take longer than normal. Also, symptoms may continue or get worse. Over time, the problem may become long-term (chronic). This can make it hard to use your wrist and thumb for normal activities. […] Call your healthcare provider right away if you have any of these: Fever of 100.4F (38C) or higher, or as directed by your provider, Chills, Symptoms that dont get better with treatment, or that get worse, Pain, numbness, or coldness in the hand, New symptoms.

• #1 de Quervain’s Tenosynovitis: Causes & Treatment – familydoctor.org

  https://familydoctor.org/condition/de-quervains-tenosynovitis/

  De Quervain’s tenosynovitis is a painful condition that affects the tendons in your wrist. It occurs when the 2 tendons around the base of your thumb become swollen. The swelling causes the sheaths (casings) covering the tendons to become inflamed. This puts pressure on nearby nerves, causing pain and numbness. […] The main symptom of de Quervain’s tenosynovitis is pain or tenderness at the base of your thumb. You might also feel pain going up your forearm. The pain may develop slowly or come on suddenly. It may get worse when you use your hand, thumb, or wrist. […] The best way to prevent de Quervain’s tenosynovitis is by avoiding repetitive movements. Change your actions to reduce the stress on your wrists. Take frequent breaks to rest if you are using your wrists. Wear a brace or splint on your thumb and wrist, if necessary. Follow the exercise routine suggested by your doctor or physical therapist. Be sure to tell them about any activities that cause pain, numbness, or swelling.

• #1 De Quervain tenosynovitis // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/de-quervain-tenosynovitis

  If you don’t need surgery, caring for your condition is much the same as preventing it: Avoid moving your wrists the same way repeatedly. […] Wear a brace or splint if suggested by your health care provider. […] Follow through with recommended exercises. […] Note activity that causes pain, swelling or numbness in your thumb and wrist. Try to avoid this activity and share the information with your provider.

• #1 DeQuervain’s Tenosynovitis: Diagnosis, Treatment, and Management – BTE

  https://www.btetechnologies.com/therapyspark/dequervains/

  Therapeutic exercises to increase range of motion and strength can improve the functional use of the hand. Performing assisted thumb abduction and extension can be an effective stretch. […] If the patient experiences pain with certain activities, you may need to alter those tasks. Activity modification can reduce further aggravation of the affected areas. […] Splinting is a great way to ensure home carryover and has been shown to relieve symptoms. An effective splint or brace can reduce pressure on the affected tendons, allowing them to rest and recover. […] Because it is an overuse injury, DeQuervain’s has a high likelihood of recurrence. Training patients in the principles of ergonomics can help them avoid reinjury. […] DeQuervain’s Tenosynovitis is a fairly common overuse injury, affecting thousands each year. However, it is easily treatable and preventable when considering ergonomic factors and utilizing activity modification along with traditional therapeutic interventions.

• #1 De Quervain’s Tenosynovitis: 10 Exercises

  https://www.healthline.com/health/de-quervains-tenosynovitis-exercises

  De Quervains tenosynovitis is an inflammatory condition. It causes pain at the thumb side of your wrist where the base of your thumb meets your forearm. […] If you have de Quervains, strengthening exercises have been shown to speed up the healing process and reduce your symptoms. […] Its important for you to perform these exercises consistently to reduce your symptoms and prevent flare-ups. You can also use hot and cold therapy on your wrist or take nonsteroidal anti-inflammatory drugs such as ibuprofen (Advil) for pain relief. […] If youve taken measures to alleviate your pain and your wrist isnt getting better, you should see a doctor. Together you can determine the best course of healing action. […] They may refer you to a specialist for further treatment. Its essential that you treat de Quervains. If left untreated, it can cause permanent damage to your range of motion or cause the tendon sheath to burst.

• #1 Potential effects, diagnosis, and management of De Quervain Tenosynovitis in the aesthetics community: A Brief Review, Case Example, and Illustrative Exercises | JCAD – The Journal of Clinical and Aesthetic Dermatology

  https://jcadonline.com/management-of-de-quervain-tenosynovitis/

  Kinesiotaping (KT tape) is used to help stabilize the area but still allows mobility in the thumb. […] Corticosteroid injections are a mainstay of treatment for DQT, with as many as 60 to 90 percent of patients reporting improvement in symptoms after one injection. […] Surgical release of the extensor retinaculum is performed as a treatment for DQT when conservative treatment fails. […] The exercises provided here are traditional movements done by professional PT/OT specialists. […] The presented exercises were selected specifically for injectors to strengthen the thumb and prevent DQT. […] Proper body ergonomics are a necessity for injectors to thrive in their work environment and industry, feeling healthy doing so. […] The goal is to strengthen and condition the thumb/wrist to be able to sustain long and healthy injecting careers. […] If any exercises cause pain, medical attention is needed. […] Proper body ergonomics, including stretching and strengthening the thumb, is key to manage this condition.

