de Quervain's Syndrome
Causes
Doctors are not sure what causes de Quervain’s Tenosynovitis, but changes in the use of the hand may be a cause. Repetitive movements, changes in hormones, and swelling are likely factors. When new mothers develop this condition, it typically appears 4 to 6 weeks after delivery.
Signs and Symptoms
Patients with de Quervain’s Tenosynovitis often describe a feeling of sharp or dull pain and swelling. This is either at the base of the thumb or at the wrist. People of all ages can experience these problems.
Treatment
Treatments that can relieve symptoms include:
A splint that stops you from moving your thumb and wrist
Tylenol or anti-inflammatory medications (e.g., Ibuprofen)
A cortisone-type of steroid injection into the tendon compartment (Response to these injections varies, but they can sometimes be successful long-term.)
If these less-invasive options have not provided relief, surgery to open the tunnel and make more room for the tendons may be considered. Discuss the best treatment option for you with your hand surgeon.