Procedure
In most cases, non-surgical treatment approaches can alleviate the symptoms well. These measures are the method of choice, especially in the early stages of the disease.
The treatment of De Quervain's tendovaginitis depends, among other things, on the underlying cause and how far the inflammation has already progressed.
In most cases, non-surgical treatment approaches can alleviate the symptoms well. These measures are the method of choice, especially in the early stages of the disease.
The most important thing with De Quervain’s tendovaginitis is to immobilize the affected hand or thumb as much as possible. Sometimes we apply a bandage or a special splint. You should avoid any strain – especially those movements that have triggered your symptoms. Sometimes this may mean that you have to give up a certain activity (sport or another hobby) for a while. Remember: without sufficient rest, the symptoms can worsen.
Inflammation and pain can be alleviated with the help of medication. For example, non-steroidal anti-inflammatory drugs (NSAIDs) are available in the form of tablets or ointments. If these do not help, cortisone injections are also used. We usually inject this together with the local anesthetic lidocaine into the inflamed area of the tendon.
Cold can relieve inflammation. You can also apply cooling pads to the affected area. To avoid frostbite, you should always place a towel on the skin first. Some sufferers also find warmth (e.g. with compresses) pleasant. Try out what works better for you. Light massages or stretching movements can also help. Especially if the mobility of the thumb is restricted. In addition, methods such as acupuncture or stimulation current are sometimes used.
If conservative measures do not bring the desired success or if the symptoms are very severe, surgical intervention can help. This is usually the case when the tendon is severely constricted by the inflammation and can no longer glide easily through the tendon sheath. To remove the constriction, the surgeon removes or incises the constricting tissue. The procedure is usually performed on an outpatient basis, as no large incisions are required. This means that you can go home the same day after the operation. Afterwards, it is important to rest the affected hand for a few weeks. However, complete immobilization is not necessary.
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