Hand procedure information

De Quervain's tenosynovitis

De Quervain's tenosynovitis is a condition affecting the tendons on the thumb side of the wrist. Irritation and swelling around these tendons can lead to pain, tenderness and difficulty with gripping or lifting activities. Symptoms commonly develop gradually and may be worse during repetitive hand use, lifting children, sport or twisting movements such as opening jars or turning keys. Some patients also notice swelling near the base of the thumb or discomfort when moving the wrist and thumb together.

Assessment and diagnosis

Assessment begins with a detailed discussion of symptoms, hand function, medical history and treatment goals, followed by examination of the wrist and thumb tendons. The diagnosis is usually made clinically, although imaging or additional investigations may occasionally be recommended depending on the presentation.

Non-surgical options

Non-operative treatment may include activity modification, splinting, hand therapy, physiotherapy, pain relief medication or steroid injection depending on symptom severity and duration. Many patients improve with conservative management over time.

Surgical treatment options

Surgical treatment may be considered when symptoms persist despite non-operative management or continue to significantly affect hand function and comfort. Surgery aims to relieve pressure around the affected tendons and improve movement and pain. Procedures are commonly performed as day-case treatment, although treatment plans vary between patients.

Recovery after treatment

Recovery varies between patients and depends on symptom severity and the treatment performed. Some soreness, swelling or stiffness may occur during the early recovery period. Hand therapy or exercises may be recommended following treatment to help restore movement and hand function.

Risks and considerations

All procedures carry risks. Potential risks associated with treatment for De Quervain's tenosynovitis may include infection, bleeding, stiffness, complex pain, scar sensitivity, nerve irritation or damage, tendon damage, persistent pain, or the need for further treatment. Specific risks and expected outcomes are discussed during consultation.

Frequently asked questions