• #1 What is de Quervain’s Tenosynovitis? 5 Things to Know | Ochsner Health

  https://blog.ochsner.org/articles/what-is-de-quervains-tenosynovitis-5-things-to-know

  De Quervain’s tenosynovitis prevention involves common sense practices. Go slow when starting a new activity, particularly one that involves repetitive motion. Stop the activities that causes the pain and rest the thumb and wrist. Massage the wrist and thumb to loosen them up. […] Its a good idea to visit your doctor as soon as you notice pain or other symptoms of de Quervains tenosynovitis.

• #2 De Quervain Tenosynovitis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK442005/

  De Quervain tenosynovitis manifests as a thickening and myxoid degeneration of the tendon sheaths, specifically affecting the abductor pollicis longus and extensor pollicis brevis tendons as they traverse through the fibro-osseous tunnel situated along the radial styloid at the distal wrist. […] The management starts with nonoperative treatment in the form of immobilization and corticosteroid injection in the first dorsal compartment. The majority of the patients benefit from conservative treatment. In patients where nonoperative treatment doesn’t provide pain relief, surgical release of the first dorsal compartment is indicated. […] For those individuals with persistent symptoms, splinting, systemic anti-inflammatories, and corticosteroid injections are the most frequently utilized nonsurgical treatment options.

• #2 De Quervain tenosynovitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/de-quervain-tenosynovitis/symptoms-causes/syc-20371332

  De Quervain tenosynovitis (dih-kwer-VAIN ten-oh-sine-oh-VIE-tis) is a painful condition affecting the tendons on the thumb side of the wrist. If you have de Quervain tenosynovitis, you will probably feel pain when you turn your wrist, grasp anything or make a fist. […] Symptoms of de Quervain tenosynovitis include: Pain near the base of the thumb, Swelling near the base of the thumb, Difficulty moving the thumb and wrist when doing something that involves grasping or pinching, A „sticking” or „stop-and-go” sensation in the thumb when moving it. […] Consult your health care provider if you’re still having problems with pain or function and you’ve already tried: Not using your affected thumb, Applying cold to the affected area, Using nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] When de Quervain tenosynovitis goes untreated, it can become difficult to use the hand and wrist properly. The wrist may lose some range of motion.

• #2 De Quervain’s Tenosynovitis – Clinical Features – Management – TeachMeAnatomy

  https://teachmesurgery.com/orthopaedic/wrist-and-hand/de-quervains-tenosynovitis/

  Patients with De Quervains tenosynovitis will often complain of pain near the base of the thumb with an associated swelling (secondary to thickening of the tendon sheath). Movements involving grasping or pinching are particularly painful and difficult. […] On examination of the hand, there will be swelling and palpable thickening over the tendon group fibrous sheath. Finkelsteins test is often positive. […] The examiner applies longitudinal traction and ulnar deviation to the affected thumb. Pain specifically at the radial styloid process and along the length of the extensor pollicis brevis and abductor pollicis longus tendons is a positive test for De Quervains tenosynovitis. […] De Quervains tenosynovitis is a clinical diagnosis, with no investigations required. […] Conservative management of De Quervains tenosynovitis involves lifestyle advice (avoiding repetitive actions) and a wrist splint (such as a thumb spica brace). Steroid injections will reduce swelling and relieve pain in most cases, and can be repeated several times if a good response is observed.

• #2 Understanding De Quervain Tenosynovitis

  https://www.veteranshealthlibrary.va.gov/RelatedItems/3,82380

  Shots of medicine into the area around the tendon. These often are anti-inflammatory medicines called corticosteroids. They may help ease pain and swelling. […] Surgery. You may need surgery if other treatments dont relieve symptoms. During surgery, the surgeon releases the sheath that surrounds the tendons. This is so the tendons can move more easily. […] Without proper care and treatment, healing may take longer than normal. Also, symptoms may continue or get worse. Over time, the problem may become long-term (chronic). This can make it hard to use your wrist and thumb for normal activities. […] Call your healthcare provider right away if you have any of these: Fever of 100.4F (38C) or higher, or as directed by your provider, Chills, Symptoms that dont get better with treatment, or that get worse, Pain, numbness, or coldness in the hand, New symptoms.

