Doctor insights on:
De Quervain's Tenosynovitis Surgery Recovery Time
Yes but unlikely: The operation for dequervain's involves decompressing the first extensor compartment of the wrist. Sometimes, the two tendons in this compartment are in separate sub-compartments; if both are not decompressed, symptoms may continue. Also, if the sheath over the tendons scars back and becomes tight again, symptoms may recur, but this is rare. ...Read more
Diagnosed with DeQuervain's Tenosynovitis in Jan 2013. Responded to steroid injections but had 4. Did OT. Dr saying surgery time, other suggestions?
Surgery is next: With over a year of pain and 4 injections with only temp relief and OT, I think you need surgery. If symptoms are mild and livable, you can avoid surgery. But my sense is that your pain significantly interferes with your daily activities and surgery is most likely needed at this point. I would make sure you see a Hand Specialist. ...Read more
Pretty common: Pretty common. So it's well known and treated. ...Read more
Pain: Pain at the wrist bone on the thumb side. It's usually quite painful. Sometimes in bad cases there may be a "popping". ...Read more
Not too common: Relatively speaking it is not too common, but I see at least 1 patient a day in the office with dequervains. ...Read more
Yes: I think this is one of the more painful things to have. ...Read more
No: Not likely.Get a more detailed answer ›
Yes: If you overuse both thumbs too much, your tendons can protest by becoming inflamed. Especially with mega-texting! ...Read more
See prev answ: .Get a more detailed answer ›
With surgery, very: Quickly. With avoidance of inciting activity and splinting and anti inflammmatiries ice pretty quickly but may come back quickly. Common in women w young baby. ...Read more
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
What is your job?: In general yes. Therapy usually does not required to stop work. You will need a correct diagnosis and some of the following: splinting, occupational therapy, medications and sometimes injections. It involves the tendon that extends the thumb. If your work might cause repititive injury to the tendon your job may need to be modified. In general therapy does not require not going to work. ...Read more
Yes: De Quervain's tenosynovitis very common. It can develop spontaneously or after trauma. I see it commonly in women who recently had children. It develops from a combination of tissue swelling from hormones and from how new mothers lift their babies. Symptoms often resolve spontaneously. Those cases that don't usually respond to a single steroid injection, which is safe while breast feeding. ...Read more
In the thumb: Rather the tendon that brings up the thumb right where it crosses the wrist into the arm. ...Read more
Should I see a specialist for de Quervain's tenosynovitis, or can my regular doctor take care of it?
Ask your regular doc: Call and ask the nurse or receptionist if this is something your doctor treats or if he/she can refer you to someone. This is sometimes easily treated in the primary care office and they should be able to point you in the right direction. ...Read more
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
Depends: Those with mild symptoms can benefit from protective splinting, nsaids, icing and stretching. More severe cases, such as those seen after trauma or durning/after pregnancy usually don't respond to anything other than a corticosteroid injection. I treat many conditions with corticosteroid injections, but this is one of the few conditions that can actually be cured with one treatment. ...Read more
38y f. I have dequervain's tenosynovitis, surgery recommended a year ago, waiting on financial aid, how serious is it to wait? Will waiting hurt it worse?
Not serious: Dequervains' tendonitis is inflammation of the thumb tendons (1st dorsal compt. For orthopedic surgeons). The most common tendonitis seen in the hand. Waiting to have a dequervain's release will cause no long term problems that I am aware of. (you'll just have to put up w/ the discomfort until u can get it done)... Often a well-placed injection and splinting can " buy time" until your surgery.! ...Read more
De quervains tenosynovitis, what physio excersises can I do, its not getting better a cortisone injection did not help, I have a splint and anti infla?
Holds both: Holds the wrist and the thumb simultaneously. Calles a 'thumb spica'. ...Read more
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
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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