Materiały źródłowe

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

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

  De Quervain’s tenosynovitis is treated by reducing the swelling/irritation of the tendons and tendon sheath, thereby relieving the pain caused by the condition. […] A removable 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. […] 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. One or two injections has been shown to relieve the condition in 50 to 80% of patients. […] Surgery may be recommended if symptoms are severe or do not improve with non-operative management.

• #2 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. […] For example, certain exercises can help: decrease inflammation, improve function, prevent recurrences. […] You should see improvement within four to six weeks of beginning your exercise routine. […] 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.

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

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

  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. These include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] Your doctor may also recommend injections of corticosteroid medications into the tendon covering to reduce swelling. If treatment begins within the first six months of symptoms, most people recover completely after receiving corticosteroid injections, often after just one injection. […] 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, Avoiding repetitive thumb movements as much as possible, Avoiding pinching with the thumb when moving the wrist from side to side, Applying ice to the affected area.

• #4 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. […] For example, certain exercises can help: decrease inflammation, improve function, prevent recurrences. […] You should see improvement within four to six weeks of beginning your exercise routine. […] 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.

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

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

  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. These include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] Your doctor may also recommend injections of corticosteroid medications into the tendon covering to reduce swelling. If treatment begins within the first six months of symptoms, most people recover completely after receiving corticosteroid injections, often after just one injection. […] 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, Avoiding repetitive thumb movements as much as possible, Avoiding pinching with the thumb when moving the wrist from side to side, Applying ice to the affected area.

• #6 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. 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. […] 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. Youll need to avoid playing sports or doing repetitive motions (especially the specific activity that caused the de Quervains tenosynovitis). NSAIDs: Over-the-counter NSAIDs reduce inflammation and relieve pain. Dont take NSAIDs for more than 10 days in a row without talking to your provider. Corticosteroids: Corticosteroids are prescription anti-inflammatory medications. Your provider might inject a corticosteroid into your affected tendon sheath.

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

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

  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. These include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] Your doctor may also recommend injections of corticosteroid medications into the tendon covering to reduce swelling. If treatment begins within the first six months of symptoms, most people recover completely after receiving corticosteroid injections, often after just one injection. […] 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, Avoiding repetitive thumb movements as much as possible, Avoiding pinching with the thumb when moving the wrist from side to side, Applying ice to the affected area.

• #8 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. 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. […] 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. Youll need to avoid playing sports or doing repetitive motions (especially the specific activity that caused the de Quervains tenosynovitis). NSAIDs: Over-the-counter NSAIDs reduce inflammation and relieve pain. Dont take NSAIDs for more than 10 days in a row without talking to your provider. Corticosteroids: Corticosteroids are prescription anti-inflammatory medications. Your provider might inject a corticosteroid into your affected tendon sheath.

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

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

  De Quervain’s tenosynovitis is treated by reducing the swelling/irritation of the tendons and tendon sheath, thereby relieving the pain caused by the condition. […] A removable 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. […] 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. One or two injections has been shown to relieve the condition in 50 to 80% of patients. […] Surgery may be recommended if symptoms are severe or do not improve with non-operative management.

• #10 Management of de Quervain Tenosynovitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10611995/

  In the network meta-analysis, interventions that included ultrasonography-guided CSI ranked at the top for pain. […] These findings suggest that administration of CSI followed by 3 to 4 weeks immobilization should be considered as a first-line treatment for patients with DQT. […] We recommend that clinicians offer patients with DQT of any chronicity a conventional CSI at first contact. […] This should be supplemented with thumb spica immobilization for 3 to 4 weeks in the form of a full-time thumb spica splint that includes the wrist and the thumb metacarpophalangeal joint but not the thumb interphalangeal joint. […] If the symptoms persist 3 to 4 months later, we recommend that a diagnostic ultrasonographic scan is performed, at which point a further ultrasonography-guided CSI can be administered on confirmation of the diagnosis of DQT. […] If this does not result in resolution of symptoms within 3 to 4 months, then surgical release is recommended. […] At all stages of treatment, advice about lifestyle modifications should be provided to limit overuse of the affected tendons.

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

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

  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. These include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] Your doctor may also recommend injections of corticosteroid medications into the tendon covering to reduce swelling. If treatment begins within the first six months of symptoms, most people recover completely after receiving corticosteroid injections, often after just one injection. […] 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, Avoiding repetitive thumb movements as much as possible, Avoiding pinching with the thumb when moving the wrist from side to side, Applying ice to the affected area.

• #12 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. 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. […] 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. Youll need to avoid playing sports or doing repetitive motions (especially the specific activity that caused the de Quervains tenosynovitis). NSAIDs: Over-the-counter NSAIDs reduce inflammation and relieve pain. Dont take NSAIDs for more than 10 days in a row without talking to your provider. Corticosteroids: Corticosteroids are prescription anti-inflammatory medications. Your provider might inject a corticosteroid into your affected tendon sheath.

