Tenosinovitis de De Quervain

Hi there,

​I wonder if anyone has suffered with De quervain's tendonitis? The tendonsat the base of the thumb where it meets the wrist joint become inflamed and painful, making extension of the thumb almost impossible due to the pain andstiffness. I also wonder if anyone has had this treated with electrotherapy or IFT therapy and how they found that? Or any other effective treatment?

Any advice/comments/ would be very welcome.

Thank you.

​GrImm.

I had this during and after pregnancy....it's the most painful and debilitating condition. I had 3 steroid injections in both wrists (maximum) and then opted for surgery. Massive improvement and pain free.

Hola Grimm

En 2013 me diagnosticaron tendinitis de De Quervain.

Hice fisioterapia durante un año (sin ninguna ayuda).

Luego me puse una inyección de esteroides en la mano derecha. Eso me ayudó durante 6 meses y estuve sin dolor durante ese período, pero seguí trabajando, lo que no me hizo ningún bien.

Tuve que dejar cualquier tratamiento adicional porque tuve que reconstruir ambos pies, de los cuales finalmente me he recuperado, y ahora, después de estar con muletas durante 2 años, ciertamente ha exacerbado el problema.

Fui peluquera durante 32 años. ¡Mis manos están destrozadas y creo que también tengo desgaste en la articulación del pulgar, que puede necesitar ser reemplazada, como me dijo otro médico!

He tenido dos diagnósticos contradictorios y no puedo esperar a que se confirme alguno para poder ser tratada.

No he oído hablar de ninguno de los tratamientos que mencionaste.

La próxima semana voy a ver a un nuevo especialista en mano y muñeca y espero poder elaborar un plan de acción.

Recomendaría una inyección de esteroides si el dolor es insoportable (conozco esa rigidez y ese dolor...)

También tengo una sensación de quemazón en mi brazo derecho justo por encima del pliegue (codo) y está sensible al tacto. Esto es algo reciente, pero muy doloroso. Se siente como si un tendón/nerve estuviera inflamado.

Informaré con cualquier información que crea que puede beneficiarle (cita el 9 de junio)

Hasta entonces, ¡aguanta!

Por curiosidad, ¿a qué te dedicas o dedicabas? ¿Crees que el tuyo fue relacionado con el trabajo?

Nikky

HiJoannag74,

​Many thanks for your message. I'm sorry to hear of your experience and hope you are cured of the condition now.

​I have had it for 7 months now, with no sign of improvement and not sure where to turn or what to do next. Am not keen on an injection or surgery as the condition is in my right hand and nothing is without risk.

Grimm.

No recomendaría las inyecciones de esteroides. Son analgésicos temporales, pero pueden debilitar el tendón a largo plazo y el dolor suele volver. Busca algunos estudios si lo estás considerando.

¿Has probado ya las férulas? ¿Has podido darles un buen descanso prolongado? Si es así, entonces la cirugía tiene en realidad una alta tasa de éxito con riesgos relativamente bajos. Si la cirugía es totalmente descartable, entonces ve a un fisioterapeuta y encuentra ejercicios que puedas tolerar

Hi ow,

​Thank you for your message, that's very helpful.Iamnot inclined to have a steroid injection.

​Has anyone heard of the condition recovering without any intervention?

Thanks.

Grimm.

Hola Grimm, sí, tengo esto. Primero, la primera línea del tratamiento fue una férula dura para la muñeca y el pulgar, supongo que así la llamarías, luego 2 inyecciones de cortisona. La primera no funcionó porque el médico de cabecera la puso a ciegas, la segunda sí funcionó, guiada por ultrasonido. Los síntomas han vuelto después de 12 meses, he llevado la férula otra vez durante 3 meses y he tenido 4 semanas de baja laboral, y se ha calmado hasta cierto punto. Mañana voy a ver a un especialista.

Hello.  I had this condition for over a year, though my GP was a bit clueless as to what it was.  I went for physio which didn't really help and I despaired of ever gertting better ( didn't want steroid injections.) However, about three months ago, I started treating myself through dietary recommendations ( online tendonitis guide) including having some good quality protein at every meal and not skipping meals or fasting and taking supplements of flaxseed oil, turmeric, magnesium and vitamin B6. I am now almost totally pain-free and the swelling in the joint where my thumb meets my wrist has all but disappeared. I don't know which ingredient did the trick but something has worked for me. You might find that approach helps you as well. I know how debiliating the pain can be- I used to wake up several times a night and the pain was always worst first thing in the morning.  Good luck. 

