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Doctor insights on: Dequervain S Tenosynovitis Surgery

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What is the definition or description of: dequervain's tenosynovitis surgery?

What is the definition or description of: 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 more

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Dr. Arnold Zuckman
117 doctors shared insights

Tenosynovitis (Definition)

When a tendon--for example, in your hand--becomes inflamed, it can sometimes cause pain, clicking, or even locking of the finger. This condition can be treated with nsaids, local cortisone ...Read more


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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?

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

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Would you recommend surgery for dequervains tenosynovitis?

Would you recommend surgery for dequervains tenosynovitis?

Sometimes: In certain cases surgery may be required. Try conservative measures first: nsaids, bracing, activity modification, and a limited number (my limit is 2) of cortisone injections. ...Read more

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When would you recommend surgery for dequervains tenosynovitis?

Failed non operative: When nsaids, ice, rest, activity modification, wrist bracing, & cortisone injection have not helped and you've tried these things for 3-6 months at least. ...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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Can de Quervain's tenosynovitis come back after surgery?

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

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Diagnosed with DeQuervain's Tenosynovitis in Jan 2013. Responded to steroid injections but had 4. Did OT. Dr saying surgery time, other suggestions?

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

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Is surgery best for posterior tibial tenosynovitis and tibial neuritis? Also I think I have prolapsed hemorrhoid and it burns..... Help

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

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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?

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?

Peroneus longus: You don't state if conservative care was done. Always start with rest, immobilization , etc and see if the tear will repair. The tenosynovitis should respond , then, to NSAID or injection therapy. The atf may well heal with the same rest immobilization for the peroneus longus . Good luck. ...Read more

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Is surgery needed for foot drop from anterior tarsal tunnel syndrome (deep peroneal nerve entrapment) from ant tib tenosynovitis from ultrasound burn?

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 more

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Will kt tape help pain from dequervains tenosynovitis?

Maybe: Some people get mild temporary relief of tenosynovitis with kt tape, and if it works for you then that is great. It will probably not be a good long term solution, however. You should see your Doctor for additional treatments and therapy to prevent recurrent symptoms. ...Read more

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What is dequervain's tenosynovitis?

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 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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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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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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What happens once you have de Quervain's tenosynovitis?

What happens once you have de Quervain's tenosynovitis?

It hurts: Mainly, it hurts. If it gets bad enough, it can lock up the tendon. I recently had a patient who had it so bad that the tendon had locked in way that cocked her wrist to the side. Surgery fixed it and she was soooo happy! ...Read more

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Can I die from de Quervain's tenosynovitis if I ignore it?

NO you won't die!: But you will suffer with pain if you wait. This is a condition easily treated and you will be grateful for it! get a cortisone shot if you haven't had it already. Surgery if shot doesn't work! ...Read more

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What's your opinion on treating de Quervain's tenosynovitis?

What's your opinion on treating de Quervain's tenosynovitis?

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 more

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