When is surgery necessary for de Quervain’s?

What happens if De Quervain’s goes untreated?

Due to inflammation surrounding the tendons that control thumb movement, De Quervain’s can cause pain and tenderness when moving the thumb or wrist. If left untreated, this pain may spread up through the arm as well.

When should you have surgery for de Quervain’s?

When is surgical release done for De Quervain’s tenosynovitis? If exercises done at home increase the pain, or the pain is still there after a month, you need a doctor. A doctor makes a diagnosis by performing a simple exercise. You’ll put your thumb in the palm of your hand and make a fist.

How successful is surgery for de Quervain?

Postoperative Outcomes

De Quervain’s release is considered an effective long-term treatment for stenosing tenosynovitis of the first compartment after conservative treatment has failed, with patient satisfaction ranging from 88-100%.

What is the recovery time for de Quervain’s surgery?

Your doctor will take out your stitches 1 to 2 weeks after surgery. Your doctor or your physiotherapist or occupational therapist may recommend that you wear a splint on your hand for 1 to 4 weeks after surgery. It may take 6 to 12 weeks for your hand to heal completely.

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Does De Quervain’s tenosynovitis require surgery?

Mild to moderate symptoms from De Quervain’s tenosynovitis can be improved without surgery. But If these more conservative treatments fail, De Quervain’s surgery is the next step.

Is De Quervain serious?

De Quervain’s tenosynovitis (dih-kwer-VAINS ten-oh-sine-oh-VIE-tis) is a painful condition affecting the tendons on the thumb side of your wrist. If you have de Quervain’s tenosynovitis, it will probably hurt when you turn your wrist, grasp anything or make a fist.

Are you awake during de Quervain’s surgery?

This surgery will probably be done while you are awake. The doctor will give you a shot (injection) to numb your hand and prevent pain. You also may get medicine to help you relax. During the surgery, the doctor will make a cut (incision) in the skin on the side of your wrist near the base of your thumb.

Can De Quervain’s tenosynovitis come back after surgery?

Recurrence of symptoms of de Quervain’s disease after surgical treatment has been reported. One possible explanation when surgery does not result in a decrease of symptoms is that the initial diagnosis was incorrect.

How big is the incision for de Quervain’s surgery?

A 3-cm incision is placed over the prominent thickening of the first dorsal compartment.

Is tenosynovitis serious?

Possible Complications. If tenosynovitis is not treated, the tendon may become permanently restricted or it may tear (rupture). The affected joint can become stiff. Infection in the tendon may spread, which could be serious and threaten the affected limb.