De Quervain’s Syndrome, also known as De Quervain’s tenosynovitis, is a condition that causes pain and swelling around the base of the thumb. If you have difficulty gripping objects or experience wrist pain, you might be dealing with this condition.
Thankfully, with proper guidance and treatment, managing De Quervain’s Syndrome is achievable.
Here is an overview of De Quervain’s Syndrome symptoms, treatment options, and lifestyle changes that can improve your quality of life.
What Is De Quervain’s Syndrome
De Quervain’s Syndrome occurs when the tendons around the base of your thumb become inflamed. These tendons, surrounded by a sheath or protective layer, begin to swell, causing stiffness and discomfort.
The repetitive use of the wrist and thumb is the most common cause, but injuries or underlying medical conditions can also contribute.
The result is pain that makes everyday tasks, such as lifting objects or typing, more challenging. Understanding this hand condition is the first step to exploring treatment options.
Common Symptoms of De Quervain’s Syndrome
Identifying the symptoms early can help in managing the syndrome effectively. Common signs include:
- Pain and Swelling at the base of the thumb or along the wrist.
- Trouble Moving the Thumb comfortably, especially when making a fist or gripping objects.
- Difficulty Turning the Wrist or bending it in certain positions.
- A Snapping Sensation in the thumb during movement.
If you notice these symptoms persist for more than a week, it is essential to consult a hand specialist for a proper diagnosis.
Treatment Options for De Quervain’s Syndrome
The good news is that many treatments are available for De Quervain’s Syndrome. A combination of therapies and lifestyle adjustments can significantly reduce your symptoms.
Non-Surgical Treatments
For most cases, starting with non-surgical treatments offers significant relief. Here are some common therapies used to manage the condition.
Rest and Splints
Resting your hand and wearing a splint will limit movement in your thumb and wrist. This allows the inflammation to subside over time. Splints are recommended to be worn for several weeks.
Physical and Occupational Therapy
Working with a hand therapist can improve strength and flexibility in the tendons. Therapists may use custom exercises to manage swelling, reduce stiffness, and fix muscle imbalances.
Medications
Over-the-counter anti-inflammatory drugs like ibuprofen (Advil) and naproxen (Aleve) can reduce swelling and provide pain relief for milder cases.
Corticosteroid Injections
For persistent inflammation, corticosteroid injections into the affected area can reduce swelling and pain effectively. These are administered by trained medical professionals like an orthopedic hand specialist.
Surgical Treatments
If non-surgical methods do not yield sufficient results, hand surgery offers a reliable solution. A skilled hand surgeon will perform a procedure to release the constricted tendon sheath, relieving pressure and restoring smooth tendon movement.
Hand surgery is typically an outpatient procedure, meaning you can go home the same day.
Lifestyle Changes for Managing De Quervain’s Syndrome
Along with medical treatments, making small changes to your daily routine can lower your risk of worsening the condition.
Modify Daily Activities
Avoid repetitive hand gestures or heavy lifting when possible. If your work requires such movements, take periodic breaks to rest your hands.
Ergonomic Adjustments
For individuals who work on computers or perform repetitive tasks, using ergonomic tools like wrist supports or ergonomic keyboards can prevent additional strain.
Exercise and Stretching
Gentle thumb and wrist stretches, as instructed by a hand therapist, can improve flexibility and circulation to affected tendons.
Use the Right Tools
Switch to tools or equipment with larger grips to protect your hands from overexertion. For example, gardeners can find pruners with cushioned grips to reduce strain.
Treatment for De Quervain’s Syndrome in Maryland
Living with De Quervain’s Syndrome can be uncomfortable, but it is not something you need to endure alone. From non-invasive options like therapy and medications to advanced surgical care, there are several ways to regain comfort and mobility.
At The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division, our team is committed to helping you return to a pain-free life. From diagnosing De Quervain’s Syndrome to providing a full range of treatments, including physical therapy and surgery, we are here to help you every step of the way.
With convenient locations in Bethesda, Rockville, and Germantown and a warm, personalized approach to care, we are dedicated to making your recovery as seamless as possible.
To begin your treatment plan with our expert hand doctors and therapists, schedule your consultation today by calling us at (301) 515-0900 or using our appointment scheduling platform. We look forward to serving you!