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

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

  De Quervain’s tenosynovitis is treated by reducing the swelling/irritation of the tendons and tendon sheath, thereby relieving the pain caused by the condition. […] A removable 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. […] 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. One or two injections has been shown to relieve the condition in 50 to 80% of patients. […] Surgery may be recommended if symptoms are severe or do not improve with non-operative management.

• #14 Tenosynovitis: Symptoms, Causes, Types & Treatment

  https://my.clevelandclinic.org/health/diseases/23448-tenosynovitis

  Antibiotics. If an infection caused the tenosynovitis, you’ll need antibiotics. […] NSAIDs. Over-the-counter NSAIDs like aspirin or ibuprofen can reduce pain and inflammation. […] Corticosteroids. Your provider might give you an injection or prescription of anti-inflammatory corticosteroids. […] Disease-modifying antirheumatic drugs (DMARDs). In people with inflammatory arthritis, these prescription medications can reduce pain and inflammation while protecting the joint from damage.

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

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

  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. These include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] Your doctor may also recommend injections of corticosteroid medications into the tendon covering to reduce swelling. If treatment begins within the first six months of symptoms, most people recover completely after receiving corticosteroid injections, often after just one injection. […] 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, Avoiding repetitive thumb movements as much as possible, Avoiding pinching with the thumb when moving the wrist from side to side, Applying ice to the affected area.

• #16 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. 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. […] 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. Youll need to avoid playing sports or doing repetitive motions (especially the specific activity that caused the de Quervains tenosynovitis). NSAIDs: Over-the-counter NSAIDs reduce inflammation and relieve pain. Dont take NSAIDs for more than 10 days in a row without talking to your provider. Corticosteroids: Corticosteroids are prescription anti-inflammatory medications. Your provider might inject a corticosteroid into your affected tendon sheath.

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

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

  De Quervain’s tenosynovitis is treated by reducing the swelling/irritation of the tendons and tendon sheath, thereby relieving the pain caused by the condition. […] A removable 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. […] 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. One or two injections has been shown to relieve the condition in 50 to 80% of patients. […] Surgery may be recommended if symptoms are severe or do not improve with non-operative management.

• #18 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.

• #19 Management of de Quervain Tenosynovitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10611995/

  What treatment modalities for de Quervain tenosynovitis are associated with better outcomes compared with other treatments? […] This systematic review and network meta-analysis of 30 studies with 1663 patients found that adding thumb spica immobilization to a local corticosteroid injection was associated with significant pain-relieving and functional benefits. […] These findings suggest that patients with de Quervain tenosynovitis should receive a local corticosteroid injection with thumb spica immobilization for 3 to 4 weeks as first-line treatment. […] This systematic review and meta-analysis assesses and compares the effectiveness associated with available treatment options for de Quervain tenosynovitis. […] Adding thumb spica immobilization for 3 to 4 weeks to a corticosteroid injection (CSI) was associated with statistically but not clinically significant functional benefits in the short-term and mid-term.

• #20 Management of de Quervain Tenosynovitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10611995/

  In the network meta-analysis, interventions that included ultrasonography-guided CSI ranked at the top for pain. […] These findings suggest that administration of CSI followed by 3 to 4 weeks immobilization should be considered as a first-line treatment for patients with DQT. […] We recommend that clinicians offer patients with DQT of any chronicity a conventional CSI at first contact. […] This should be supplemented with thumb spica immobilization for 3 to 4 weeks in the form of a full-time thumb spica splint that includes the wrist and the thumb metacarpophalangeal joint but not the thumb interphalangeal joint. […] If the symptoms persist 3 to 4 months later, we recommend that a diagnostic ultrasonographic scan is performed, at which point a further ultrasonography-guided CSI can be administered on confirmation of the diagnosis of DQT. […] If this does not result in resolution of symptoms within 3 to 4 months, then surgical release is recommended. […] At all stages of treatment, advice about lifestyle modifications should be provided to limit overuse of the affected tendons.

• #21 de Quervain Tenosynovitis | PM&R KnowledgeNow

  https://now.aapmr.org/de-quervain-tenosynovitis/

  There is limited evidence that ultrasound-guided corticosteroid injections may be superior to traditional landmark-guided, or blind, injections. One study found similar effectiveness in relief of symptoms when comparing ultrasound-guided corticosteroid injection to traditional blind injection, but there were notably decreased complication rates in the ultrasound group.

• #22 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. The therapist may review how you use your wrist and give suggestions on how to relieve stress on your wrists. Your therapist can also teach you exercises for your wrist, hand and arm. These exercises can strengthen your muscles, reduce pain and limit tendon irritation. […] 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. This allows the tendons to glide freely. […] Your health care provider will talk to you about how to rest, strengthen and rehabilitate your body after surgery. A physical therapist or an occupational therapist may meet with you after surgery to teach you new strengthening exercises and help you adjust your daily routine to prevent future problems.

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

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

  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. […] 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.

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

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

  Physical therapists help people with de Quervains avoid painful movements. […] They provide treatments to reduce pain and inflammation and prescribe exercises to improve strength and range of motion. […] Your physical therapist will work with you to develop a treatment plan specific to your condition. […] They may instruct you to avoid repeated thumb and/or wrist movements. […] The physical therapist may provide a wrist splint. […] Your physical therapist will educate you about your hand injury. […] Your physical therapist will design a program to address your pain. […] 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.

