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How Is Wrist Pain Due To De Quervain’s Tenosynovitis While Wearing A Splint Treated?
Question: hi, I have a wrist pain, which is identified as de quervain tenosynovitis. the pain started around 1 year before. I have undergone treatment 4 times. 3 times with medicine and ointment. last time along with steroid injection. this was before 6 month. still pain is there when straining the wrist. i am wearing a splint while working. Doctors are saying a surgery for cure. please help me to cure from this. I am attaching a diagonose report.
Brief Answer:
Detail below .
Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query , attached reports and health concerns in detail ,
De Quervain’s tenosynovitis is a painful condition that affects the tendons in your wrist. It occurs when the 2 tendons around the base of your thumb become swollen. The swelling causes the sheaths (casings) covering the tendons to become inflamed. This puts pressure on nearby nerves, causing pain and numbness.
The most common cause of de Quervain’s tenosynovitis is chronic overuse of the wrist. Repetitive movements day after day cause irritation and pain. One common movement that causes it is lifting a child into a car seat. Another is lifting heavy grocery bags by the handles. Other causes could include a direct injury to the wrist or inflammatory arthritis.
Treatment for de Quervain’s tenosynovitis focuses on reducing pain and swelling. It includes:
Applying heat or ice to the affected area.
Taking a nonsteroidal anti-inflammatory drug (NSAID). These include ibuprofen (Advil, Motrin) or naproxen (Aleve).
Avoiding activities that cause pain and swelling. Especially avoid those that involve repetitive hand and wrist motions.
Wearing a splint 24 hours a day for 4 to 6 weeks to rest your thumb and wrist.
Getting injections of steroids or a local anesthetic (numbing medicine) into the tendon sheath. These injections are very effective and are used regularly.
A physical therapist or occupational therapist can show you how to change the way you move. This can reduce stress on your wrist. He or she can also teach you exercises to strengthen your muscles.
Most people notice improvement after 4 to 6 weeks of treatment. They are able to use their hands and wrists without pain once the swelling is gone.
You might need surgery if your case is severe or if other treatments don’t relieve your pain. During outpatient surgery, the surgeon makes a small cut in the sheath around the swollen tendons. This provides more room for the tendons to move.
After surgery, you will need to do physical therapy to strengthen your wrist and thumb. This will help keep the problem from coming back. Once the area has healed and returned to full strength, you should have normal use of your hand.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you good health.
Regards.
Dr. Praveen Tayal.
Detail below .
Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query , attached reports and health concerns in detail ,
De Quervain’s tenosynovitis is a painful condition that affects the tendons in your wrist. It occurs when the 2 tendons around the base of your thumb become swollen. The swelling causes the sheaths (casings) covering the tendons to become inflamed. This puts pressure on nearby nerves, causing pain and numbness.
The most common cause of de Quervain’s tenosynovitis is chronic overuse of the wrist. Repetitive movements day after day cause irritation and pain. One common movement that causes it is lifting a child into a car seat. Another is lifting heavy grocery bags by the handles. Other causes could include a direct injury to the wrist or inflammatory arthritis.
Treatment for de Quervain’s tenosynovitis focuses on reducing pain and swelling. It includes:
Applying heat or ice to the affected area.
Taking a nonsteroidal anti-inflammatory drug (NSAID). These include ibuprofen (Advil, Motrin) or naproxen (Aleve).
Avoiding activities that cause pain and swelling. Especially avoid those that involve repetitive hand and wrist motions.
Wearing a splint 24 hours a day for 4 to 6 weeks to rest your thumb and wrist.
Getting injections of steroids or a local anesthetic (numbing medicine) into the tendon sheath. These injections are very effective and are used regularly.
A physical therapist or occupational therapist can show you how to change the way you move. This can reduce stress on your wrist. He or she can also teach you exercises to strengthen your muscles.
Most people notice improvement after 4 to 6 weeks of treatment. They are able to use their hands and wrists without pain once the swelling is gone.
You might need surgery if your case is severe or if other treatments don’t relieve your pain. During outpatient surgery, the surgeon makes a small cut in the sheath around the swollen tendons. This provides more room for the tendons to move.
After surgery, you will need to do physical therapy to strengthen your wrist and thumb. This will help keep the problem from coming back. Once the area has healed and returned to full strength, you should have normal use of your hand.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you good health.
Regards.
Dr. Praveen Tayal.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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