- +91 75677 63301
- 24*7 Emergency Care
Don't let thumb & wrist pain hold you back
Book your consultation
Satisfied Patients
0 +
De Quervain’s Release Surgeries
0 +
Awards
0 +
Years
0 +
What is de quervain's tenosynovitis?
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
Symptoms of de quervain’s tenosynovitis typically develop gradually and worsen over time. Common symptoms include:
- Pain & Tenderness: Felt at the base of the thumb and wrist, especially when moving the thumb or gripping objects.
- Swelling: Visible swelling along the thumb side of the wrist, sometimes accompanied by a fluid-filled cyst.
- Difficulty with thumb and wrist movements: Pain while pinching, grasping, or making a fist.
- Catching or snapping sensation: A feeling of resistance when moving the thumb.
Causes of de quervain's tenosynovitis
Several factors can contribute to the development of this condition, including:
- Repetitive thumb or wrist motion: Activities like texting, gaming, lifting infants, and gardening put strain on the tendons.
- Inflammatory conditions: Conditions such as rheumatoid arthritis can lead to tendon irritation.
- Injury or trauma: Direct injury to the wrist may result in swelling and restricted movement.
- Hormonal changes: Pregnancy and postpartum hormonal shifts can increase susceptibility to tendon inflammation.
- Genetic predisposition: Some individuals may have naturally tighter tendon sheaths, making them more prone to irritation.
Risk factors for de quervain's tenosynovitis
Several factors can increase your likelihood of developing De Quervain’s Tenosynovitis:
- Occupation-related risks: Jobs requiring frequent hand movements, such as hairstyling, typing, or playing musical instruments.
- Age & Gender: More common in individuals between the ages of 30 and 50, with women being at a higher risk.
- Medical conditions: Arthritis and diabetes increase inflammation and risk.
- Pregnancy & Postpartum period: Hormonal changes and repetitive hand use related to infant care.
- Sports & Hobbies: Activities like golf, tennis, and knitting involve repetitive wrist and thumb motion.
How is de quervain's tenosynovitis diagnosed?
A healthcare professional will diagnose De Quervain’s Tenosynovitis through a combination of medical history, physical examination, and imaging tests.
1. Medical history
- 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.
2. Physical examination
- 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.
3. Imaging tests
- Ultrasound: This imaging technique can help visualize tendon swelling and thickening, confirming inflammation in the affected area.
- X-rays: Although not necessary for diagnosing De Quervain’s Tenosynovitis, X-rays can be used to rule out arthritis, fractures, or other structural abnormalities that might be causing wrist pain.
De quervain's tenosynovitis treatment in Ahmedabad
Non-surgical treatments
Non-surgical options are usually the first line of treatment and may include:
- Wrist & Thumb splints: Immobilizing the thumb and wrist reduces strain on the tendons.
Con: Prolonged immobilization may lead to stiffness and muscle weakening. - Anti-inflammatory medications: NSAIDs like ibuprofen can help reduce pain and swelling.
Con: Long-term use may cause gastrointestinal issues or other side effects. - Corticosteroid injections: A direct injection can provide temporary relief from inflammation.
Con: Relief may be temporary, and repeated injections can weaken the tendon over time. - Activity modification: Avoiding repetitive motions that worsen symptoms.
Con: May require significant lifestyle or occupational adjustments. - Physical therapy: Specialized stretching and strengthening exercises to improve mobility.
Con: Requires consistent effort and may take weeks to show improvement.
While non-surgical treatments can provide relief, they may not be effective for severe or persistent cases. If symptoms continue, surgery may be recommended.
Surgical treatments
Surgery aims to relieve pressure on the tendons by opening the sheath that constricts them.
De quervain’s release surgery
- The procedure is typically performed under local anesthesia.
- A small incision, about 1-2 cm long, is made over the inflamed tendons on the wrist.
- The surgeon carefully identifies and opens the swollen tendon sheath to release pressure and allow the tendons to move freely.
- Care is taken to preserve nearby nerves and blood vessels to prevent complications.
- Once the sheath is released, the incision is closed with stitches, and the hand is bandaged.
- The patient is monitored for a short time before being discharged, as this is usually an outpatient procedure.
Post-surgical recovery varies based on the individual and the severity of the condition. Here’s what to expect:
Immediately after surgery
- Mild discomfort and swelling can be managed with pain medication and ice therapy.
Short-term recovery (Days to Weeks)
- Gradual improvement in thumb and wrist movement.
- Avoid heavy lifting or repetitive motions.
Long-term recovery (Weeks to Months)
- Physical therapy may be recommended to regain full function.
- Most patients return to normal activities within 4–6 weeks.
Prevention of de quervain’s tenosynovitis
Preventive measures can help reduce the risk of developing this condition:
- Ergonomics & Hand positioning: Avoid excessive thumb and wrist strain by adjusting workstation setups.
- Regular stretching & strengthening: Perform exercises to maintain flexibility and tendon health.
- Use proper lifting techniques: When lifting objects or babies, use both hands to distribute weight evenly.
- Avoid overuse: Take breaks when performing repetitive hand activities.
- Manage underlying conditions: Properly control arthritis, diabetes, and other conditions that increase inflammation.
What makes us the best hospital for de quervain’s tenosynovitis treatment in Ahmedabad?
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:
Expertise of Dr. Karn Maheshwari
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.
Personalized treatment plans
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.
Minimally invasive surgery
When surgery is necessary, we use the latest techniques to reduce scarring, shorten recovery times, and get you back to your daily activities faster.
Comprehensive physiotherapy
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.
State-of-the-art facility
Our hospital is equipped with modern medical technologies, ensuring precise diagnostics and advanced treatment options for every patient.
Patient-centric care
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.
Awards & Achievements
What our patients say about their hand treatment
- B-201, 2nd Floor, Shaligram Lakeview, Nr Vaishnodevi Circle, S.P. Ring Road, Highway, Service Rd, Vaishnodevi, Zundal, Ahmedabad, Gujarat 382421
- Mon–Sat: 11:00 AM – 01:00 PM
06:00 PM – 08:00 PM - +91 75677 67701
- Sun: Closed
Emergency: 24/7 Available
FAQs about de quervain’s tenosynovitis
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.
You can schedule an appointment by calling our hospital or booking online through our website. Our team will assist you with scheduling and provide all necessary details regarding your visit.
During your first visit, our specialist will:
- Review your medical history and symptoms.
- Conduct a physical examination, including the Finkelstein test.
- Recommend diagnostic tests (such as ultrasound) if needed.
- Discuss treatment options tailored to your condition.
It is helpful to:
- Bring a list of current medications.
- Note down symptoms and their duration.
- Carry previous medical reports or imaging related to your wrist/thumb condition.
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:
- Splinting to immobilize the wrist and thumb.
- Anti-inflammatory medications (NSAIDs) to reduce pain.
- Corticosteroid injections for targeted relief.
- Physical therapy with customized stretching and strengthening exercises.
- Lifestyle and activity modifications to prevent further irritation.
We perform a minimally invasive procedure where:
- A small incision is made over the affected tendons.
- The tendon sheath is carefully opened to relieve pressure.
- The incision is closed with stitches, and recovery begins.
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.