• #2 De Quervain tenosynovitis // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/de-quervain-tenosynovitis

  Treatment for de Quervain tenosynovitis is aimed at reducing inflammation, preserving movement in the thumb and preventing recurrence. […] If you start treatment early, your symptoms should improve within 4 to 6 weeks. […] To reduce pain and swelling, your doctor may recommend using pain relievers that you can buy without a prescription. […] Your doctor may also recommend injections of corticosteroid medications into the tendon covering to reduce swelling. […] Initial treatment of de Quervain tenosynovitis may include: Immobilizing the thumb and wrist, keeping them straight with a splint or brace to help rest the tendons […] You may also see a physical therapist or an occupational therapist. […] Surgery may be recommended for more-serious cases. […] Your health care provider will talk to you about how to rest, strengthen and rehabilitate your body after surgery.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abk9785

  De Quervain’s (say „duh-kair-VAZ”) tenosynovitis is a problem that makes the bottom of your thumb and the side of your wrist hurt. […] Symptoms often get better in a few weeks with home care. Your doctor may want you to start some gentle stretching exercises once your symptoms are gone. Sometimes treatment with an injection or surgery is needed. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Until your symptoms are better, stop the activities that caused the pain. […] Avoid moving the hand and wrist that hurt. […] Follow your doctor’s directions for wearing a splint to keep your thumb and wrist from moving. […] Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Be safe with medicines. Read and follow all instructions on the label. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have new or worse pain. […] You do not get better as expected.

• #2 De Quervain’s Tenosynovitis: Symptoms and Treatment

  https://my.clevelandclinic.org/health/diseases/10915-de-quervains-tendinosis

  De Quervains tenosynovitis is painful swelling around your thumb tendons. Doing repetitive motions with your thumbs and wrist at work or for a hobby are the most common causes. Most people need to wear a splint and rest their wrist for a few weeks to recover. Its rare, but you might need surgery to relieve pressure in your tendon sheaths. […] De Quervains tenosynovitis is painful inflammation around your thumb tendons. Its also called de Quervains tendinosis or de Quervains tendinitis. Healthcare providers sometimes use these names interchangeably to refer to the same condition. […] A healthcare provider will usually suggest treatments for de Quervains tenosynovitis that manage your symptoms while your thumb tendons and their sheaths heal. The most common treatments include: Wearing a splint or brace: This will keep your wrist and thumb held in place (immobilized) to take pressure off your thumb tendons. Icing your wrist: Icing can reduce swelling and relieve pain. Wrap ice packs in a thin towel and apply them to your wrist for 20 minutes at a time a few times a day. Rest: Avoid using your affected wrist as much as possible. You’ll need to avoid playing sports or doing repetitive motions (especially the specific activity that caused the de Quervains tenosynovitis).

• #2 How to Stop De Quervain’s Tenosynovitis From Being a Pain in the Wrist | University of Utah Health

  https://healthcare.utah.edu/healthfeed/2024/05/how-stop-de-quervains-tenosynovitis-being-pain-wrist

  „The 'no pain, no gain’ mindset doesn’t apply to wrist injuries, Hutchinson says. If you’re experiencing symptoms of De Quervain’s Tenosynovitis, it’s time to limit or stop the activities that are causing this pain. Its also a good idea to practice good form and technique to prevent injuries from happening. […] The good news is that your painful symptoms can be alleviated with time and rest. Your doctor may recommend a few treatment options, including: […] For new mothers, some of these options may be easier said than done especially when it comes to wearing a splint. Hutchinson recommends putting one on after tucking the little one in at night. […] „We can’t just tell people to stop caring for their babies, so the best option for moms with newborns is to use a splint at night, Hutchinson says. When we’re sleeping, our hands and thumbs tend to form into a fist, so a splint can help us stop aggravating the tendons overnight.”

• #2 De Quervain’s Tenosynovitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis/

  De Quervain’s tenosynovitis is swelling of the tendons that run along the thumb side of the wrist and attach to the base of the thumb. This occurs when the tendons are constricted by the sheath that they run through to get from the wrist to the hand. […] This condition can cause pain and tenderness along the thumb side of the wrist. This is particularly noticeable when you are: […] De Quervain’s tenosynovitis is common and may be caused by overuse of the thumb and wrist. […] De Quervain’s tendinosis is treated by reducing the swelling/irritation of the tendons and tendon sheath, thereby relieving the pain caused by the condition. […] A removeable splint that keeps the wrist straight and the thumb still in a comfortable position may improve pain, especially when worn at night. […] Drugs like ibuprofen and naproxen can be taken by mouth or applied topically. They may help reduce swelling and relieve pain.

• #2 Understanding De Quervain Tenosynovitis

  https://www.veteranshealthlibrary.va.gov/RelatedItems/3,82380

  Treatments may include: Resting the wrist and thumb. This involves limiting movements that make your symptoms worse. You also may need to stay away from certain hobbies, sports, and types of work for a time. […] Cold packs. These help reduce pain and swelling. […] Prescription or over-the-counter medicines. These help relieve pain and swelling. NSAIDs (nonsteroidal anti-inflammatory drugs) are the most common medicines used. Medicines may be prescribed or bought over the counter. They may be given as pills. Or they may be put on the skin as a gel, cream, or patch. […] Splint or brace. This helps keep the thumb and wrist from moving. It also gives time for your tendons to heal. […] Exercises or physical therapy. These help stretch, strengthen, and improve the range of motion in your wrist and thumb.

