De Quervain’s Tenosynovitis
What is De Quervain’s Tenosynovitis?
De Quervain’s Tenosynovitis is a syndrome in which there is pain on the thumb side of the wrist. This is caused by inflammation of the tendon sheath in this area.
What causes De Quervain’s Tenosynovitis?
De Quervain’s Tenosynovitis is caused by the narrowing of the 1st Dorsal extensor compartment in which the EPB and APL tendons run. This causes irritation, inflammation and in turn pain.
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How do you treat De Quervain’s Tenosynovitis?
De Quervain’s Tenosynovitis is initially treated non operatively with:
- Non Steroidal anti-inflammatory medications
- Rest
- Splints
- Corticosteroid injection to the region
Failing non operative measures to treat De Quervain’s Tenosynovitis, surgery is then indicated. This is a small day only procedure which involves a small incision and release of the 1st Dorsal compartment. Symptoms generally settle down quickly and you have full use of the fingers and hands immediately post operatively.
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