De Quervain’s tenosynovitis is a condition that involves inflammation of the tendons on the thumb side of the wrist. This inflammation can result in pain and swelling in the wrist and thumb, making it difficult to perform everyday activities that involve gripping or pinching.
In some cases, surgical intervention may be necessary if conservative treatments do not deliver sufficient relief. The surgical procedure involves releasing the constricting tendon sheath to relieve pressure on the tendons. During the surgery, our skilled surgeons at HSA make a small incision along the side of the wrist to access the affected tendons. The constricting tendon sheath is carefully divided, allowing more space for the tendons to glide smoothly without impingement. This relieves pressure on the abductor pollicis longus and extensor pollicis brevis tendons, reducing inflammation and alleviating symptoms.
De Quervain’s release is typically performed outpatient, allowing you to return home on the same day of the procedure. Recovery time varies from person to person, wearing a splint for 1 – 4 weeks, and a full recovery achieved within 6 – 12 weeks, with your wrist and thumb moving comfortably, without pain.