• #25 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. The therapist may review how you use your wrist and give suggestions on how to relieve stress on your wrists. Your therapist can also teach you exercises for your wrist, hand and arm. These exercises can strengthen your muscles, reduce pain and limit tendon irritation. […] 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. This allows the tendons to glide freely. […] Your health care provider will talk to you about how to rest, strengthen and rehabilitate your body after surgery. A physical therapist or an occupational therapist may meet with you after surgery to teach you new strengthening exercises and help you adjust your daily routine to prevent future problems.

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

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

  The goal of therapeutic exercises is to enhance gliding of the APL and EPB tendons in the first dorsal compartment. Pain-free active range of motion (AROM) exercise is initiated to the patients tolerance, focusing on the wrist and thumb joints. […] 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. […] 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.

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

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

  Physical therapists help people with de Quervains avoid painful movements. […] They provide treatments to reduce pain and inflammation and prescribe exercises to improve strength and range of motion. […] Your physical therapist will work with you to develop a treatment plan specific to your condition. […] They may instruct you to avoid repeated thumb and/or wrist movements. […] The physical therapist may provide a wrist splint. […] Your physical therapist will educate you about your hand injury. […] Your physical therapist will design a program to address your pain. […] 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.

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

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

  Taking nonsteroidal anti-inflammatory drugs (NSAIDs). Common NSAIDs are: Ibuprofen (Advil, Motrin), Naproxen (Aleve, Naprosyn), Celecoxib (Celebrex), Meloxicam (Mobic), Diclofenac (Voltaren). […] Getting steroid injections (shots) into your wrist. Steroid shots are used if your pain does not go away after trying other treatments. These shots may help with the pain and swelling for a few weeks or months. […] Working with a physical therapist (PT) or occupational therapist (OT). 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.

• #29 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. The therapist may review how you use your wrist and give suggestions on how to relieve stress on your wrists. Your therapist can also teach you exercises for your wrist, hand and arm. These exercises can strengthen your muscles, reduce pain and limit tendon irritation. […] 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. This allows the tendons to glide freely. […] Your health care provider will talk to you about how to rest, strengthen and rehabilitate your body after surgery. A physical therapist or an occupational therapist may meet with you after surgery to teach you new strengthening exercises and help you adjust your daily routine to prevent future problems.

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

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

  Taking nonsteroidal anti-inflammatory drugs (NSAIDs). Common NSAIDs are: Ibuprofen (Advil, Motrin), Naproxen (Aleve, Naprosyn), Celecoxib (Celebrex), Meloxicam (Mobic), Diclofenac (Voltaren). […] Getting steroid injections (shots) into your wrist. Steroid shots are used if your pain does not go away after trying other treatments. These shots may help with the pain and swelling for a few weeks or months. […] Working with a physical therapist (PT) or occupational therapist (OT). 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.

• #31 De Quervain’s tenosynovitis | Healthify

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

  You could also consider acupuncture as an alternative option for treatment as it has been found to have some success in relieving symptoms. […] If these less-invasive options have not provided relief, surgery to open the tunnel and make more room for the tendons may be considered. The operation can usually be performed under local anaesthetic and usually takes about 30 minutes. Recovery after surgery can take 4 to 6 months. […] A private hand therapist can help with treatments, including exercises and wrist splints, and occupational advice.

• #32 Treatments for de Quervain Tenosynovitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2018/0615/od2.html

  Corticosteroid injections are no better than thumb spica orthoses for decreasing pain in patients with de Quervain tenosynovitis. (Strength of Recommendation [SOR]: B, based on a meta-analysis of low-quality randomized controlled trials [RCTs].) […] When combined with orthoses, corticosteroid injections and acupuncture are equally effective for improving function and decreasing pain. (SOR: B, based on a low-quality RCT.) […] A 2013 nonblinded randomized study (N = 30) analyzed the effectiveness of acupuncture vs. corticosteroid injections in patients with de Quervain tenosynovitis over seven months. […] Both groups received thumb spica splinting after the interventions. Outcomes evaluated included functional status (evaluated by the Disabilities of the Arm, Shoulder and Hand questionnaire; range = zero to 100, with lower scores indicating less disability) and pain (using a 10-point visual analog scale). Disability scores improved significantly in both groups from baseline to six weeks (61 to 6.1 in the injection group vs. 64 to 9.8 in the acupuncture group; P.001), as did pain scores (6.7 to 1.2 in the injection group vs. 7.1 to 2.1 in the acupuncture group; P.001). Limitations include lack of blinding and follow-up for seven months.

