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Alleviating chronic wrist pain with non-surgical interventions
De Quervain’s Syndrome/Tenosynovitis
If you experience pain and discomfort on the thumb side of your wrist, you may be suffering from De Quervain’s tenosynovitis, an inflammation of some of the tendons going to your thumb. Sometimes mistaken for carpal tunnel syndrome, De Quervain’s is characterized more by pain and loss of strength than numbness or tingling.
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Dr. Abeyewardene
OSSO South
10001 S. Western, Suite 101
Oklahoma City, OK 73139
Common De Quervain’s Syndrome Signs, Symptoms and Complaints
De Quervain’s Syndrome has several telltale signs. Here are some common symptoms and complaints you might notice:
- Pain on the thumb side of your wrist
- Increased pain when twisting, grasping or making a fist
- Radiating pain from your thumb up the wrist
- A bump on the thumb side of the wrist
- Pain trying to move your thumb to the base of your small finger
- A sticking feeling when moving your thumb
What is De Quervain’s Syndrome?
Two of the tendons that help extend the thumb are held in place by a tendon sheath on the thumb side of your wrist. This sheath can sometimes constrict the tendons, causing pain and tenderness. This is known as De Quervain’s Tenosynovitis. Though classically seen in individuals caring for small children, this condition can occur in people of all ages.
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How Dr. Abeye Treats De Quervain’s Syndrome
De Quervain’s Syndrome is Highly Treatable
At Dr. Abeye’s clinic, we always begin with the most conservative, non-surgical approaches, increasing intervention levels as necessary to achieve relief from pain, increased strength and range of motion.
Non-Operative De Quervain’s Intervention: Bracing
Simple bracing can help reduce wrist tendon inflammation and allow the area to heal.
Non-Surgical De Quervain’s Intervention: Steroid Injection
An injection of steroids into the affected area helps reduce inflammation, often resulting in pain relief and resolution of symptoms.
Surgical De Quervain’s Treatment: Surgical Release
In more aggressive cases of De Quervain’s that don’t respond to bracing or steroids, a small incision is made to cut the tight band that is pinching your tendons.
What to Expect
When you schedule an appointment with Dr. Abeye to investigate possible De Quervain’s Syndrome in our Oklahoma City clinic, you can expect a thorough examination of your hands and wrists, imaging (if necessary), a conversation about your symptoms and education about what is likely happening. You’ll receive a diagnosis, plan of action and any necessary braces or medications.
If you’re ready for relief, give us a call to schedule your appointment.
Are Your Symptoms Different?
If your symptoms differ from those discussed above, you may be suffering from a different disorder. Here are some other common conditions that may be a better match.
Carpal Tunnel Syndrome
Hand and finger numbness caused by tightening of the wrist’s carpal tunnel.
CMC Arthritis
Arthritic pain and swelling in the base of your thumb.
TFCC Tear
Pain, clicking and weakness on the pinkie side of your wrist.
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Hand, Wrist & Elbow Specialist
Hand, Wrist & Elbow Orthopedic Expertise
About Our Office
Dr. Abeye is an experienced orthopedic hand surgeon, dedicated to – and fascinated by – the intricacies of the fingers, hands, wrists and elbows.
Patient Info
Find information about splint and cast care, pain management and more on our patient resource page.
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Our office staff is here to help with whatever you need. Please don’t hesitate to call with your questions, concerns, or just to schedule your next appointment!