Question 1

What causes De Quervain's tenosynovitis?

Accepted Answer

This condition develops when the tendons that move your thumb become irritated and inflamed, usually from repetitive movements or overuse. The tendons pass through a narrow tunnel at the wrist, and when they swell, they can't glide smoothly, causing pain. It's particularly common in new mothers from repeatedly lifting and holding babies, but can affect anyone who performs repetitive thumb and wrist movements.

Question 2

How long does recovery take?

Accepted Answer

With splinting and rest, many people notice improvement within 2-3 weeks, though complete healing typically takes 4-6 weeks. If you need a cortisone injection, you may experience relief within days. Surgery, when necessary, requires about 6-8 weeks for full recovery. About 50-80% of patients recover without surgery.

Question 3

Will I need surgery?

Accepted Answer

Most people (50-80%) recover with non-surgical treatments like splinting, activity modification, and cortisone injections. Surgery is only considered if symptoms persist after 3-6 months of conservative treatment, or if you have severe symptoms that significantly impact your quality of life. When performed, the surgery is very successful with a success rate over 90%.

Question 4

Can I continue my normal activities?

Accepted Answer

You should modify activities that involve repetitive thumb and wrist movements during the healing period. With proper splinting and technique modification, many people can continue most daily activities. Your hand therapist can help you find alternative ways to perform tasks that trigger pain. Gradually return to normal activities as symptoms improve.

Question 5

Is this the same as carpal tunnel syndrome?

Accepted Answer

No, these are different conditions affecting different areas. De Quervain's affects the thumb tendons on the thumb side of the wrist, while carpal tunnel syndrome affects the median nerve and causes numbness and tingling in the thumb, index, and middle fingers. However, it's possible to have both conditions simultaneously.

Medical Disclaimer

De Quervain's Tenosynovitis

📖What is De Quervain's Tenosynovitis?

🔬What Causes It?

⚠️Risk Factors

You may be at higher risk if:

🛡️Prevention