• #2 De Quervain Tenosynovitis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK442005/

  Corticosteroid injection has been reported to provide near complete relief with one or two injections in 52% to 90% of patients. […] If symptoms fail to improve or recur after two corticosteroid injections, operative management is an option. […] Most patients are treated successfully with nonoperative management. Corticosteroid injection, with or without immobilization, is effective in many patients. Even when the nonoperative command fails, releasing the first dorsal compartment relieves pain in almost all patients. Hence, the prognosis is usually good for these patients. […] The patients should be educated about the risk factors of the disease, its treatment options, and potential complications. […] De Quervain tenosynovitis is a relatively common disorder. The patient may present to several specialists, including a hand surgeon, orthopedic surgeon, primary care provider, or an emergency room physician. Nurses may encounter this disorder at workers’ compensation clinics and rehabilitation centers. […] For patients who seek treatment, the outcomes are excellent. For patients who don’t get treatment, the resulting pain often results in disability.

• #2 De Quervain’s Tenosynovitis | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/de-quervain-tenosynovitis

  Depending on your symptoms, your healthcare provider may suggest: Wearing a splint. A splint is a support device that protects your thumb and wrist and keeps them from moving. […] Your healthcare provider may suggest that you work with a PT or OT who will: Show you how to do your daily activities while wearing a splint. Help you change your home and work activities to ease the stress on your wrist. Teach you exercises to make your arm, wrist, and hand stronger as you heal.

• #2 de Quervain’s tenosynovitis: a review of the rehabilitative options

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4349843/

  OT can be used as an adjunct to the NSAIDs, corticosteroid injection, and splinting to decrease pain and inflammation while increasing the patients function, range of motion, and strength. […] Iontophoresis is a therapeutic modality used to deliver anti-inflammatory medications for edema control and to stimulate healing. […] Therapeutic ultrasound is a modality used for a variety of musculoskeletal injuries to improve tissue extensibility, assist with pain relief, as well as promote healing of wounds, tendons, and bone through the use of high-frequency sound waves at varying parameters determined by the goal of treatment. […] The goal of therapeutic exercises is to enhance gliding of the APL and EPB tendons in the first dorsal compartment. […] The treatment plan used by the authors for patients that present to OT for de Quervains tenosynovitis is to splint the joint for immediate support and positioning, initiate range of motion therapeutic exercise, and implement modalities for pain relief such as therapeutic ultrasound and iontophoresis.

• #2 de Quervain’s tenosynovitis: a review of the rehabilitative options

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4349843/

  Although the use of splints has shown differing levels of effectiveness for conservative care of de Quervains tenosynovitis, postsurgical patients are recommended to be placed in a thumb spica splint for 1 to 2 weeks to allow for healing and immobilization. […] Once the splint is discontinued, a formal OT consultation is performed to assess for postoperative edema, scar sensitivity, ROM deficits as well as deficits in nerve function for motor and sensation. […] Two weeks postoperatively, active and active-assisted range of motion exercise is initiated in an effort to decrease stiffness and promote healing of the affected joints. […] Edema noted postoperatively in the thenar eminence, thumb MP joint, or wrist joint near the radial styloid can be treated with retrograde massage, which is a manual technique in which fluid is guided from a distal location to more proximal.

• #2 DeQuervain’s Tenosynovitis: Diagnosis, Treatment, and Management – BTE

  https://www.btetechnologies.com/therapyspark/dequervains/

  To identify DeQuervain’s, check for pain when there is pressure on the thumb and wrist. The Finkelstein test is the most common diagnostic tool for this injury. Treatment for DeQuervain’s includes hands-on techniques, therapeutic exercises, and home recommendations. […] Treatment for DeQuervain’s includes hands-on techniques, therapeutic exercises, and home program recommendations. Conservative treatment is successful for the majority of patients. […] In early sessions, you may need to address pain and swelling immediately. Modalities such as ice massage and cryotherapy can relieve pain. Ultrasound has also been proven to provide pain relief and diminish swelling. Additionally, low level laser therapy has demonstrated analgesic properties in some studies. […] Manual therapy techniques have also been shown to have beneficial outcomes. Using manual techniques on the affected muscles can decrease the constant pull of the tendons and lead to greater progress in therapy sessions.

