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De Quervain’s Tenosynovitis at DRHC Dubai Hand & Wrist Clinic

What is De Quervain’s Tenosynovitis?

De Quervain’s Tenosynovitis is a condition that causes pain and swelling along the thumb side of the wrist due to inflammation of the tendons controlling thumb movements. This inflammation restricts the tendons' smooth glide through their sheath, leading to discomfort during daily activities such as gripping, lifting, or turning the wrist.

At DRHC Dubai, we specialize in the comprehensive management of De Quervain’s Tenosynovitis, providing relief from symptoms and restoring pain-free thumb function.

Causes of De Quervain’s Tenosynovitis

Several factors can contribute to this condition, including:

  • Repetitive Hand and Thumb Movements: Activities such as typing, gardening, lifting children, or playing musical instruments can strain the tendons.
  • Injury or Trauma: A sudden wrist injury may lead to tendon inflammation.
  • Medical Conditions: Individuals with rheumatoid arthritis or diabetes are at higher risk.
  • Hormonal Changes: Women, especially during pregnancy or postpartum, are more prone to developing this condition due to hormonal shifts.

Symptoms of De Quervain’s Tenosynovitis

  • Pain along the thumb side of the wrist, which may radiate to the forearm.
  • Swelling near the base of the thumb.
  • Difficulty gripping or pinching objects.
  • A "catching" or snapping sensation when moving the thumb.
  • Tenderness when pressing over the affected area.

Diagnosis of De Quervain’s Tenosynovitis

At DRHC Dubai, our specialists will:

  • Conduct a physical examination to assess the pain and swelling along the thumb and wrist.
  • Use the Finkelstein test, where the patient makes a fist with the thumb tucked inside the fingers, followed by a wrist bend toward the little finger. Pain during this movement suggests De Quervain’s Tenosynovitis.
  • In rare cases, ultrasound or imaging tests may be required to confirm the diagnosis or rule out other conditions.

Management and Treatment Options at DRHC Dubai

Our goal is to provide effective pain relief and restore thumb function through both non-surgical and surgical treatments.

Non-Surgical Management

  • Rest and Activity Modification: Avoid activities that trigger pain to allow the tendons to heal.
  • Splinting: A thumb splint (thumb spica) may be recommended to keep the thumb and wrist stable.
  • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can reduce pain and inflammation.
  • Corticosteroid Injections: A steroid injection directly into the tendon sheath can provide quick and lasting relief from inflammation.

Surgical Treatment - Tendon Release

If conservative treatments do not provide sufficient relief, surgical release may be recommended.

Procedure Overview

  • The surgeon makes a small incision near the affected tendons and releases the tight sheath restricting their movement.
  • This procedure is performed under local anesthesia and is usually an outpatient surgery.

Recovery and Post-Operative Care

  • Most patients experience immediate pain relief and improved movement.
  • A rehabilitation program with stretching and strengthening exercises may be recommended to restore full function.
  • You can expect to resume light activities within a few weeks, with complete recovery in about 4 to 6 weeks.

Why Choose DRHC Dubai for De Quervain’s Tenosynovitis Treatment?

  • Experienced Orthopedic Specialists: Our team has extensive experience in diagnosing and treating conditions affecting the hand, wrist, and thumb.
  • Advanced Treatment Techniques: We use state-of-the-art therapies and surgical procedures for optimal outcomes.
  • Personalized Care: We create customized treatment plans based on your lifestyle and the severity of your symptoms.

Book An Appoinment

If you are experiencing discomfort or mobility issues due to a De Quervain’s Tenosynovitis, contact DRHC Dubai today to schedule a consultation and explore the best treatment options. Call at+97142798200 to Schedule Your Appointment Today.

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