• #33 De Quervain’s Tenosynovitis

  https://jointrehab.com/de-quervains-tenosynovitis/

  A PRP review study from October 2023 writes: “De Quervain’s tenosynovitis is frequently managed with corticosteroid injections with evidence supporting its use, but limited studies exist on the role of PRP. In a trial performed on 40 patients, the corticosteroid group produced better pain relief, improved hand function and ultrasound findings in the short term, but PRP was found to be statistically superior to corticosteroids at mid-term follow-up.” […] An April 2022 study reported on three patients diagnosed with De Quervain’s Tenosynovitis treated with manual therapy. Many patients as summarized by the researchers do not respond to splinting, activity modification, medications, corticosteroid injections, physical therapist management, and surgery. These three patients underwent a multi-modal treatment regimen including carpometacarpal thrust and non-thrust manipulation, end range radiocarpal mobilization, mobilization with movement, strengthening exercises, and grip proprioception training.

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

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

  The goal of surgery is to release the tendon sheath to make more room for the irritated tendons. When done correctly, this can relieve the symptoms of De Quervain’s tenosynovitis without affecting hand/wrist function. […] 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.

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

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

  Most people dont need surgery to treat de Quervains tenosynovitis. But your provider might recommend surgery if other treatments dont relieve your symptoms. De Quervains tenosynovitis surgery is usually an outpatient procedure, which means you can go home the same day. Your surgeon will make a tiny cut (incision) in the sheath around your thumb tendons. This will give your tendons more space to move. […] Your provider will tell you how long youll need treatment for de Quervains tenosynovitis. Most people need to wear a splint or brace for a few weeks.

• #36 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. The therapist may review how you use your wrist and give suggestions on how to relieve stress on your wrists. Your therapist can also teach you exercises for your wrist, hand and arm. These exercises can strengthen your muscles, reduce pain and limit tendon irritation. […] 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. This allows the tendons to glide freely. […] Your health care provider will talk to you about how to rest, strengthen and rehabilitate your body after surgery. A physical therapist or an occupational therapist may meet with you after surgery to teach you new strengthening exercises and help you adjust your daily routine to prevent future problems.

• #37 de Quervain Tenosynovitis | PM&R KnowledgeNow

  https://now.aapmr.org/de-quervain-tenosynovitis/

  Steroid injections to the first dorsal wrist compartment have been shown to be effective in several studies and can be used as initial treatment or after a trial of non-invasive conservative treatments. If symptoms persist after one corticosteroid injection, a second is typically offered four to six weeks later. A systematic review by Ashraf et al. showed steroid injections had an overall more favorable effect than splinting. […] Individuals with persistent symptoms may be appropriate for surgical release of the first dorsal wrist compartment to relieve entrapment. Surgical intervention is generally recommended if pain does not resolve after two corticosteroid injections and at least six months of non-operative treatment. One large double-blinded study reported surgical intervention to be 100% effective with results sustained after 15 years.

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

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

  The goal of surgery is to release the tendon sheath to make more room for the irritated tendons. When done correctly, this can relieve the symptoms of De Quervain’s tenosynovitis without affecting hand/wrist function. […] 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.

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

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

  The goal of surgery is to release the tendon sheath to make more room for the irritated tendons. When done correctly, this can relieve the symptoms of De Quervain’s tenosynovitis without affecting hand/wrist function. […] 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.

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

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

  Most people dont need surgery to treat de Quervains tenosynovitis. But your provider might recommend surgery if other treatments dont relieve your symptoms. De Quervains tenosynovitis surgery is usually an outpatient procedure, which means you can go home the same day. Your surgeon will make a tiny cut (incision) in the sheath around your thumb tendons. This will give your tendons more space to move. […] Your provider will tell you how long youll need treatment for de Quervains tenosynovitis. Most people need to wear a splint or brace for a few weeks.

• #41 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.

• #42 De Quervain’s Tenosynovitis Treatment | Ladan Hajipour

  https://ladanhajipour.com/conditions/hand/de-quervains-tenosynovitis/

  A steroid injection into the tunnel that surrounds the tendons can reduce the inflammation. This can lead to 70-80% success rate when accompanied by hand therapy, splinting and analgesia. […] Up to 2 injections can be provided however surgery is advisable for recurrence of the condition. […] The procedure is performed under general anaesthetic through a 3-4 cm incision over the end of the wrist. […] The tendon tunnel is reconstructed after removal of the inflammatory tissues at the end of the procedure. Absorbable sutures are usually used for the skin. […] A bulky dressing is then applied to protect the thumb while the fingers and thumb are free to move. […] Hand therapy is usually after 48 hours. Normal daily activities and use of the hand is encouraged to avoid tendon and nerve adhesions immediately after surgery. Heavy activity and lifting should be avoided for 6 weeks. […] Scar desensitisation exercises will be arranged by the hand therapist.

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

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

  The goal of surgery is to release the tendon sheath to make more room for the irritated tendons. When done correctly, this can relieve the symptoms of De Quervain’s tenosynovitis without affecting hand/wrist function. […] 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.

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

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

  Most people dont need surgery to treat de Quervains tenosynovitis. But your provider might recommend surgery if other treatments dont relieve your symptoms. De Quervains tenosynovitis surgery is usually an outpatient procedure, which means you can go home the same day. Your surgeon will make a tiny cut (incision) in the sheath around your thumb tendons. This will give your tendons more space to move. […] Your provider will tell you how long youll need treatment for de Quervains tenosynovitis. Most people need to wear a splint or brace for a few weeks.