Dear Stephanie,

​Thank you very much for your reply about your experience of De Quervain's tenosynovitis.I have had this condition in my right hand for 9 months now,  and it hasbeen extremely painful anddebilitating. However, over the last month, I have changed physiotherapist and clinic, and have had some ultrasound treatment and have been trying a few exercises daily. Since this new rehab programme,I have had a big improvement in pain and stiffness in the joint, and am now optimistic that this condition will eventually disappear.

​I have not had any steroid injections. Thank you for suggesting the dietary supplements that you took and I'm glad that these worked for you. I am thinking of trying the same, just for extra 'support' with the rehab. Thanks again. Grimm.

Hi all- I had De Quervain's tenosynovitis from picking up my 16 mo old granddaughter over and over in the wrong way...i.e. picking her up between my thumb and forefinger. Proper form is to pick up a child in a cupping form instead. After 6 mos. of pain, I went to the doctor and he gave me a steroid shot. I wish I had tried the dietary recommendations or PT before getting the shot. I must say the shot worked about a week after I had it quite wonderfully,  but I had the side effect of thinning of the skin around the wrist after the shot and if my purse or anything rubs against my wrist (in the lightest of ways), I get horrible bruises. I wonder if I can get an implant of some fat in the wrist or something to solve this problem. It is not painful, but it looks really bad to be brused up the all the time. Again, my pain is totally gone, so maybe it is worth it, but you must know steroid shots can come with side effects. Has anyone else experienced this?

Sí, yo también lo tengo, una marca del tamaño de la punta de mi dedo por la cortisona. No me salen moretones, pero si me golpeo duele mucho. También tengo una marca como cicatriz de la primera inyección que me puso un médico de cabecera. Mi de Quervain ha vuelto, aunque.

So sorry it returned! That is a bummer. I have to remember to pick up the babies in the scoop fashion. I tend to still forget. It's just so fun to hold them!

I guess I prefer not having the pain and the bruising is the better choice. I guess I would do it again, even knowing I dislike this bruising all the time. I would have tried physical therapy for 6 mos. before getting the shot though, if I had it over to do again. 

Hi Grimm,

I developed De Quervains last summer and had an operation in October as I was advised an injection was too late to try. The operation took 8 minutes and after a few days I had about 90% movement again. 9 months later it's still a little stiff at times but nothing like it was before.

Good luck with whatever you decide to do.

Andy

Hi Andy,

​Thank you very much for your message. I'm sorry youhave had De Quervain's tenosynovitis. I hope yoursymptoms continue to improve. I'm glad the operation has helped.

​I have had the condition for over 9 months now, the pain and stiffness continue. There has been some improvement with physiotherapy exercises, to stretch and strengthen, but there are still many things that I cannot do, such as use scissors and secaturs and other hand tools, play tennis, cycle, sew, etc.I will continue with physiotherapy as I do not like the idea of an operation, but I don't know when or if I will regain full movement in the joint or ever be entirely free of the pain?

​Thanks again.

Grimm.

I would honestly recommend the operation. 9 months is a very long time to have the condition. The operation is 8 minutes but local anesthetic. You will regain movement almost instantly.

Good luck with whatever you decide.

Andy

Realmente, ¿dónde te lo hiciste? Mi cirujano dice que tengo que someterme a anestesia general y pasar tiempo en el hospital............

I'm from Glasgow but I actually live in Norway. The surgery was performed at a private clinic in Stavanger. If you have a look on YouTube, you will see exactly what the surgery is like and also see most videos only last 10-15 minutes as the surgery is very short.

Andy

Supongo que aquí en Australia estamos atrasados. .. contactaré a mi cirujano y obtendré más detalles para ver si puede hacerlo bajo anestesia local.

Yeah definitely do that as its not a major operation. It's a 1 inch opening, they move the nerve over to the side and then release the entrapment. A colleague at work had it done as well just two weeks ago and his also took 10 minutes under local.

I have had De Quervain tenosynovitis in both wrists for years. I have been through thumb immobolizing braces, physical therapy, 2 injections (going for my 3rd tomorrow) hoping to get the doctor to agree to surgery.. the condition is extremely painful, it makes my wrists, hands, and fingers all very week. I certainly hope that I get some relief very soon. I am going into a career field soon, (almost finished with schooling for it) that may involve me lifting very heavy patients. I would feel terrible if I accidentally dropped them, not to mention they would take legal action.. all because my dr doesn't want to so surgery yet.