An expert's guide to De Quervain's Tenosynovitis

De Quervain's Tenosynovitis is a painful condition affecting the tendons along the thumb side of the wrist. Experienced hand and wrist surgeon, Mr Onur Berber explains everything you need to know about the condition.

What is De Quervain's Tenosynovitis?

De Quervain's tenosynovitis is a condition that affects the tendons along the thumb side of the wrist. The tendons help move the thumb, enabling it to twist, pinch, and grasp objects. When these tendons become irritated or inflamed, it results in de Quervain's tenosynovitis.

What are the Symptoms?

There are various symptoms of de Quervain's tenosynovitis, however, the principal symptoms are pain and swelling on the thumb side of the wrist. The pain can be felt when moving the wrist or thumb, gripping objects, or making a fist. Patients may also experience a snapping or catching sensation as the tendons move through their sheaths.

How is it Diagnosed?

In order to diagnose de Quervain's tenosynovitis, your doctor will perform a physical examination of your wrist and thumb. During this examination, they will ask about your symptoms and medical history. The doctor may also may use an X-ray, ultrasound or an MRI to confirm the diagnosis and rule out other conditions.

What are the Treatment Options?

Treatment for de Quervain's tenosynovitis aims to reduce pain and inflammation, improve range of motion, and prevent recurrence. Treatment options are as follows:

• Rest: You should avoid activities that aggravate your symptoms and reduce the strain on your wrist and thumb.
• Ice: You should apply an ice pack to the affected area for 10-15 minutes several times a day to reduce pain and swelling.
• Medications: You can use over-the-counter pain relievers and anti-inflammatory drugs to help relieve pain and reduce inflammation.
• Splinting: A splint or brace may be used to immobilise your wrist and thumb to allow the tendons to rest and heal.
• Physical therapy: Stretching and strengthening exercises can help improve range of motion, reduce pain, and prevent recurrence.
• Injections: Injecting corticosteroids or PRP (platelet rich plasma) into the tendon sheath can help reduce inflammation and alleviate pain.
• Surgery: In severe cases, surgery may be necessary to release the tendons and provide relief from pain and inflammation. This is a day case procedure performed under local anaesthetic and involves a small incision over the side of the wrist.

What are the Precautions?

It is important to avoid overuse of your wrist and thumb and to take frequent breaks during repetitive activities. It is also recommended that you use proper ergonomics and avoid excessive force or awkward positioning while working.

Maintaining a healthy lifestyle, including regular exercise and a balanced diet can reduce the risk of developing hand and wrist disorders.

Although de Quervain's tenosynovitis can be a painful and debilitating condition, with proper treatment and precautions, most people recover fully and return to their daily activities without any problems.

If you are concerned about de Quervain's tenosynovitis and would you can book an appointment with Mr Berber, you can do so through his Top Doctors profile today.