
De Quervain's Injections

What are De Quervain's Injections?
These are steroid injections used to reduce inflammation in conditions like:
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Carpal tunnel syndrome
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De Quervain’s tendonitis
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Trigger finger or thumb

When Should I Have an Injection?
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You should consider treatment if:
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Persistent symptoms unresponsive to rest or medication
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Night-time waking due to pain
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Pain affecting work or hand use

What is the NHS Criteria for this procedure?
De Quervain’s Tenosynovitis Injection/Surgery
*For this procedure you should complete a prior approvals request, and once this is granted you should use the acceptance letter and send it with the referral for surgery
Note: Dupuytrens steroid injections can be referred to Deeping Surgical without prior approval
​The ICB will only fund treatment, for De Quervain’s where the following criteria are met:
Patients may be referred where there is persistent pain after:
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Physiotherapy treatment has been undertaken
OR
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Regular exercises to move the tendons to strengthen the muscles in the wrist and thumb
OR
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Resting the wrist in a splint has not helped

Can It Be Treated Without Surgery?
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What Happens During the Injection?
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A small amount of corticosteroid and anaesthetic is injected into the affected tendon sheath or joint space
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Procedure takes just a few minutes
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Performed in clinic

What to Expect Before and After Surgery
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After Surgery:
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Avoid heavy hand use for 24–48 hours
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Relief can be felt within days
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Some patients require more than one injection

What Are the Risks?
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Local discomfort or bruising
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Tendon weakening with repeated use
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Infection (rare)

How Do I Prepare?
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Frequently Asked Questions
Q: How long does it last?
A: Relief may last weeks to months. It varies by condition.
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Q: Is it painful?
A: Some brief stinging; local anaesthetic is included to minimise pain.