• #45 De Quervain’s Tenosynovitis Treatment | Ladan Hajipour

  https://ladanhajipour.com/conditions/hand/de-quervains-tenosynovitis/

  A steroid injection into the tunnel that surrounds the tendons can reduce the inflammation. This can lead to 70-80% success rate when accompanied by hand therapy, splinting and analgesia. […] Up to 2 injections can be provided however surgery is advisable for recurrence of the condition. […] The procedure is performed under general anaesthetic through a 3-4 cm incision over the end of the wrist. […] The tendon tunnel is reconstructed after removal of the inflammatory tissues at the end of the procedure. Absorbable sutures are usually used for the skin. […] A bulky dressing is then applied to protect the thumb while the fingers and thumb are free to move. […] Hand therapy is usually after 48 hours. Normal daily activities and use of the hand is encouraged to avoid tendon and nerve adhesions immediately after surgery. Heavy activity and lifting should be avoided for 6 weeks. […] Scar desensitisation exercises will be arranged by the hand therapist.

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

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

  Most people dont need surgery to treat de Quervains tenosynovitis. But your provider might recommend surgery if other treatments dont relieve your symptoms. De Quervains tenosynovitis surgery is usually an outpatient procedure, which means you can go home the same day. Your surgeon will make a tiny cut (incision) in the sheath around your thumb tendons. This will give your tendons more space to move. […] Your provider will tell you how long youll need treatment for de Quervains tenosynovitis. Most people need to wear a splint or brace for a few weeks.

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

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

  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. […] The incision after a first dorsal compartment release can be longitudinal or transverse in the region of the first dorsal compartment. […] 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.

• #48 De Quervain’s Tenosynovitis Treatment | Ladan Hajipour

  https://ladanhajipour.com/conditions/hand/de-quervains-tenosynovitis/

  A steroid injection into the tunnel that surrounds the tendons can reduce the inflammation. This can lead to 70-80% success rate when accompanied by hand therapy, splinting and analgesia. […] Up to 2 injections can be provided however surgery is advisable for recurrence of the condition. […] The procedure is performed under general anaesthetic through a 3-4 cm incision over the end of the wrist. […] The tendon tunnel is reconstructed after removal of the inflammatory tissues at the end of the procedure. Absorbable sutures are usually used for the skin. […] A bulky dressing is then applied to protect the thumb while the fingers and thumb are free to move. […] Hand therapy is usually after 48 hours. Normal daily activities and use of the hand is encouraged to avoid tendon and nerve adhesions immediately after surgery. Heavy activity and lifting should be avoided for 6 weeks. […] Scar desensitisation exercises will be arranged by the hand therapist.

• #49 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. […] Patients can begin to do some gentle range of motion movements and exercises to keep the hand flexible within a few days of surgery. After the stitches are removed, patients may be referred for 6 to 8 weeks of physical therapy to learn stretches and exercises that can restore range of motion, dexterity, and strength for the hand and fingers. […] Nearly all those who undergo surgery for De Quervains tenosynovitis have a complete recovery from pain and symptoms within a few weeks. For the few who experience complications, they are almost always minor and temporary.

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

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

  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. […] The incision after a first dorsal compartment release can be longitudinal or transverse in the region of the first dorsal compartment. […] 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.

• #51 de Quervain’s Tenosynovitis: Symptoms, Causes, Diagnosis, Treatment

  https://www.webmd.com/rheumatoid-arthritis/de-quervains-disease

  It’s an outpatient procedure, which means you go home just afterward. You’ll probably see a physical therapist again for post-surgery exercises to strengthen your thumb and wrist. […] See your doctor if you think you have de Quervains. But try these methods at home to feel better and keep your thumb healthy: […] The sooner you start treatment, the better your chances for a speedy recovery. You might start to feel better as soon as 4 to 6 weeks. […] Recovery from surgery could take a while. Your pain and swelling should go away soon, but the area may be tender for several months. You should get your stitches out in 10 to 14 days. Then youll start physical therapy again for 6 to 8 weeks. Youll learn stretches to help your tendons move properly and exercises to strengthen your muscles and keep your joints steady. […] Your treatment plan will probably include anti-inflammatory medicine, rest, and wearing a de Quervain’s tenosynovitis splint at night and all day. […] Most people improve within a month or so. If your symptoms don’t get better, your doctor might recommend surgery.

• #52 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. […] Patients can begin to do some gentle range of motion movements and exercises to keep the hand flexible within a few days of surgery. After the stitches are removed, patients may be referred for 6 to 8 weeks of physical therapy to learn stretches and exercises that can restore range of motion, dexterity, and strength for the hand and fingers. […] Nearly all those who undergo surgery for De Quervains tenosynovitis have a complete recovery from pain and symptoms within a few weeks. For the few who experience complications, they are almost always minor and temporary.

