About De Quervain’s Tenosynovitis

De Quervain’s Tenosynovitis is usually diagnosed with clinical assessment. However, an ultrasound or MRI may also be required.

Signs & Symptoms

Symptoms of De Quervain’s Tenosynovitis is mainly pain over the thumb side of the wrist. This pain may develop suddenly or gradually and can be worse with use of the hand and/or the thumb.

There may also be reduced movement in the thumb due to the pain and swelling in the tendons.

Treatment Options

What are the non-operative treatment options for De Quervain’s Tenosynovitis?

Non-operative treatment options for De Quervain’s Tenosynovitis include;
– bracing and/or splinting of the hand and wrist
– a local anaesthetic and/or steroid injection into the wrist by a Radiologist.

What are the operative treatment options for De Quervain’s Tenosynovitis?

Operative treatment for De Quervain’s Tenosynovitis is usually done in the form of a Tenosynovectomy. This is a day procedure.

For the tendons to be released a small incision into the crease of the wrist is performed. The wound will then be closed with dissolvable sutures and a dressing applied.

What happens following surgery?

Following surgery, the hand will be numb for approximately 24 to 48 hours due to the local anaesthetic. You will not be able to drive immediately after your surgery due to the anaesthetic used, so arrangements for transport will need to be made before the day of surgery.

If required, you may take Paracetamol or pain medication that have been prescribed by your Anaesthetist, for any pain that you may be experiencing.

You will then be seen by A/Prof Matthew Lawson-Smith and his nurse 2 – 3 weeks following surgery.

What is the recovery time after a Tenosynovectomy?

Recovery time following a Tenosynovectomy is individual and depends on the severity of the condition, complexity of the surgery and previous medical history.

After approximately 6 weeks you should be able to start doing your normal daily activities, including going back to work if you do not have a heavy duty job.

Risks & Concerns

The associated risks of surgery include;

Infection
Scar
Pain
Stiffness
Swelling
Complex Regional Pain Syndrome
Need for further surgery

Failure to relieve symptoms
Worsening pain
Bleeding
Neurovascular deficit or injury
Risk of anaesthetic
Recurrence

If you experience any problems or have any concerns following your surgery, please do not hesitate to contact the office. A/Prof Lawson-Smith’s staff will ensure that A/Prof Matthew Lawson-Smith is kept informed and will advise you on the best course of action.

If you are unable to reach the office, please do not hesitate to contact your GP or if it is an emergency, please present to your nearest Emergency Department.