• #2 Guide | Physical Therapy Guide to De Quervain’s Tendinitis | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-de-quervains-tendinitis

  Your physical therapist will create a series of activities to help you learn how to use and move your body correctly and safely. […] You, your physical therapist, and other health care providers will decide whether bracing your thumb is right for you. […] If you need surgery, it is likely that you will have treatment by a physical therapist before surgery. […] Your physical therapist can teach you correct and safe hand and wrist positions for home, work, and sport activities. […] All physical therapists are prepared through education and experience to treat de Quervain’s tendinitis.

• #2 de Quervain’s tenosynovitis: a review of the rehabilitative options

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4349843/

  Scar massage assists in decreasing the development of scar tissue, which can restrict available motion in the wrist and thumb joints. […] Desensitization of both nerves and the scar is performed after the procedure if decreased sensation or scar hypersensitivity is noted upon evaluation of the patient. […] Our postoperative treatment program following first dorsal compartment release for de Quervains tenosynovitis is to fabricate a thumb spica splint for immediate postoperative use. […] Once the patient regains full motion and strength, he/she is released to resume all activities at work and for leisure. […] OT treatment methods for de Quervains tenosynovitis assists with the healing of this disease through activity modification with patient education, splinting, manual treatment, use of modalities, edema, and scar management, as well as desensitization and therapeutic exercises.

• #2 De Quervain’s Tenosynovitis: Symptoms and Treatment

  https://my.clevelandclinic.org/health/diseases/10915-de-quervains-tendinosis

  Most people don’t need surgery to treat de Quervains tenosynovitis. But your provider might recommend surgery if other treatments don’t relieve your symptoms. […] De Quervains tenosynovitis is swelling in the sheath around your thumb tendons. It can make it painful and hard to use your thumb and wrist. Fortunately, most people only need rest, at-home treatments and to wear a splint or brace for a few weeks while their tendons and tendon sheaths heal.

• #2 De Quervain Tenosynovitis Treatment & Management: Medical Therapy, Surgical Therapy, Postoperative Care

  https://emedicine.medscape.com/article/1243387-treatment

  Splinting of the thumb and wrist relieves symptoms, but most patients find the loss of the thumb for functional activities too restrictive and do not consistently wear the splints. […] Injection of corticosteroid into the sheath of the first dorsal compartment reduces tendon thickening and inflammation. […] A second injection given at least a month later permanently relieves symptoms in another 40-45% of patients. […] Caution should be exercised to ensure that the injection is placed in the sheath rather than subcutaneously, where corticosteroids can lead to fat and dermal atrophy. […] If injection therapy fails, surgical release of the first dorsal compartment relieves the entrapment. […] Surgical release of de Quervain tenosynovitis is an outpatient procedure. […] Early use of the hand for self-care and light activities is encouraged.

• #2 De Quervain Tenosynovitis Treatment Elgin & Geneva, IL

  https://www.fvortho.com/treatments/de-quervain-tenosynovitis/

  De Quervain Tenosynovitis, also known as De Quervain’s Tendinitis or De Quervain’s Syndrome, is a condition that affects the tendons of the thumb. The tendons in this area become inflamed and swollen, causing pain extending into the wrist and restricted movement. De Quervain Tenosynovitis is primarily triggered by overuse or repetitive motions. […] Pain and inflammation can often be relieved without surgery. Doctors will rely on non-surgical treatment options first before recommending surgery. […] Some individuals seek the care of a physical or occupational therapist to help them perform exercises that can strengthen their muscles and reduce pain. These specialists can also give additional suggestions on relieving stress on your wrists. […] In situations where non-surgical treatments for de Quervain’s disease do not provide adequate relief, doctors may recommend surgical intervention. This is typically done when the pain becomes too severe and affects daily activities. The surgical approach for de Quervain’s is called a „release” procedure. A small incision is made on the side of your wrist near the base of your thumb. The surgeon alleviates the pressure and friction over the swollen tendons. The alleviated pressure allows the tendon to move freely without pain. De Quervain’s Tenosynovitis surgery is performed on an outpatient basis. […] After surgery, you may need wrist and hand therapy to regain strength and improve your movement.

• #2 De Quervains Tenosynovitis Treatment | Franciscan Health

  https://www.franciscanhealth.org/conditions-and-services/orthopedics/hand-and-wrist-care/de-quervains-tenosynovitis-treatment

  After surgery, you may wear a splint on your hand for one to four weeks and have hand therapy. Complete recovery takes six to 12 weeks. […] De Quervain’s tenosynovitis can result from strain, continual overuse or injury. It often occurs during pregnancy due to hormone fluctuation and fluid retention. Diabetes, rheumatoid arthritis or infection may also be related to De Quervains symptoms. It is most common in women ages 45 – 65. […] De Quervain’s tenosynovitis may cause: A grating or catching feeling. Pain in the tendon when moving the wrist or thumb. Pain that travels up the forearm. Swelling from fluid and inflammation. Pain may be acute (happen suddenly) or chronic – develop slowly and remain constant over time.

