Specialized De quervain’s tenosynovitis Care by Dr. Karn Maheshwar at Krisha Hand Hospital
De quervain’s tenosynovitis is a painful condition that affects the tendons on the thumb side of your wrist. It occurs when the sheaths surrounding these tendons become inflamed, leading to pain, swelling, and difficulty in wrist and thumb movements. This condition is often caused by repetitive hand motions, excessive thumb use, or underlying health conditions that contribute to tendon irritation.
Symptoms of de quervain’s tenosynovitis typically develop gradually and worsen over time. Common symptoms include
Felt at the base of the thumb and wrist, especially when moving the thumb or gripping objects.
Visible swelling along the thumb side of the wrist, sometimes accompanied by a fluid-filled cyst.
Pain while pinching, grasping, or making a fist.
A feeling of resistance when moving the thumb.
Several factors can contribute to the development of this condition, including:
Several factors can increase your likelihood of developing De Quervain’s Tenosynovitis
Jobs requiring frequent hand movements, such as hairstyling, typing, or playing musical instruments.
More common in individuals between the ages of 30 and 50, with women being at a higher risk.
Arthritis and diabetes increase inflammation and risk.
Hormonal changes and repetitive hand use related to infant care.
Activities like golf, tennis, and knitting involve repetitive wrist and thumb motion.d occurs more frequently in women.
Past trauma or strain can increase susceptibility to tendon inflammation.
A healthcare professional will diagnose De Quervain’s Tenosynovitis through a combination of medical history, physical examination, and imaging tests.
The doctor will inquire about symptoms, daily activities, and any previous wrist or thumb injuries. They may also ask about occupational and recreational hand use, as well as any underlying conditions such as arthritis or diabetes that could contribute to tendon inflammation.
The doctor will assess the affected area for swelling, tenderness, and restricted movement.
Finkelstein test: This is a key diagnostic test where the patient makes a fist with the thumb inside the fingers and bends the wrist towards the little finger. If this movement causes sharp pain along the thumb side of the wrist, the test is considered positive, indicating inflammation of the tendons.
Additional hand and wrist maneuvers may be performed to rule out other conditions like arthritis or nerve compression syndromes.
FNB – (Hand & Microsurgery) | Superspecialist in Hand, Wrist & Microsurgery | MS Ortho | DNB Ortho
Dedicated to empowering patients, educating doctors, and preventing hand injuries across workplaces and daily life.
Non-surgical options are usually the first line of treatment and may include
Immobilizing the thumb and wrist reduces strain on the tendons.
Con: Prolonged immobilization may lead to stiffness and muscle weakening.
NSAIDs like ibuprofen can help reduce pain and swelling.
Con: Long-term use may cause gastrointestinal issues or other side effects.
A direct injection can provide temporary relief from inflammation.
Con: Relief may be temporary, and repeated injections can weaken the tendon over time.
Avoiding repetitive motions that worsen symptoms.
Con: May require significant lifestyle or occupational adjustments.
Specialized stretching and strengthening exercises to improve mobility.
Con: Requires consistent effort and may take weeks to show improvement.
NSAIDs like ibuprofen can help reduce pain and swelling.
Con: Long-term use may cause gastrointestinal issues or other side effects.
While non-surgical treatments can provide relief, they may not be effective for severe or persistent cases. If symptoms continue, surgery may be recommended.
Surgery aims to relieve pressure on the tendons by opening the sheath that constricts them.
Post-surgical recovery varies based on the individual and the severity of the condition. Here’s what to expect:
Mild discomfort and swelling can be managed with pain medication and ice therapy.
Preventive measures can help reduce the risk of developing this condition:
We pride ourselves on providing exceptional care for patients with de quervain’s tenosynovitis. Here’s why patients across Ahmedabad trust Krisha hand hospital for their treatment:
He is a highly skilled hand & wrist surgeon specialized in treating de quervain’s tenosynovitis. His specialized knowledge ensures that you receive the most effective treatment tailored to your individual needs.
We believe that no two patients are the same. Dr. Maheshwari tailors each treatment plan based on your specific symptoms, lifestyle, and preferences, ensuring you get the most effective and least invasive care possible.
When surgery is necessary, we use the latest techniques to reduce scarring, shorten recovery times, and get you back to your daily activities faster.
Our in-house physiotherapy team, led by Dr. Maheshwari, provides targeted rehabilitation exercises post-surgery to ensure optimal recovery and restore hand function as quickly as possible.
Our hospital is equipped with modern medical technologies, ensuring precise diagnostics and advanced treatment options for every patient.
From your first consultation to your follow-up care, our team is dedicated to providing a comfortable, compassionate experience. We prioritize open communication, answering all your questions and keeping you informed every step of the way.
We provide a full range of diagnostic and treatment options, including clinical evaluation, non-surgical management (such as splinting, medications, and physical therapy), and surgical intervention if required. Dr. Karn Maheshwari focuses on minimally invasive approaches to restore hand function and relieve pain effectively.
To schedule an appointment, you can call our hospital directly at +91 75677 63301, or book your appointment online at your convenience. We also offer teleconsultation for patients who prefer remote consultation. Our staff will assist you throughout the scheduling process and provide all the necessary information you may need.
During your first visit, our specialist will:
It is helpful to:
Yes, we accept various insurance plans. It’s best to check with your insurance provider regarding coverage for consultations, diagnostic tests, and treatment procedures. Our staff can assist with insurance-related queries.
We offer:
We perform a minimally invasive procedure where:
The procedure is quick (typically 30 minutes) and performed under local anesthesia.
Yes, same-day non-surgical treatments (such as splinting, medications, and corticosteroid injections) are available. However, surgical procedures require pre-surgical evaluation and scheduling.
Wait times depend on scheduling availability, severity of your condition, and insurance approvals. Our team will provide an estimated timeline during your consultation.
We use advanced ultrasound imaging to detect tendon inflammation and thickening. X-rays may be used to rule out fractures or arthritis.
No, de quervain’s release surgery is an outpatient procedure, meaning you can go home the same day unless there are special medical considerations.
