Doctor insights on:
Dequervain S Tenosynovitis Surgery
First Comp't Release: The surgery typically entails releasing the extensor retinaculum (ligament) overlying the first dorsal extensor compartment of the wrist. Often a subcompartment can be noted, and is released in the same setting. The goal is relieve the friction on the extensor pollicis brevis and abductor pollicis longus tendons. The apl can be found to have muliple strands for the surgeon to release as well. ...Read moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Is surgery best for posterior tibial tenosynovitis and tibial neuritis? Also I think I have prolapsed hemorrhoid and it burns..... Help
Orthotics: I wouldn't have surgery initially. Posterior tib tendonitis and tarsal tunnel syndrome is a result of flat feet. At your age, it is likely a flexible flat foot that can be corrected with shoe inserts or custom orthotics. Go to the store and try Dr. Scholl's orthotics before going to surgery. ...Read more
Will i need foot surgery for focal longitudinal split tear of the peroneus longus tendon, tenosynovitis of the flexor tendons, or a non visualized atf?
MAYBE: For the flexor tenosynovitis, no; PT, rest w/ a boot, NSAID's may help. "Non-visualized ATF?" I would have to see you clinically. Do you have an unstable ankle? "Split PL tendon"-I would start w/ a boot or brace, maybe PT. If it does not get better and it hurts, may need repair. Good luck! Dr. Latva ...Read moreSee 3 more doctor answers
Is surgery needed for foot drop from anterior tarsal tunnel syndrome (deep peroneal nerve entrapment) from ant tib tenosynovitis from ultrasound burn?
Something does not: Sound right about this. The common peroneal nerve can cause a drop foot. The deep peroneal nerve from ant tarsal tunnel is on the top of the foot. The nerve runs deep as the name implies and hence would not be affected from ultrasound. Entrapment of this nerve would not cause a dropfoot, it usually causes numbness to the first webspace or great toe. ...Read moreSee 1 more doctor answer
Wrist tendinitis: Dequervain's tendinitis is the name for a tendinitis related to the thumb tendons at the wrist. This form of tendinitis is very commonly seen in young parents, due to repetitively lifting their new, and ever-growing infants. The majority of patients can be treated by splinting, nsaids, and up to three steroid injections in the tendon sheath. Less <5% require surgery, but respond well if do. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
DeQuervain's options: It depends on the stage of the problem and what has or hasn't worked for the individual. The way i treat a new case with no previous treatment is splinting and activity modification for work and home along with a trial of antiinflammatory medication. Further treatment depends on the success or lack thereof and may include steroid injection, casting, physical therapy and surgery. ...Read moreSee 1 more doctor answer
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