• #2 Recovering from De Quervain’s Tenosynovitis Surgery

  https://www.sports-health.com/treatment/hand-and-wrist-injury-treatment/recovering-de-quervains-tenosynovitis-surgery

  The purpose of surgery for De Quervains tenosynovitis is to open the compartment that encases the inflamed tendons, so they can move freely without causing pain. […] Once patients are back home after De Quervains tenosynovitis and the local anesthesia begins to wear off, they will notice pain and swelling in the thumb and wrist, and possibly also numbness and tingling at the incision site. […] There are several measures patients can take to alleviate pain and swelling as healing begins: Keeping the affected hand immobile and elevated whenever possible for the first 2 or 3 days. […] Patients will need to keep the incision site clean and dry until the physician removes the stitches 1 to 2 weeks after the procedure. […] Patients can begin to do some gentle range of motion movements and exercises to keep the hand flexible within a few days of surgery.

• #2 What is de Quervain’s Tenosynovitis? | Raleigh Ortho

  https://www.raleighortho.com/specialties/hand-and-wrist/de-quervains-tenosynovitis-wrist-tendonitis/

  Most patients will fully recover from de Quervains tenosynovitis surgery within six to twelve weeks. It is important that the hand is kept immobile and elevated as much as possible during your recovery. Ice therapy may be recommended every one to two hours during the day for the first three days after surgery. […] The best way to avoid de Quervains tenosynovitis is to prevent repetitive movements of the wrist. If you work or perform an activity where frequent wrist movement is necessary, it may be beneficial to switch up the way you perform the action to reduce stress on the wrists.

• #2

  https://step2.medbullets.com/orthopedics/120546/de-quervain-tenosynovitis

  A 32-year-old secretary presents with pain over the radial side of her right wrist. She denies any history of wrist trauma. Her pain is aggravated by carrying her 3-month-old son. She is swollen and tender over the radial styloid. Finkelstein test is positive. Radiographs are normal without signs of osseous abnormalities. […] Clinical definition: stenosing tenosynovial inflammation of the first dorsal compartment tendons: abductor pollicis longus (APL) and extensor pollicis brevis (EPB). […] Nonoperative treatment includes rest, NSAIDs, splinting, and steroid injection as the first-line treatment. […] The technique involves using a thumb spica splint and steroid injections into the first dorsal compartment. […] Surgical release of the 1st dorsal compartment is indicated for severe disease that does not improve with non-operative management. […] Complications include superficial radial nerve injury, which is a surgical complication due to the nerve passing directly over the first dorsal compartment. […] 90% will resolve within 1 year.

• #2 de Quervain’s Tenosynovitis: Causes & Treatment – familydoctor.org

  https://familydoctor.org/condition/de-quervains-tenosynovitis/

  De Quervain’s tenosynovitis is a painful condition that affects the tendons in your wrist. It occurs when the 2 tendons around the base of your thumb become swollen. The swelling causes the sheaths (casings) covering the tendons to become inflamed. This puts pressure on nearby nerves, causing pain and numbness. […] The main symptom of de Quervain’s tenosynovitis is pain or tenderness at the base of your thumb. You might also feel pain going up your forearm. The pain may develop slowly or come on suddenly. It may get worse when you use your hand, thumb, or wrist. […] The best way to prevent de Quervain’s tenosynovitis is by avoiding repetitive movements. Change your actions to reduce the stress on your wrists. Take frequent breaks to rest if you are using your wrists. Wear a brace or splint on your thumb and wrist, if necessary. Follow the exercise routine suggested by your doctor or physical therapist. Be sure to tell them about any activities that cause pain, numbness, or swelling.

• #2 De Quervain’s Tenosynovitis | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.de-quervain’s-tenosynovitis.zd1018spec

  De Quervain’s tenosynovitis, also called De Quervain’s, is a problem that makes the bottom of your thumb and the side of your wrist hurt. […] The goal of treatment for de Quervain’s is to relieve the pain and swelling in your thumb and wrist and to restore normal function. […] Symptoms often get better in a few weeks with home care. Your doctor may want you to start some gentle stretching exercises once your symptoms are gone. […] But if your wrist or thumb still hurts, your doctor might give you a steroid shot. This is injected into the thumb side of your wrist area. Most people feel better after just one shot, but you might need another shot after 4 to 6 weeks if your wrist and thumb still hurt. No more than 3 shots are used. […] If your wrist and thumb do not feel better after trying home treatment and getting 3 shots, your doctor might talk to you about surgery.

