Causes of De Quervain’s tenosynovitis
Symptoms of De Quervain’s tenosynovitis
Diagnosing De Quervain’s tenosynovitisYour doctor can diagnose DeQuervain’s tenosynovitis with a physical exam of your hand. He or she will also ask about your health history. You may be asked to make a fist, wrapping your fingers over your thumb, then bending your wrist toward your little finger. This will cause pain if you have DeQuervain’s tendonitis.
Treating De Quervain’s tenosynovitisTreatment for DeQuervain’s tenosynovitis can include nonsteroidal anti-inflammatory drugs, splinting (such as with a thumb spica splint), steroid injections, ice, rest or changing your hands-on activities to decrease painful movements. Hand therapy includes ultrasound and iontophoresis (a medical device that delivers mild electrical currents).
Surgery isn’t always necessary for this condition, but the nature of your anatomy often prevents nonsurgical treatment from being successful. If you choose to have surgery, it is an elective procedure and is dependent on your pain and preference. You can drive after surgery as long as you feel confidant and comfortable and are not taking any narcotic pain medication. Recovery time is four to eight weeks on average, with a success rate between 95 and 100 percent.
DeQuervain’s tenosynovitis may resolve on own but it can be very unpredictable. If symptoms have been present for longer than 10 months, then it is less likely for symptoms such as pain and swelling to resolve without surgery.