De Quervain’s Tenosynovitis Treatment
De Quervain’s Tenosynovitis Treatment
De Quervain’s Tenosynovitis is a painful condition affecting the tendons on the thumb side of the wrist. It causes pain, swelling, and stiffness at the base of the thumb, making it difficult to grip, lift, or twist objects.
The condition occurs when the tendon sheath around the thumb becomes inflamed, restricting smooth tendon movement. Overuse, repetitive thumb motions, or strain from activities such as typing, lifting, or baby care can contribute to the problem.
Our team of specialists offers personalised treatment plans from conservative management to advanced surgical solutions to reduce inflammation, relieve pain, and restore full thumb and wrist function.
The goal is to help you regain strength, mobility, and comfort, allowing you to return to your normal daily activities with ease.
Who Is It For?
You may benefit from treatment if you:- Have pain or tenderness near the base of your thumb or wrist
- Experience swelling that worsens with movement
- Experience swelling that worsens with movement
- Struggle with daily tasks such as lifting, gripping, or twisting
- Have symptoms that don’t improve with rest, splints, or medication
The Procedure
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1. Consultation
A detailed assessment of your hand and wrist is carried out to confirm the diagnosis. This may include a physical test (Finkelstein’s test) or ultrasound imaging.
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2. Anaesthesia
For surgical release, local anaesthetic is typically used to ensure comfort during the procedure.
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3. Treatment Options
- Non-Surgical Treatments -
- Splinting: Supports the wrist and thumb to limit strain and allow inflammation to settle.
- Corticosteroid Injections: Reduce inflammation and relieve pain for many patients.
- Physiotherapy: Strengthens surrounding muscles and improves flexibility.
- Surgical Treatments - When conservative options are not effective, a De Quervain’s release may be performed:
- A small incision is made at the base of the thumb.
- The inflamed tendon sheath is released, creating space for smooth tendon movement.
- The incision is closed with fine sutures, and a light dressing is applied.
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4. Recovery
- Most patients regain gentle movement within a few days.
- Full recovery and return to normal activity occur within 2–4 weeks.
- Hand therapy may be advised to maintain flexibility and prevent stiffness
Benefits of Treatment
- Pain Relief: Reduces discomfort and tenderness around the thumb and wrist.
- Improved Mobility: Restores smooth, pain-free movement of the thumb.
- Long-Term Results: Addresses the underlying cause for lasting relief.
- Minimal Downtime: Quick recovery with minimal disruption to daily life.
- Restored Function: Improves grip, strength, and dexterity.
Why Choose Bollin Clinic for De Quervain’s Tenosynovitis Treatment
- Experienced Hand Specialists: Skilled in diagnosing and managing both simple and complex tendon conditions.
- Tailored Treatment Plans: Every approach is personalised to your needs, whether conservative or surgical.
- Modern Facilities: Safe, comfortable, and fully regulated clinic environment in Altrincham.
- Comprehensive Aftercare: Full recovery support with physiotherapy guidance where needed.
- Proven Results: High success rates with restored comfort and hand mobility.
De Quervain’s Tenosynovitis Treatment
Frequently asked questions
What causes De Quervain’s Tenosynovitis?
It’s usually caused by overuse or repetitive thumb and wrist movements, leading to inflammation of the tendon sheath.
Can it get better without surgery?
Many cases respond to splints, rest, and injections. Surgery is only recommended if symptoms persist.
Is the surgery painful?
The procedure is done under local anaesthetic, so discomfort is minimal and short-lived.
How long does recovery take?
Light activities can resume within a few days, with full recovery in 2–4 weeks.
Will I need physiotherapy?
Often, yes. Hand therapy helps restore strength, flexibility, and movement.
Can it come back?
Recurrence is uncommon when treated correctly and when overuse is avoided post-recovery.