• #2 De Quervain tenosynovitis // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/de-quervain-tenosynovitis

  If you don’t need surgery, caring for your condition is much the same as preventing it: Avoid moving your wrists the same way repeatedly. […] Wear a brace or splint if suggested by your health care provider. […] Follow through with recommended exercises. […] Note activity that causes pain, swelling or numbness in your thumb and wrist. Try to avoid this activity and share the information with your provider.

• #2 DeQuervain’s Tenosynovitis Treatment & Surgery in Singapore

  https://www.handsurgerysingapore.com/medical-condition/dequervains-tenosynovitis/

  If it has been present for more than a month, or you are experiencing a lot of pain even with simple wrist and thumb movements, then a steroid injection is recommended. […] If it comes back, or if a steroid injection cannot cure it, then surgery is the best option. This is a minimally invasive, 30-minute procedure done under local anaesthesia either in the clinic or hospital as a day surgery. […] While surgery is necessary for those who have failed rest and therapy or steroid injections, it is also an excellent and simple solution for those who want a fast and permanent solution instead of going through either prolonged therapy or an injection, only to risk it recurring after a few months. […] The way to prevent DeQuervain’s is to avoid or minimise activities requiring frequent or strong wringing or repetitive side to side wrist movements.

• #2

  https://www.hingehealth.com/resources/articles/de-quervains-tenosynovitis/

  De Quervains tenosynovitis, named after the surgeon Fritz de Quervain who first described this problem, refers to an irritation of the two main tendons the abductor pollicis longus (APL) and the extensor pollicis brevis (EPB) that help you straighten your thumb or move it away from your index finger. […] Treating de Quervains tenosynovitis focuses on easing inflammation in the wrist area as well as learning techniques to avoid irritating the area in the future, says Dr. Reising. Some options: […] Physical therapy is a great way to treat de Quervains as well as prevent it from getting worse, says Dr. Reising. You’ll learn how to strengthen the muscles in the thumb, fingers, hands, and wrist, all the way up the forearms (which is where the irritated tendons originate). […] Hinge Health physical therapists often recommend the above moves for de Quervains tenosynovitis because movement brings blood flow to the area to expedite healing. These moves also improve the mobility of the irritated tendons and strengthen the surrounding muscles to help get you back to the daily activities you enjoy.

• #2 De Quervain tenosynovitis | Altru Health System

  https://www.altru.org/health-library/conditions/de-quervain-tenosynovitis

  Surgery may be recommended for more-serious cases. The surgery is outpatient. In the procedure, the surgeon inspects the sheath surrounding the involved tendon or tendons and then opens the sheath to release the pressure. […] If you don’t need surgery, caring for your condition is much the same as preventing it: Avoid moving your wrists the same way repeatedly. […] Make an appointment with your health care provider if you have hand or wrist pain and if avoiding the activities that trigger the pain aren’t helping.

• #2 De Quervain’s Tenosynovitis: Diagnosis & Treatment | NewYork-Presbyterian

  https://www.nyp.org/orthopedics/columbia-orthopedics/de-quervains-tenosynovitis/treatment

  De Quervain’s tenosynovitis can often be diagnosed during a physical exam. Your doctor will check your hand and wrist for swelling and see if you feel pain when pressure is placed on the thumb side of the wrist. […] Your physician may also perform the Finkelstein test, in which youll make a fist with your thumb under your fingers and bend your wrist toward your pinky finger. If you feel pain along the thumb side of your wrist, you may have de Quervain’s tenosynovitis. Imaging exams such as X-rays are not usually needed. […] Your doctor will most likely recommend nonsurgical de Quervain’s tenosynovitis treatments first. Surgery is not typically used unless nonsurgical methods arent helping to relieve your symptoms. […] About 50%-80% of people with de Quervain’s tenosynovitis respond well to nonsurgical treatments and do not need surgery. You may have one or more of these therapies: Medication to reduce inflammation and relieve pain, such as ibuprofen or naproxen; A splint to keep your wrist in a comfortable position. You may need to wear it 24 hours a day for as long as 4-6 weeks; Applying a cold pack to your wrist to reduce swelling; Avoiding the activities that are causing your discomfort; One or two injections of a corticosteroid, such as cortisone, into the tendon sheath to reduce inflammation; De Quervain’s tenosynovitis massage to help relieve swelling and discomfort; Exercises to strengthen muscles and reduce pain and tendon irritation. An occupational or physical therapist can assess your movements and instruct you about better ways to move your wrist.

