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Doctor insights on: De Quervain's Disease Treatment

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What kind of condition is de Quervain's tenosynovitis?

What kind of condition is de Quervain's tenosynovitis?

DeQuervains: This is a thickening of the tendons on the palm side of the hand. These are the gripping tendons( flexor tendons) and is treatable with steroid and novocaine injections, or if needed surgery. Application of a solution of DMSO with a steroide is sometimes very helpful. ...Read more

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De Quervain's tenosynovitis -- is the surgery effective?

De Quervain's tenosynovitis -- is the surgery effective?

Yes: If injection of steroids and bracing has not made sidnigicant improvement then the surgical release of the tendon pully is very helpful in pain relief. ...Read more

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What is de Quervain's tenosynovitis?

What is de Quervain's tenosynovitis?

Inflammation: Tenosynovitis is inflammation of the sheath surrounding a tendon. This sheath is responsible for tendon health and production of a small amount of fluid for lubrication. If this area gets inflamed, swelling and pain occur. Dequervains involves a specific tendon sheath of the tendons going to your thumb on the side of the wrist. It improves with rest & ibuprofen, steroid injections, rare surgery. ...Read more

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What is de Quervain's tenosynovitis?

What is de Quervain's tenosynovitis?

Couple of things: Rest, immobilization, compression, anti-inflamatory medication.

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Does de Quervain's tenosynovitis usually cause many symptoms?

Does de Quervain's tenosynovitis usually cause many symptoms?

De quervains: I have found that a soft neoprene splint works well for dequervain's tenosynovitis. A soft splint tends to inhibit the thumb and wrist from going toward the extremes of motion ( the position of thumb extension -hitchhiking- and simultaneous radial deviation of the wrist--moving your wrist and hand toward the thumb side and the opposite, turning the wrist away form the thumb side while reaching or. ...Read more

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Can you describe the de quervain disease?

Can you describe the de quervain disease?

Tendon of the thumb: This is inflamation of the tendon which is called a tenosynovitis of the sheath or tunnel that surrounds two tendons that control movement of the thumb. It can cause pain and swelling along the thumb side of the wrist. It will hurt with resistance to movements of the tendons and can be treated with splinting, injection or even as a last resort surgery. ...Read more

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Please recommend the best brace for de Quervain's tenosynovitis (mother's thumb)?

Please recommend the best brace for de Quervain's tenosynovitis (mother's thumb)?

Thumb spica splint: is the best brace for deQ. you can get them at most drug stores walmart etc. is lie a wrist brace with an extension for the thumb. brace can help but also take nsaids, ICE MASSAGE with water frozen in a dixie cup. if not better a cortisone shot is typically curative with a visit to the orthopedic surgeon. ...Read more

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Can you die from de Quervain's tenosynovitis?

Can you die from de Quervain's tenosynovitis?

No!! : It can impair comfortable use of the wrist and thumb but is not a danger to health. ...Read more

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What kind of doctor treats de Quervain syndrome?

What kind of doctor treats de Quervain syndrome?

De Quervain's tenosy: If you suspect de Quervain's tenosynovitis, go see your Family Doc for initial evaluation & treatment (anti-inflammatories, immobilization & PT/OT). Failing that, s/he may refer you to Sports Med doc for steroid injections. Hand surgeon can discuss surgical options. Check out http://www.mayoclinic.org/diseases-conditions/de-quervains-tenosynovitis/basics/definition/con-20027238 for more info. ...Read more

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Question: what is de Quervain's tenosynovitis really?

Tenosynovaginitis: Yes, that word. It's a problem of the tendon, it's lining, and the sheath of one of the thumb tendons. They get irritated and enflamed. It's quite painful. They become thick and hard so the tendon can't slide normally. This just makes things worse. Early on, the first month or two, a cortisone shot and a brace can be effective treatment. Later, it requires surgery. ...Read more

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How is inflammatory bowel disease treated?

How is inflammatory bowel disease treated?

Many options: 1. 5-asa medications (sulfasalazine, asacol, (mesalamine) pentasa) may work for mild ulcerative colitis (uc), but not crohn's disease. 2. Steroids work, but are only useful for short course because of side effects. 3. Azathioprine (imuran), 6-mp, Methotrexate are often effective, and reduce the need for steroids. 4. Remicade, Humira are often effective for crohn's, sometimes for uc. 5. Surgery if needed. ...Read more

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Which treatment works the best and fastest for de Quervain's tenosynovitis?

Which treatment works the best and fastest for de Quervain's tenosynovitis?

Surgery: Usually try an injection and use a brace first. Some people it can be so bad that i simply do surgery right away knowing that its so bad that an injection is not going to work. ...Read more

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Can surgical treatment totally cure compartment syndrome?

Can surgical treatment totally cure compartment syndrome?

Yes and no: A full blown compartment syn. Tissue death is proceeding and it depends how fast surg is done. In impending compartment syn there is a typical injury crushing, tibial fx of high energy, oa a leg pinned under a weight 4 a while ur physical xam & experience says go 2 or now, if done be4 the pressure 2 high it can be cured. ...Read more

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How is reynaud's disease treated?

How is reynaud's disease treated?

Cold avoidance : Raynaud's is made worse by cold exposure and/or stress dressing warmly both centrally and locally is therapeutic. There are no fda approved medications for raynaud's. This makes it difficult for us to give our patients medicine because of the insurance company blockade. Medications and sometimes work include procardia, (nifedipine) erectile dysfunction drugs because they dilate blood vessels, and topical Nitroglycerin to name a few. ...Read more

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How is inflammatory bowel disease cured?

How is inflammatory bowel disease cured?

Cure for IBD?: Ulcerative colitis involves inflammation of the colonic mucosal surface, so colectomy (removal of the colon) is curative for it. Crohn's disease however is a transmural (full-thickness) inflammation of any part of the GI tract (from mouth to anus). Crohn's is not curable, but it is controllable with medications (see my previous healthtap answer regarding "step up" versus "top down" treatments. ...Read more

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Who does the steroid injection for de Quervain's tendinitis?

Who does the steroid injection for de Quervain's tendinitis?

Hand/wrist specialis: See an orthopedic hand/wrist specialist, who would be able to perform the injection. ...Read more

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How is hodgkin's disease treated?

How is hodgkin's disease treated?

Depends: Primarily with chemotherapy. There are several variables that predict a favorable profile. If favorable, chemotherapy alone is appropriate based on new data recently published in the new england journal of medicine. However, the guidelines suggest a combined approach with chemo and radiation. Also depends on age, sex, other comorbidities. Hope this helps. ...Read more

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