Restoring Function. Embracing Life.
De Quervain’s Tenosynovitis Specialist in Singapore
Dr Bryan Wang
Consultant Orthopaedic Surgeon
Trusted Orthopaedic Surgeon | Fellowship-trained in Canada | With over 15-years of experience
What is De Quervain’s Tenosynovitis?
De Quervain's Tenosynovitis is a condition that affects the tendons on the side of the wrist and base of the thumb. These tendons help move the thumb and allow it to bend and straighten. Inflammation or irritation of these tendons and the surrounding sheath can lead to pain and restricted movement.
De Quervain's Tenosynovitis can result from various factors, including:
Repetitive hand and wrist motions, such as lifting, gripping, or twisting.
Overuse of the thumb during activities like texting or playing musical instruments.
Injury or trauma to the wrist area.
Hormonal changes, especially during pregnancy.
What are the symptoms?
Common symptoms of De Quervain's Tenosynovitis include:
Pain and tenderness on the thumb side of the wrist.
Swelling and discomfort when moving the thumb or wrist.
Difficulty gripping objects or making a fist.
A sensation of "snapping" or "catching" when moving the thumb.
How to Diagnose?
If you suspect De Quervain's Tenosynovitis, it's essential to consult a healthcare professional, often an orthopaedic specialist. They will conduct a physical examination, review your medical history, and may perform specific tests to assess tendon movement and confirm the diagnosis.
De Quervain’s Tenosynovitis Treatment
What are my Treatment options?
If you have any of the symptoms above, it is advisable to see an orthopaedic specialist for further assessment.
The appropriate treatment is decided after assessment and a collaborative discussion based on your needs.
They can be broadly divided into conservative (non-surgical) and surgical options.
Conservative Treatment
Rest and Immobilization: Avoiding activities that exacerbate symptoms and wearing a wrist splint to rest the affected area.
Medications: Over-the-counter pain relievers or anti-inflammatory drugs can help manage discomfort.
Corticosteroid Injections: Injecting corticosteroids into the affected area can provide temporary relief from inflammation.
Surgical Treatment
In rare cases where conservative treatments don't alleviate symptoms, a surgical procedure to release the affected tendons' sheath may be considered.
