Advanced Treatment for De Quervain’s Tendinitis
De Quervain’s tendinitis is a condition causing pain near the thumb and wrist. The tendons that move the thumb travel through a tunnel called the first dorsal compartment. This tunnel (tendon sheath) can enlarge and thicken in some patients causing pain during movement of the wrist and thumb. Patients often experience this pain during thumb extension, ulnar deviation of the wrist (away from the thumb), or when lifting objects while pinching with their thumb. Often, the cause of this disease is unknown, but overuse, repetitive grasping, and certain inflammatory conditions such as rheumatoid arthritis can all trigger the disease. Racquet sports and various workplace tasks may also aggravate the condition. While anyone can get the disease, it affects women more often than men.
Typical treatment options include non-steroidal anti-inflammatory drugs (NSAIDS), splints, steroid injections and surgery. Splinting and steroid injections may help in the early stages of disease, but are less effective in more chronic cases. Additionally, most diabetic patients are less likely to achieve relief of symptoms with an injection. These injections can also cause some side effects such as depigmentation and fat atrophy, which can cause a discolored and thin skin appearance. Surgery has typically involved a large incision to treat this tendinitis and often patients are placed in a splint for 1-2 weeks postoperatively.