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

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

  The goal of surgery is to release the tendon sheath to make more room for the irritated tendons. When done correctly, this can relieve the symptoms of De Quervain’s tenosynovitis without affecting hand/wrist function. […] 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.

• #54 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.

• #55 de Quervain Tenosynovitis | PM&R KnowledgeNow

  https://now.aapmr.org/de-quervain-tenosynovitis/

  Steroid injections to the first dorsal wrist compartment have been shown to be effective in several studies and can be used as initial treatment or after a trial of non-invasive conservative treatments. If symptoms persist after one corticosteroid injection, a second is typically offered four to six weeks later. A systematic review by Ashraf et al. showed steroid injections had an overall more favorable effect than splinting. […] Individuals with persistent symptoms may be appropriate for surgical release of the first dorsal wrist compartment to relieve entrapment. Surgical intervention is generally recommended if pain does not resolve after two corticosteroid injections and at least six months of non-operative treatment. One large double-blinded study reported surgical intervention to be 100% effective with results sustained after 15 years.

• #56 De Quervain’s syndrome

  https://www.bssh.ac.uk/patients/conditions/19/de_quervains_syndrome

  De Quervains syndrome is not harmful, but it can be a really painful nuisance. […] Treatment options are: […] 1. Avoiding activities that cause pain, if possible […] 2. Using a wrist/thumb splint, which can often be obtained from a sports shop or a physiotherapist. It needs to immobilize the thumb as well as the wrist. […] 3. Steroid injection relieves the pain in about 70% of cases. The risks of injection are small, but it very occasionally causes some thinning or colour change in the skin at the site of injection. […] 4. Surgical decompression of the tendon tunnel. The anaesthetic may be local (injected under the skin at the site of operation), regional (injected in the armpit to numb the entire arm) or a general anaesthetic. […] Pain relief is usually rapid. The scar may be sore and unsightly for several weeks. Because the nerve branches were gently moved to see the tunnel, transient temporary numbness can occur on the back of the hand or thumb. Other risks are the risks of any surgery such as infection (less than one in 100 risk) or stiffness.

• #57 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. […] Patients can begin to do some gentle range of motion movements and exercises to keep the hand flexible within a few days of surgery. After the stitches are removed, patients may be referred for 6 to 8 weeks of physical therapy to learn stretches and exercises that can restore range of motion, dexterity, and strength for the hand and fingers. […] Nearly all those who undergo surgery for De Quervains tenosynovitis have a complete recovery from pain and symptoms within a few weeks. For the few who experience complications, they are almost always minor and temporary.

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

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

  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. These include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] Your doctor may also recommend injections of corticosteroid medications into the tendon covering to reduce swelling. If treatment begins within the first six months of symptoms, most people recover completely after receiving corticosteroid injections, often after just one injection. […] 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, Avoiding repetitive thumb movements as much as possible, Avoiding pinching with the thumb when moving the wrist from side to side, Applying ice to the affected area.

• #59 Management of de Quervain Tenosynovitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10611995/

  In the network meta-analysis, interventions that included ultrasonography-guided CSI ranked at the top for pain. […] These findings suggest that administration of CSI followed by 3 to 4 weeks immobilization should be considered as a first-line treatment for patients with DQT. […] We recommend that clinicians offer patients with DQT of any chronicity a conventional CSI at first contact. […] This should be supplemented with thumb spica immobilization for 3 to 4 weeks in the form of a full-time thumb spica splint that includes the wrist and the thumb metacarpophalangeal joint but not the thumb interphalangeal joint. […] If the symptoms persist 3 to 4 months later, we recommend that a diagnostic ultrasonographic scan is performed, at which point a further ultrasonography-guided CSI can be administered on confirmation of the diagnosis of DQT. […] If this does not result in resolution of symptoms within 3 to 4 months, then surgical release is recommended. […] At all stages of treatment, advice about lifestyle modifications should be provided to limit overuse of the affected tendons.

• #60 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 design a safe, progressive resistance program specific to you. […] Your physical therapist may provide a wrist splint to position your wrist and thumb for rest and to provide compression to ease pain and swelling. […] If you still have symptoms after physical therapy treatment and appropriate rest, a steroid injection given by a doctor can help reduce swelling and pain. […] If neither physical therapy or steroid injections help, and pain persists, surgery may be an option. […] If you need surgery, it is likely that you will have treatment by a physical therapist before surgery. […] After surgery, your physical therapist will work with you to monitor wound healing. […] A physical therapist may recommend that you avoid chronic overuse of the hand. […] 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.

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

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

  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. These include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] Your doctor may also recommend injections of corticosteroid medications into the tendon covering to reduce swelling. If treatment begins within the first six months of symptoms, most people recover completely after receiving corticosteroid injections, often after just one injection. […] 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, Avoiding repetitive thumb movements as much as possible, Avoiding pinching with the thumb when moving the wrist from side to side, Applying ice to the affected area.

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

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

  The goal of surgery is to release the tendon sheath to make more room for the irritated tendons. When done correctly, this can relieve the symptoms of De Quervain’s tenosynovitis without affecting hand/wrist function. […] 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.

