Saturday, April 13, 2024

De Quervain’s Tenosynovitis Surgery

Preparing For De Quervains Tenosynovitis Surgery

De Quervain’s tenosynovitis surgery recovery

To prepare for surgery, patients may be asked to do the following:

  • Tell their physician about all the medications being taken, including vitamins and supplements.
  • Stop taking medications that can interfere with the bloods ability to clot.
  • Refrain from eating or drinking 6 to 12 hours before the procedure.

The day of surgery, patients will need to arrange for someone to drive them home afterward, since it is an outpatient procedure. The surgery usually takes about 30 minutes.

What Causes Dequervains Tenosynovitis

DeQuervains Tenosynovitis in most people is a repetitive strain injury. Most cases of DeQuervains result from chronic overuse of the wrist, especially in jobs that require repeated use of the hand and wrist. It is caused by frequent wringing actions and movements that load the wrist while it is held in slight flexion and tilted towards the body. The most common cause of this in the past was washing and wringing clothes, giving rise to it being called washerwomans sprain. These days, the most common cause is carrying a baby and pumping milk for breastfeeding, and it is now commonly known as mummy thumb.

Other causes are direct injury to the wrist resulting in scar tissue that restricts tendon movements, inflammatory arthritis, or poor hand posture when typing and using a mouse for long hours daily. Doing housework with a lot of wringing and scrubbing also can cause it. You may not associate it with these activities, because the thickening builds up slowly over time until it is bad enough to notice. Usually this takes years or decades, although occasionally it can happen soon after a twisting sprain to the wrist or after doing a lot of housework.

It is most common in first time mothers or grandmothers, and in people between 40-60 years of age. It may also appear in the late stage of pregnancy due to hormonal changes and water retention.

Can De Quervains Tenosynovitis Be Prevented Or Avoided

The best way to prevent de Quervains tenosynovitis is by avoiding repetitive movements. Change your actions to reduce the stress on your wrists. Take frequent breaks to rest if you are using your wrists. Wear a brace or splint on your thumb and wrist, if necessary. Follow the exercise routine suggested by your doctor or physical therapist. Be sure to tell them about any activities that cause pain, numbness, or swelling.

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Is There Anything Else That Can Help Calm It Down

Some people will find the use of a thumb splint can be useful to help calm their pain down. They can be issued by the physiotherapy department or can be bought easily online .

You should be aware that the splint should only be used temporarily, and as soon as your thumb starts to feel better, you should start to reduce how much you use it. Although splints can be useful, they can sometimes be tempting to use all the time or carry on using just in case. Remember, your thumb and wrist are meant to be used and therefore, the way to get the best overall recovery is to calm it down and then build it back up, rather than simply rely on a splint.

Apart From These Exercises Is There Anything Else I Can Be Doing To Help Myself

Pin on Ouch

Yes, there is and here are just a couple of the most important things:

Some people will choose to manage their wrist pain with pain relief, whilst some may choose to avoid medication. Applying something cold to your wrist may also be useful in helping with some of the pain .

General exercise, including strengthening exercise is considered one of the key treatments for most aches and pains, even if it doesnt specifically involve your wrist.

Exercise comes in many shapes and forms and there is no best exercise. Often it is best to think of the most effective exercise is the one you enjoy and will actually do. Current recommendations on exercise and how often we should be looking to do it can be found here Understanding Exercise

We have included a series of exercises at the bottom of the page that will be able to help you move forwards with managing your wrist complaint.

Weight loss is recommended as something that is important for the management of most muscle and bone issues. Losing weight is difficult and we understand that.

If you would like some support to help you with your weight loss journey, please contact our partners at One Life Suffolk or Active Norfolk.

Sleeping well will help your recovery and support your training programme. More advice about sleeping better can be found here:

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How Do I Know I Have It

In the early stages, you may just have some pain in the wrist near the base of the thumb off and on, especially with thumb movements or wrist movements. Most people will ignore this and carry on with their activities as normal.

As it gets worse, you will notice that the pain in the wrist is more frequent and affects simple activities like brushing your teeth, opening doors or bottles, and reaching behind the back. Typing or using the mouse may also be painful. You may notice some swelling at the side of the wrist below the thumb.

Questions To Ask Your Doctor

  • What is the likely cause of my pain?
  • What is the best treatment option for me?
  • How long before I can expect relief from my symptoms?
  • When can I return to my activity ?
  • Is it possible that my symptoms could return?
  • What kind of exercises should I do to strengthen my thumb?
  • What happens if the tendon sheath bursts?

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About Melbourne Hand Surgery

Website disclaimer: The Melbourne Hand Surgery website is authored by Dr Jillian Tomlinson, a fully qualified plastic, reconstructive and hand surgeon who practices in Melbourne, Australia. The MHS website aims to inform patients and health professionals about hand surgery, illness prevention and the practice philosophy of Dr Jill Tomlinson. The MHS website’s content is designed to complement, not replace, the relationship between a patient and his/her own doctor. The information is not intended to replace the advice of a health professional. The MHS website does not host or receive funding from advertising or from the display of commercial content and there are no conflicts of interest to declare.

