DeQuervain's tendinitis?

Help!! I have had a joint repair in my thumb and a deQuervain's tendinitis repair in the same area. I think the tendinitis is back, as I am in chronic pain again.

Anybody have some info or advice on this condition???

Thanks

De Quervains' TENOSYNOVITIS refers to a stenosing inflammatory process of the first dorsal retinacular compartment containing the tendons of the abductors pollicus longus and extensor pollicis brevis (both at the base of the thumb).

It is more common in women than men.

Diagnosis is based on the clinical triad of: tenderness over the radial styloid. Swelling over the first dorsal retnacular compartment, Positive Finkelsteins test. Twisting your whole hand towards the pinkie side of your same wrist.

Other things it could be: carpal tunnel syndrome, gout, osteoarthritis, radiculopathy, compression neuropathy or infection.

Sometimes injecting 1.5cc of 1& xylocaine can be injected into the tensosynovial sac. If it resolves the diagnosis is confirmed.

Treatment: REST, splinting, physical therapy, possibly a steriod injection and NSAIDS (Ibuprofen). 90% have relief without surgery.
Complications of surgery: Radial nerve damage. Parethesia and Neuroma.

Tendonitis is a *****. It can take forever to heal. I had chronic tendonitis of both shoulders for nearly 15 years and finally found a physical therapist who knew what she was tallking about.

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