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

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

  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. […] You might need surgery if your case is severe or if other treatments don’t relieve your pain. During outpatient surgery, the surgeon makes a small cut in the sheath around the swollen tendons. This provides more room for the tendons to move. […] After surgery, you will need to do physical therapy to strengthen your wrist and thumb. This will help keep the problem from coming back. Once the area has healed and returned to full strength, you should have normal use of your hand.

• #64 de Quervain’s Tenosynovitis Test, Treatment & Symptoms

  https://www.emedicinehealth.com/de_quervains_tenosynovitis/article_em.htm

  De Quervain’s tenosynovitis may resolve on its own. Other treatments include anti-inflammatory medications and steroid injection. Rarely, surgery is necessary. […] De Quervain’s tenosynovitis may resolve without any treatment. The first step is to try and reduce stress on the area by decreasing repetitive wrist motion and not reinjuring the wrist. If symptoms persist, splinting and taking systemic nonsteroidal anti-inflammatory medications such as naproxen sodium (Naprosyn), diclofenac sodium (Voltaren), and others may be helpful. Local corticosteroid injections are often helpful. The initial injection may relieve symptoms in 50% of patients, with a second injection providing relief and another 40%-45%. Splinting with a thumb spica brace may offer temporary relief, but recurrence of symptoms after the splint is removed is common. Infrequently, a doctor can perform surgery if symptoms fail to improve or recur. Surgery has a high rate of symptomatic relief and low rate of complications. […] The prognosis for de Quervain’s tenosynovitis is good. Symptoms generally respond to appropriate treatment. If the initial treatment is ineffective, surgery has a high rate of symptom relief.

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

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

  Most people dont need surgery to treat de Quervains tenosynovitis. But your provider might recommend surgery if other treatments dont relieve your symptoms. De Quervains tenosynovitis surgery is usually an outpatient procedure, which means you can go home the same day. Your surgeon will make a tiny cut (incision) in the sheath around your thumb tendons. This will give your tendons more space to move. […] Your provider will tell you how long youll need treatment for de Quervains tenosynovitis. Most people need to wear a splint or brace for a few weeks.

• #66 de Quervain’s Tenosynovitis: Symptoms, Causes, Diagnosis, Treatment

  https://www.webmd.com/rheumatoid-arthritis/de-quervains-disease

  It’s an outpatient procedure, which means you go home just afterward. You’ll probably see a physical therapist again for post-surgery exercises to strengthen your thumb and wrist. […] See your doctor if you think you have de Quervains. But try these methods at home to feel better and keep your thumb healthy: […] The sooner you start treatment, the better your chances for a speedy recovery. You might start to feel better as soon as 4 to 6 weeks. […] Recovery from surgery could take a while. Your pain and swelling should go away soon, but the area may be tender for several months. You should get your stitches out in 10 to 14 days. Then youll start physical therapy again for 6 to 8 weeks. Youll learn stretches to help your tendons move properly and exercises to strengthen your muscles and keep your joints steady. […] Your treatment plan will probably include anti-inflammatory medicine, rest, and wearing a de Quervain’s tenosynovitis splint at night and all day. […] Most people improve within a month or so. If your symptoms don’t get better, your doctor might recommend surgery.

• #67 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. […] For example, certain exercises can help: decrease inflammation, improve function, prevent recurrences. […] You should see improvement within four to six weeks of beginning your exercise routine. […] 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.

• #68 de Quervain’s Tenosynovitis: Symptoms, Causes, Diagnosis, Treatment

  https://www.webmd.com/rheumatoid-arthritis/de-quervains-disease

  It’s an outpatient procedure, which means you go home just afterward. You’ll probably see a physical therapist again for post-surgery exercises to strengthen your thumb and wrist. […] See your doctor if you think you have de Quervains. But try these methods at home to feel better and keep your thumb healthy: […] The sooner you start treatment, the better your chances for a speedy recovery. You might start to feel better as soon as 4 to 6 weeks. […] Recovery from surgery could take a while. Your pain and swelling should go away soon, but the area may be tender for several months. You should get your stitches out in 10 to 14 days. Then youll start physical therapy again for 6 to 8 weeks. Youll learn stretches to help your tendons move properly and exercises to strengthen your muscles and keep your joints steady. […] Your treatment plan will probably include anti-inflammatory medicine, rest, and wearing a de Quervain’s tenosynovitis splint at night and all day. […] Most people improve within a month or so. If your symptoms don’t get better, your doctor might recommend surgery.

• #69 De Quervain’s Tenosynovitis: Symptoms, Treatment, & More – The Orthopedic Clinic

  https://orthotoc.com/de-quervains-tenosynovitis-causes-symptoms-treatment/

  If the area around your thumb has been bothering you and symptoms havent improved after a couple of days, it could be caused either by carpal tunnel syndrome or De Quervains tenosynovitis. […] De Quervains tenosynovitis, also called radial styloid tenosynovitis or abbreviated to DQT, is a condition that affects tendons in the thumb and wrist, causing pain and swelling around the area. […] No. Fortunately, De Quervains tenosynovitis is a temporary condition that can be corrected with treatment. […] Once De Quervains tenosynovitis has been diagnosed, your doctor will recommend strengthening exercises, modification of activities, physical therapy, and or steroid injections. If symptoms do not improve, surgery may be an option. […] If symptoms persist after several days of home remedies and exercises, schedule a doctors appointment to prevent the condition from worsening.

