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Treatments for DeQuervain's Tenosynovitis

DeQuervain's tenosynovitis is a condition in which the tendon running between the wrist and thumb becomes irritated and inflamed. Much like carpal tunnel syndrome, DeQuervain's tenosynovitis develops from repetitive motion or stasis within this region of the hand. If you develop DeQuervain's tenosynovitis, you needn't suffer with the pain. There are a number of treatments available.

  1. NSAIDs

    • One of the first things your doctor will tell you is to take an NSAID, otherwise known as a non-steroidal anti-inflammatory drug. You don't need a prescription to use this type of medication, which includes ibuprofen, aspirin and naproxen. Each of these medications will lessen the inflammation in the tendon and thereby reduce pain.

    Ice

    • In addition to taking an NSAID, it is helpful to apply ice to the affected hand, which will minimize the swelling. Usually, you should only apply ice to an injured area for 15 to 20 minutes at a time. Longer lengths of time can have an adverse effect and worsen the problem.

    Heat

    • Application of heat to the affected hand should be used for DeQuervain's tenosynovitis that is chronic or recurring. Heat doesn't necessarily reduce the swelling, but it aids in stimulating blood flow, which can loosen the muscles and relax the hand. Much like the use of ice, you should only apply heat to the injured wrist for 15 to 20 minutes at a time.

    Immobilization

    • You may also need to invest in a spica splint, which is a wrist brace with the addition of a thumb support. This treatment will keep both the wrist and thumb immobilized long enough to let the injured tendon rest. While wearing the splint the motion that is exacerbating the inflammation in the tendon ceases. Without the motion, the inflammation will subside and the tendon will have a chance to heal itself.

    Physical Therapy

    • Physical therapy involves specific exercises to strengthen the hand and arm to better support the wrist and thumb. A physical therapist will also inform you on ways in which you can make adjustments in how you use your hand to decrease the amount of stress you're placing on your wrist and thumb.

    Surgery

    • The last resort of treatment for DeQuervain's tenosynovitis is surgery. If surgery ends up being the recommended treatment for you, the procedure will be done as an outpatient and the pressure within the tendon will be released.

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