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De Quervain’s Tendinitis

De Quervain’s Tendinitis

De Quervain’s tendonitis, sometimes called radial styloid tendonitis,  is inflammation of the tendons which travel on the thumb side of the wrist.  This type of condition is related to inflammation of the two tendons that pass over the top of the thumb and allow the thumb to extend and pull away from the palm.  We often see this condition in new mothers as they are constantly extending their thumbs and moving it out from the palm as they pick up their small child.

Symptoms of De Quervain’s Tendinitis

During De Quervain’s tendinitis most people complain of pain at the base of the thumb and wrist.  Activities that require pinch and tight gripping can elicit the pain. The pain will often extend up into the forearm.

De Quervain’s Tendinitis Diagnosis

Dequervain’s is most often diagnosed by history and physical exam.  On occasion, an X-ray will be ordered to rule out arthritis at the base of the thumb.

De Quervain’s Tendinitis Treatment

In most cases, the initial treatment of De Quervain’s tendinitis is non-operative.  A trial of splinting and steroid injections is attempted at first.  Most patients, approximately 70%, will respond to injection and won’t need surgery.  If the response to injection is suboptimal or short lived then the patient will need surgery.

Surgery for De Quervain’s tendonitis involves releasing the sheath through which the irritated tendons glide.  This release decreases the friction between the tendons and prevents inflammation.

What are the risks associated with De Quervain’s tendonitis Surgery?

  • Swelling, stiffness, and pain
  • Infection
  • Nerve Damage
  • Tendon damage
  • Recurrence

What is the recovery time following De Quervain’s tendonitis Surgery?

This is dependent on the type of work you perform.  Many patients with office jobs only require a few days. You will be in a splint for several weeks. However, patients who perform heavy labor may require 4-5 weeks to recover. may drive when you are off narcotics and feel confident to control the car.  Most patients are able to drive within a week.