• #2 de Quervain’s Tenosynovitis: Causes & Treatment – familydoctor.org

  https://familydoctor.org/condition/de-quervains-tenosynovitis/

  Treatment for de Quervain’s tenosynovitis focuses on reducing pain and swelling. It includes: Applying heat or ice to the affected area, Taking a nonsteroidal anti-inflammatory drug (NSAID). These include ibuprofen (Advil, Motrin) or naproxen (Aleve), Avoiding activities that cause pain and swelling. Especially avoid those that involve repetitive hand and wrist motions, Wearing a splint 24 hours a day for 4 to 6 weeks to rest your thumb and wrist, Getting injections of steroids or a local anesthetic (numbing medicine) into the tendon sheath. These injections are very effective and are used regularly. […] Most people notice improvement after 4 to 6 weeks of treatment. They are able to use their hands and wrists without pain once the swelling is gone. […] De Quervain’s tenosynovitis is a temporary condition. It generally responds well to treatment. It is important to treat de Quervain’s tenosynovitis. If this condition isn’t treated, it can permanently limit your movement or cause the tendon sheath to burst. Once your symptoms are better, work to prevent the condition from happening again.

• #2

  https://www.orthobullets.com/hand/6026/de-quervains-tenosynovitis

  De Quervain’s Tenosynovitis is a stenosing tenosynovial inflammation of the 1st dorsal compartment. […] Diagnosis is made clinically with radial sided wrist pain made worse with the Finkelstein maneuver. […] Treatment is generally conservative with thumb spica braces, injections and in refractory cases, 1st dorsal compartment surgical release. […] Nonoperative treatment includes rest, NSAIDS, thumb spica splint, and steroid injection, which are the first line of treatment. […] Surgical release of the 1st dorsal compartment is indicated for severe symptoms and is usually considered after 6 months of failed nonoperative management. […] Most cases resolve with non-operative management. […] High recurrence rate.

• #3 Understanding De Quervain Tenosynovitis

  https://www.veteranshealthlibrary.va.gov/RelatedItems/3,82380

  Treatments may include: Resting the wrist and thumb. This involves limiting movements that make your symptoms worse. You also may need to stay away from certain hobbies, sports, and types of work for a time. […] Cold packs. These help reduce pain and swelling. […] Prescription or over-the-counter medicines. These help relieve pain and swelling. NSAIDs (nonsteroidal anti-inflammatory drugs) are the most common medicines used. Medicines may be prescribed or bought over the counter. They may be given as pills. Or they may be put on the skin as a gel, cream, or patch. […] Splint or brace. This helps keep the thumb and wrist from moving. It also gives time for your tendons to heal. […] Exercises or physical therapy. These help stretch, strengthen, and improve the range of motion in your wrist and thumb.

• #3 De Quervain’s Tenosynovitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis/

  Avoiding activities that cause pain and swelling may allow the symptoms to go away on their own. […] An injection of corticosteroids into the tendon sheath can be effective in addressing the condition by reducing swelling and relieving pain. […] Surgery may be recommended if symptoms are severe or do not improve with non-operative management. […] The goal of surgery is to release the tendon sheath to make more room for the irritated tendons. […] Most patients with De Quervain’s tenosynovitis do very well and are ultimately relieved of their symptoms with nonsurgical and/or surgical treatment. […] Fifty to 80% of patients can be successfully treated nonsurgically with splints, NSAIDs, and injections. […] The remaining 20% of patients typically respond well to surgery.

• #3 Patient Education | Concord Orthopaedics

  https://www.concordortho.com/patient-resources/patient-education/topic/287bf77b1fda0429864d5a23d52cb7ef

  Your doctor may have you work with a physical or occupational therapist. […] If all else fails, you may need surgery. The goal of surgery is to give the tendons more space so they no longer rub on the inside of the tunnel. […] If nonsurgical treatment is successful, you may see improvement in four to six weeks. […] Rehabilitation is more involved after surgery. Full recovery could take several months. […] You will probably need to attend occupational or physical therapy sessions for six to eight weeks.

• #3 De Quervain’s tenosynovitis | Healthify

  https://healthify.nz/health-a-z/d/de-quervains-tenosynovitis/

  De Quervains tenosynovitis is a painful hand condition affecting the tendons (part of your muscles) you use to straighten your thumb. […] In mild cases, self-care measures such as resting your wrist and thumb, wearing a splint at night, physiotherapy and anti-inflammatory medication may ease the pain and you can recover within a few weeks. […] Its essential that you treat de Quervains. If left untreated, it can cause permanent damage to the movement of your wrist and thumb or cause the tendon sheath to burst. […] Treatment differs based on how severe your symptoms are. […] If your symptoms are mild, resting your wrist and thumb, wearing a splint at night, physiotherapy and anti-inflammatory medication (nonsteroidal anti-inflammatory drugs such as ibuprofen) may ease the pain. Following these steps, milder cases can recover within a few weeks.

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