Introduction
Hand and wrist pain can interfere with everything from gripping objects to using your phone. One common cause of pain on the thumb side of the wrist is De Quervain’s tenosynovitis. Many patients in Duluth experience swelling, inflammation, and tenderness at the base of the thumb that limits daily activities. When nonsurgical treatment options no longer provide relief, De Quervain’s surgery in Duluth, GA may be recommended.
What Is De Quervain’s?
De Quervain’s, also called De Quervain’s tendonitis or tendinosis, is an inflammatory condition of the tendon sheath surrounding two important thumb tendons: the abductor pollicis longus and the extensor pollicis brevis. These tendons help move the thumb and wrist. When the sheath becomes tight or swollen, it causes friction and wrist pain during movement.
Causes of De Quervain’s Tenosynovitis
Repetitive hand and wrist movements are the most common causes. Jobs or hobbies involving constant gripping, lifting children, or texting can all strain the tendons. Sports injuries, inflammatory conditions such as rheumatoid arthritis, and age-related tendon changes may also contribute.
Symptoms
Typical De Quervain’s symptoms include:
- Pain and swelling on the thumb side of the wrist
- Difficulty with wrist movements such as twisting or lifting
- A catching or snapping feeling when moving the thumb
- Pain that radiates up the forearm when gripping objects
Many patients describe the finger and thumb feeling stiff, especially in the morning. The Finkelstein test performed during a physical examination often reproduces pain, helping physicians confirm the diagnosis.
Diagnosis
An orthopedic hand specialist or orthopedic surgeon can diagnose De Quervain’s through a careful physical examination and medical history review. X-rays are sometimes ordered to rule out fractures or arthritis of nearby bones or joints. Accurate diagnosis ensures a personalized treatment plan that fits each patient’s needs.
Nonsurgical Treatment Options
Most patients improve with conservative care. Nonsurgical treatment options may include:
These treatments can often relieve pain within several weeks and help restore function.
When to Consider Surgical Treatment
If conservative care fails or symptoms severely limit life activities, surgical treatment may be necessary. Continuing pain, loss of strength, or inability to perform work or household tasks are signs that a surgical procedure should be considered.
De Quervain’s Surgical Procedure
During De Quervain’s surgery, the surgeon makes a small incision over the tendon sheath. The sheath is carefully opened, releasing pressure on the tendons. This allows the abductor pollicis longus and extensor pollicis brevis to glide freely, reducing friction and pain. The procedure is typically performed under local anesthesia and takes less than an hour. Many patients go home the same day.
Recovery After Surgery
After surgery, a light dressing or splint protects the wrist for a short period. Hand and wrist exercises begin soon to prevent stiffness. Patients typically regain strength and motion within several weeks. Mild swelling or soreness is expected but improves steadily. Most patients notice that the surgery helps restore function, improves quality of life, and allows them to return to normal activities.
Everyday Life After Treatment
Once healed, patients can return to work, sports, and hobbies without the constant pain. With improved hand and wrist function, many report a better sense of well-being and the ability to enjoy daily life again. Exceptional care and a tailored treatment plan help ensure long-term success.
Other Conditions Treated
Our orthopedic hand surgeons also care for trigger finger, carpal tunnel syndrome, and other wrist conditions. From carpal tunnel release surgery to treatment of nerve injuries and arthritis, we provide comprehensive care for the full spectrum of hand and wrist injuries and inflammatory conditions.
Why Choose Dr. Neustein in Duluth
As a fellowship-trained orthopedic hand specialist, Dr. Thomas Neustein offers advanced surgical and nonsurgical options for hand surgery and wrist conditions. Patients trust him for personalized treatment plans, expert diagnosis, and compassionate care. Whether you need a splint, therapy, or surgery, our team is dedicated to helping new patients and returning patients alike achieve the best outcomes.
Schedule an Appointment
If you are struggling with pain at the base of the thumb or wrist, don’t wait. Call today to schedule an appointment and learn whether De Quervain’s surgery in Duluth, GA or another treatment may be right for you. Our practice is welcoming new patients and committed to providing exceptional care.
- Wrist splinting or splints to rest the tendons
- Physical therapy exercises to restore motion
- Medications such as anti-inflammatories
- Steroid injections or corticosteroid injections to reduce swelling
