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Hand Surgery for De Quervain’s Tenosynovitis

What Is De Quervain’s Tenosynovitis?

De Quervain’s Tenosynovitis is a painful condition that affects the wrist and thumb and, in more serious cases, the forearm. The condition arises when the tendons in the hand are irritated or constricted, often due to overuse. Most common in middle-aged women, Quervain’s Tenosynovitis can impede normal activities and have a profound negative impact on an individual’s lifestyle.

At Advanced Dermatology, P.C. offers treatments to alleviate the intense discomfort associated with De Quervain’s Tenosynovitis. Our hand surgeon performs outpatient treatment and surgery for De Quervain’s Tenosynovitis, helping patients in New York restore normal hand function.

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Causes and Symptoms

The precise cause of De Quervain’s Tenosynovitis is unknown, however it is generally associated with chronic repetitive motion.

Certain activities, such as tennis or racquetball or yard work, may exacerbate the condition. Lifting a baby or young child may also aggravate the pain. Injury and rheumatoid arthritis have been linked to its occurrence.

The symptoms can appear gradually or suddenlySymptoms of De Quervain’s Tenosynovitis include:

  • Pain or tenderness around base of the thumb or the thumb side of the wrist
  • Inflammation around the base of the thumb or the thumb side of the wrist
  • Limited ability or significant pain when moving the thumb or wrist or when trying grasp objects

Diagnosis and Treatment

Our surgeon can diagnose De Quervain’s Tenosynovitis with a physical examination. Our surgeon will apply pressure to the thumb and wrist to assess the degree of sensitivity and pain.

In addition, the surgeon will further ascertain the location of the pain using the Finkelstein test, where you will be asked to move your thumb and fingers in a specific manner.

  • Medications: Pain can be managed with over-the-counter medications. Anti-inflammatory injections may be recommended to reduce swelling.
  • Physical therapy: Reducing repetitive tasks that aggravate the discomfort will be necessary. Wearing a splint to restrict movement is recommended.
  • Hand Surgery: If you have a severe case of De Quervain’s Tenosynovitis, surgery to relieve pressure on the tendons may be the best course of action.

If left untreated, the pain can begin to radiate to the forearm, intensifying the pain and further interfering with range of motion and the ability to move the thumb.

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Surgery and Recovery

Surgery may be recommended if symptoms do not improve with other treatments. Hand surgery for De Quervain’s Tenosynovitis involves opening sheaths around the tendons, in order to diminish pressure on the tendons.

After the surgery, our hand surgeon may recommend a period of physical therapy to help strengthen your hand. Our surgeon will discuss the surgery and the post-surgery steps that will be necessary to optimize your recovery and restore the normal use of your hand.

Schedule a Consultation Today

If thumb pain is affecting your ability to grasp things or enjoy your favorite hobbies or activities, contact Advanced Dermatology today for an assessment. Our surgeon can diagnose whether you suffer from De Quervain’s Tenosynovitis and recommend the most effective treatment to alleviate your pain. Contact us today to schedule your consultation.

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