De Quervains Tenosynovitis Treatment

De Quervain’s Surgery

Treatment for de Quervains tenosynovitis focuses on reducing pain and swelling. It includes:

  • Applying heat or ice to the affected area
  • Taking a nonsteroidal anti-inflammatory drug . These include ibuprofen or naproxen
  • Avoiding activities that cause pain and swelling. Especially avoid those that involve repetitive hand and wrist motions.
  • Wearing a splint 24 hours a day for 4 to 6 weeks to rest your thumb and wrist
  • Getting injections of steroids or a local anesthetic into the tendon sheath. These injections are very effective and are used regularly.

A physical therapist or occupational therapist can show you how to change the way you move. This can reduce stress on your wrist. They can also teach you exercises to strengthen your muscles.

Most people notice improvement after 4 to 6 weeks of treatment. They are able to use their hands and wrists without pain once the swelling is gone.

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Rehabilitation Post De Quervains Release

The hand surgeon will immobilise your wrist using a cast for 10-14 days to allow the wound and soft tissues to heal. Immediately post hand surgery it is important to keep the hand elevated, the cast dry and to gently exercise the thumb to keep the tendons gliding through the recently released tunnel.

The hand and wrist doctor will then remove the cast, then check the wound and a light dressing reapplied. A wrist and thumb splint is fabricated to wear for the following two weeks. This splint must be removed five times a day for thumb and wrist exercises, but provides support and pain relief when using the hand. Therapy will include swelling and scar management, wrist and thumb range of movement and strengthening.

The thumb and wrist will likely still be recovering at six weeks post-surgery but should be well healed after three months.

What To Expect During Surgical Release

Surgical release of the tendon will reduce the pressure in your wrist. The doctor makes an incision in your wrist near the base of your thumb. Then the surgeon opens the tissue or sheaths over the swollen tendons to relieve the tendon and the compressed nerves. Loosening them up reduces the pain. During rehabilitation, you’ll possibly feel numb or tingling near the surgical site. You’ll go through physical or occupational therapy. At the same time, you’ll wear a splint on your hand for a month after surgery.

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You Havent Explained What It Is Yet

Youre right, we havent!

De Quervains tenosynovitis relates to an irritation of one or more of the tendons around the base of your thumb. These tendons help move the thumb and pass through a small tunnel as they enter the base of the thumb. In De Quervains tenosynovitis, it is thought that this sheath or tunnel gets irritated, which then in turn causes the tendon to become upset.

How Do You Recover From De Quervains Surgery

De Quervain syndrome causes, symptoms, diagnosis, treatment, exercises ...

Recovery from De Quervains surgery can be a bit painful. Your wrist and thumb may be rather swollen and sore following surgery. You may feel numbness or tingling near the incision site. While most report feeling better within a few days, it takes longer for others.

Your doctor will take out your stitches 1 to 2 weeks after surgery. You may also have to wear a splint on your hand for up to four weeks following surgery.

You should definitely avoid any heavy lifting or repetitive motions immediately following De Quervains surgery. It may take 6 to 12 weeks for your hand to heal completely. You should then be able to move your wrist and hand freely without any pain. Of course, everyones journey to recovery varies.

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What Should I Expect With These Exercises Will They Be Painful

This is a very important question.

If your wrist has been sore for some time, it would be a bit unrealistic to expect that it will be pain-free when doing these exercises. However it is important that you dont do too much to then upset the problem all over again.

A good marker for how hard to work is that you should feel some discomfort , but it should settle within 24 hours. If you are still obviously sore the following day, you may have done too much/ pushed too hard, therefore next time you do the exercises, reduce the effort a bit.

How Do I Prevent It

The way to prevent DeQuervains is to avoid or minimise activities requiring frequent or strong wringing or repetitive side to side wrist movements.

This means avoiding wringing or squeezing actions such as squeezing clothes or towels dry and carrying a baby by hand. Hang your clothes or towels to dry without squeezing first, or if you must, use a gentle squeeze only. Using a baby carrier and breast-feeding pillow will help you carry the baby without straining the hand and wrist.

Pay strict attention to your hand posture when using the keyboard and mouse and take a break every 30-60 minutes to stretch the fingers, thumb and wrist.

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Can De Quervains Cause Nerve Damage

De Quervains tenosynovitis is a painful condition that affects the tendons in your wrist. It occurs when the 2 tendons around the base of your thumb become swollen. The swelling causes the sheaths covering the tendons to become inflamed. This puts pressure on nearby nerves, causing pain and numbness.

Outcome Of Surgicalresection Of De Quervainsstenosing Tenosynovitis

Mayo Clinic Minute: Is your thumb pain de Quervain’s tenosynovitis?

