Ténosynovite 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.

Bonjour Grimm

J'ai été diagnostiquée avec une tendinite de Quervain en 2013.

J'ai fait de la physiothérapie pendant un an (sans aucune aide).

J'ai ensuite eu une injection de stéroïdes dans ma main droite. Cela m'a aidée pendant 6 mois et j'étais sans douleur pendant cette période, mais j'ai continué à travailler, ce qui ne m'a pas fait de bien.

J'ai dû arrêter tout autre traitement car j'ai dû me faire reconstruire les deux pieds, dont je me suis finalement remise, et maintenant, après avoir été à l'aide de béquilles pendant 2 ans, cela a certainement exacerbé le problème.

J'étais coiffeuse et je l'ai été pendant 32 ans ! Mes mains sont fichues et je crois que j'ai aussi une usure de l'articulation du pouce qui devra peut-être être remplacée, comme me l'a dit un autre médecin !

J'ai reçu deux diagnostics contradictoires et je ne peux pas attendre que l'un ou l'autre soit confirmé pour pouvoir être traitée.

Je n'ai jamais entendu parler des traitements que vous avez mentionnés.

Je consulte un nouveau spécialiste de la main et du poignet la semaine prochaine et j'espère pouvoir établir un plan d'action.

Je recommanderais une injection de stéroïdes si la douleur est insupportable (je connais cette raideur et cette douleur...)

J'ai aussi une sensation de brûlure dans mon bras droit juste au-dessus de la pliure (coude) et c'est sensible au toucher. C'est une chose récente mais sacrément douloureuse. Ça ressemble à un tendon ou un nerf enflammé.

Je vous ferai un compte-rendu de toute information que je pense pourrait vous être utile (rendez-vous le 9 juin).

En attendant, accrochez-vous !

Par curiosité, que faites-vous ou faisiez-vous comme travail ? Pensez-vous que le vôtre était lié au travail ?

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.

Je déconseillerais les injections de stéroïdes. Ce sont des analgésiques temporaires, mais ils peuvent affaiblir le tendon à long terme et la douleur reviendra souvent. Consultez quelques études si vous y pensez.

Avez-vous déjà essayé des attelles ? Avez-vous pu leur donner une bonne longue chance de se reposer ? Si c'est le cas, alors la chirurgie a en fait un taux de réussite élevé avec des risques relativement faibles. Si la chirurgie est juste hors de question, alors consultez un kinésithérapeute et trouvez des exercices que vous pouvez tolérer.

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.

Bonjour Grimm, oui, j'ai cela. Premièrement, le traitement était une attelle dure pour le pouce du poignet, je suppose que vous l'appelleriez ainsi, puis 2 injections de cortisone. La première n'a pas fonctionné car elle a été faite à l'aveugle par le médecin généraliste, la deuxième a fonctionné, guidée par échographie. Les symptômes sont revenus après 12 mois, j'ai porté à nouveau l'attelle pendant 3 mois et j'ai eu 4 semaines de congé de travail, et cela s'est calmé à un certain degré. Je vois un spécialiste demain.

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?

Oui, j'en ai aussi, une petite bosse de la taille de l'extrémité de mon doigt à cause de la cortisone. Je n'ai pas de bleus, mais si je la heurte, ça fait très mal. J'ai aussi une marque de cicatrice provenant de la première injection que j'ai reçue chez un médecin généraliste. Cependant, ma tendinite de De Quervain est revenue.

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

Vraiment, où l'avez-vous fait ? Mon chirurgien dit que je dois être sous anesthésie générale et passer du temps à l'hôpital............

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

Je pense que nous sommes un peu à la traîne ici en Australie. .. je vais contacter mon chirurgien et obtenir plus de détails pour voir s'il peut le faire sous anesthésie locale.

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.