De Quervain's Tenosynovitis – Frisco, TX
Dr. Victoria D. Knoll, a Frisco, TX, based hand surgeon, provides comprehensive treatment for De Quervain's Tenosynovitis. The surgeon uses advanced techniques to treat various other orthopedic conditions of the hand and wrist such as Trigger Finger, wrist sprain, hand fractures, Ulnar Tunnel Syndrome etc.

De Quervain's Tenosynovitis

De Quervain's Tenosynovitis is a condition characterized by inflammation of the tendons around the thumb. The irritated tendons rub against the narrow tunnel through which they pass.  This leads to pain and discomfort at the wrist. People involved in activities such as gardening and racquet sports are at a higher risk of developing this condition.

Causes Of De Quervain's Tenosynovitis

  • Direct injury to the wrist
  • Activities involving repetitive thumb movement
  • Medical conditions such as Rheumatoid Arthritis

Symptoms Of De Quervain's Tenosynovitis

  • Pain at the base of thumb which may worsen with movement
  • Swelling and tenderness in the wrist  
  • Difficulty in  grasping
  • Snapping sensation while moving the wrist
  • Limited range of motion
  • Weakness in the wrist

Diagnosis Of De Quervain's Tenosynovitis

The doctor may physically examine the wrist and apply pressure to check for pain. Finkelstein's test may be performed in which the patient is required to flex his thumb and clench the fist. Imaging tests such as X-rays may be conducted to rule out other conditions such as a fracture or Arthritis.    

Treatment For De Quervain's Tenosynovitis

  • Splints: Immobilizing the thumb with the help of a splint or brace may provide support to the tendon. It may also help in minimizing discomfort.  
  • Medications: Non-steroidal anti-inflammatory medications may be prescribed by the doctor to reduce pain and swelling. Corticosteroid injections may be recommended in case of severe pain.
  • Rest: The doctor may suggest providing sufficient rest to the affected area and avoiding activities that require repetitive thumb movements.  
  • Ice: Applying ice to the thumb and the wrist may help to ease the symptoms. Heat therapy can also be beneficial in boosting the recovery.  
  • Physical therapy: The doctor may suggest specific exercises to improve the range of motion and reduce stiffness in the wrist.

In case the symptoms do not subside with non-surgical treatment, surgery may be recommended. In this procedure, the tendon sheath may be released to create more space for tendon movement.

For comprehensive diagnosis and treatment of De Quervain's Tenosynovitis, visit Dr. Knoll. To schedule an appointment with the hand and wrist surgeon in Frisco, TX, call at (214) 618 – 5502.