Taufiq Morshed1*, Md Zahid Ferdous1, Md Atiquzzaman2, Dibakar Sarkar3 and Ananta Kumar Sen4

1Department of Orthopaedic Surgery, Kurmitola General Hospital, Bangladesh

2Department of Physical Medicine and Rehabilitation, Kurmitola General Hospital, Bangladesh

3Department of Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation , Bangladesh

4Department of Orthopaedic Surgery and Traumatology, US Bangla Medical College and Hospital, Bangladeshio

Corresponding Author:
E-mail:

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De Quervains Tenosynovitis Surgery

In this post, well go more in-depth about what De Quervains Tenosynovitis is and what options you have for healing:

  • What is De Quervains Tenosynovitis?
  • Are there non-surgical treatments for De Quervains Tenosynovitis?
  • How do you recover from De Quervains surgery?
  • How can Michigan Surgery Specialists help?

What Can I Expect After Hand Tendon Surgery

After surgery, the hand may be bruised and swollen, and you will most likely experience pain as the anesthetic wears off. The repaired tendons are going to be very weak until completely healed which can make recovery a lengthy process. Depending on the location recovery may take anywhere from 1 to 3 months.

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Before I Start Id Like To Know What The Exercises Are Trying To Do

Excellent point, as its often useful to know what youre aiming to do before you start.

Firstly, the exercises are aiming to introduce a little bit of work into the tendon by asking the muscles to do some work. The aim is to start with only a little bit of work and not much movement.

As you move through the exercises , you will notice that the amount of work/ effort and the amount of movement increases.

Lastly, one of the most important things about all of these exercises, is they are trying to help you regain some trust in your wrist. If your wrist has been sore for some time, it is only normal to be a little cautious when you start to move back into doing things that caused you pain before. This is why the exercises are done gradually and shouldnt be rushed too much.

What Is Recovery Like Following De Quervains Tendonitis Surgery

De Quervain

The time to recover from De Quervains Tendonitiss surgery is about three to five weeks for most patients. Following surgery a dressing is left on the wrist until the sutures are removed. Patients may start using their thumb immediately and will gradually gain back their range of motion and strength over the several weeks. While simple activities begin almost immediately after surgery, strenuous activities can be uncomfortable for a few weeks.

Hand therapy exercises are often recommended to help facilitate a return of strength and range of motion. De Quervains release is a small surgery. Most patients regain their motion without needing physical therapy.

After recovering from surgery and successfully completing their rehabilitation plan the patient should be able to use their hand normally without pain. Once completely healed, patients should be able to return to all previous daily activities without any restrictions.

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What Are The Symptoms Of De Quervain’s Tenosynovitis

The most common symptoms of De Quervains tenosynovitis include:

  • Swelling near the base of your thumb
  • Difficulty moving your thumb and wrist
  • Severe pain near the base of your thumb
  • A sticking sensation in your thumb when moving it

Any of the above symptoms are signs that you should see a doctor. Many patients think they simply have hand pain and try to tough it out. However, the longer you wait to see a doctor, the more likely it is that youll end up with complications.

Will De Quervain Go Away

Over-the-counter pain relievers can be a first step in reducing swelling, and if those dont succeed, your doctor may inject steroids into the tendon area. When treated within six months of noticing symptoms, your de Quervains tenosynovitis may resolve completely, and you might need no further treatment.

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Causes And Risk Factors

The cause of De Quervains tenosynovitis is idiopathic or unknown. However, there are certain risk factors that may increase your chance of developing the condition. These can include the following:

  • Gender: The condition is more common in females than males.
  • Age: It occurs more frequently around ages 30-50.
  • Social Habits: The condition may be caused by overuse such as with frequent texting or typing on mobile devices with your thumbs.
  • Work Habits: Occupations that require repetitive hand and wrist movements such as with construction or playing music may increase your risk of developing the condition.
  • Medical Conditions: Patients with diabetes, alcoholism, cirrhosis of the liver, and seizure disorders appear to be at increased risk of developing the condition.

What Is De Quervains Tenosynovitis

de Quervain Syndrome: Treatment and Symptoms

De Quervains Tenosynovitis occurs when the two tendons around the base of your thumb become swollen. This swelling can cause inflammation which then puts pressure on nearby nerves, causing pain and numbness.

If you have severe pain in your wrist when attempting to hold or grasp anything, or make a fist, you may be suffering from De Quervains tenosynovitis. If your work or favorite hobby requires repetitive use of your hands, you may be at risk.

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Can You Give Some Examples Of What You Mean

Sure, but remember everyone is different and you will have to do some thinking yourself around how your wrist is affecting you and some of the changes you might need to make.

Gripping Sore tendons will find hard work challenging Try not to grip too hard or tightly or use your other hand if you can
Lifting Sore tendons will tire more quickly and will find hard work more challenging Reduce how much you are lifting or change the way you lift i.e. hand facing in or up. Use your other hand if possible
Typing or writing Sore tendons will tire more quickly Try to take more regular breaks or gentle exercises throughout the day
Pressure on the wrist Sore tendons dont like pressure Dont press it!

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