
De Quervain's Tendonitis

What is a De Quervain's Tendonitis?
De Quervain’s is inflammation of the tendons on the thumb side of the wrist, causing pain when gripping or twisting.

When Should I Seek Treatment?
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You should consider treatment if:
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Pain near the base of the thumb
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Swelling, clicking, or snapping with movement
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Pain worsens with repetitive 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
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The ICB will only fund treatment, for De Quervain’s where the following criteria are met:
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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?
Yes. Non-surgical options include:
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Thumb splinting
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Anti-inflammatory medications
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Corticosteroid injections

What is the Surgery?
A small incision is made over the wrist under local anaesthetic, and the tight tendon sheath is opened to release pressure.

What to Expect Before and After Surgery
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Bandage for a few days
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Return to light activity in 1 week
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Full recovery in 2–4 weeks

What Are the Risks?
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Scar irritation
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Nerve irritation (rare)
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Recurrence

How Do I Prepare?
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Frequently Asked Questions
Q: Will I lose thumb strength?
A: No, surgery aims to restore normal function.