• #70 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. […] For example, certain exercises can help: decrease inflammation, improve function, prevent recurrences. […] You should see improvement within four to six weeks of beginning your exercise routine. […] 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.

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

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

  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. These include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] Your doctor may also recommend injections of corticosteroid medications into the tendon covering to reduce swelling. If treatment begins within the first six months of symptoms, most people recover completely after receiving corticosteroid injections, often after just one injection. […] 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, Avoiding repetitive thumb movements as much as possible, Avoiding pinching with the thumb when moving the wrist from side to side, Applying ice to the affected area.

• #72 Management of de Quervain Tenosynovitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10611995/

  In the network meta-analysis, interventions that included ultrasonography-guided CSI ranked at the top for pain. […] These findings suggest that administration of CSI followed by 3 to 4 weeks immobilization should be considered as a first-line treatment for patients with DQT. […] We recommend that clinicians offer patients with DQT of any chronicity a conventional CSI at first contact. […] This should be supplemented with thumb spica immobilization for 3 to 4 weeks in the form of a full-time thumb spica splint that includes the wrist and the thumb metacarpophalangeal joint but not the thumb interphalangeal joint. […] If the symptoms persist 3 to 4 months later, we recommend that a diagnostic ultrasonographic scan is performed, at which point a further ultrasonography-guided CSI can be administered on confirmation of the diagnosis of DQT. […] If this does not result in resolution of symptoms within 3 to 4 months, then surgical release is recommended. […] At all stages of treatment, advice about lifestyle modifications should be provided to limit overuse of the affected tendons.

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

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

  Although OT treatment in combination with NSAIDs and corticosteroid injections has shown relief of symptoms in de Quervains tenosynovitis, a first dorsal compartment release may be necessary if continued symptoms present. 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.

• #74 Management of de Quervain Tenosynovitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10611995/

  What treatment modalities for de Quervain tenosynovitis are associated with better outcomes compared with other treatments? […] This systematic review and network meta-analysis of 30 studies with 1663 patients found that adding thumb spica immobilization to a local corticosteroid injection was associated with significant pain-relieving and functional benefits. […] These findings suggest that patients with de Quervain tenosynovitis should receive a local corticosteroid injection with thumb spica immobilization for 3 to 4 weeks as first-line treatment. […] This systematic review and meta-analysis assesses and compares the effectiveness associated with available treatment options for de Quervain tenosynovitis. […] Adding thumb spica immobilization for 3 to 4 weeks to a corticosteroid injection (CSI) was associated with statistically but not clinically significant functional benefits in the short-term and mid-term.

• #75 Management of de Quervain Tenosynovitis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10611995/

  In the network meta-analysis, interventions that included ultrasonography-guided CSI ranked at the top for pain. […] These findings suggest that administration of CSI followed by 3 to 4 weeks immobilization should be considered as a first-line treatment for patients with DQT. […] We recommend that clinicians offer patients with DQT of any chronicity a conventional CSI at first contact. […] This should be supplemented with thumb spica immobilization for 3 to 4 weeks in the form of a full-time thumb spica splint that includes the wrist and the thumb metacarpophalangeal joint but not the thumb interphalangeal joint. […] If the symptoms persist 3 to 4 months later, we recommend that a diagnostic ultrasonographic scan is performed, at which point a further ultrasonography-guided CSI can be administered on confirmation of the diagnosis of DQT. […] If this does not result in resolution of symptoms within 3 to 4 months, then surgical release is recommended. […] At all stages of treatment, advice about lifestyle modifications should be provided to limit overuse of the affected tendons.

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

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

  There are treatments that can help ease the symptoms of de Quervains tenosynovitis. The amount of time it takes for symptoms to improve or go away is different for everyone. […] The goals of treatment are to: Ease pain and swelling of your wrist. Keep the joints in your wrist working normally. Stop this condition from coming back. […] The type of treatment you get depends on how long you have had your symptoms. It can also depend on how bad your symptoms are. Talk with your healthcare provider about what treatments are best for you. […] 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. It keeps your thumb and wrist in a neutral position (not bent up or down) that does not cause strain. Your healthcare provider will tell you how to wear your splint.

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

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

  Taking nonsteroidal anti-inflammatory drugs (NSAIDs). Common NSAIDs are: Ibuprofen (Advil, Motrin), Naproxen (Aleve, Naprosyn), Celecoxib (Celebrex), Meloxicam (Mobic), Diclofenac (Voltaren). […] Getting steroid injections (shots) into your wrist. Steroid shots are used if your pain does not go away after trying other treatments. These shots may help with the pain and swelling for a few weeks or months. […] Working with a physical therapist (PT) or occupational therapist (OT). 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.

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