You might need surgery if your case is severe or if other treatments dont relieve your pain. Free shipping. Wearing a splint. Complications are rare, but all surgery involves some potential risks and complications. Steroid injections will reduce swelling and relieve pain in most cases, and can be repeated several times if Doing so allows the tendons in those areas time to heal, which can alleviate the inflammation which causes pain. s6j2 Sprai W6W2 at the best online prices at eBay! Next the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) are identified and the compartments are released. It appears without obvious cause in many cases. WebBauerfeind ManuLoc Rhizo Long Wrist Brace. It causes pain on the thumb side of the wrist.. Treatment is focused on reducing pain, reducing inflammation, and improving hand function. [30], It is named after the Swiss surgeon Fritz de Quervain who first identified it in 1895. [23] Efficacy data are relatively sparse and it is not clear whether benefits affect the overall natural history of the illness. Comfortable, protective support for the thumb; Ideal for thumb injuries, de Quervain's and arthritis; Removable thumb stay adds additional rigidity; Leaves palm free for easier day-to-day use; 15.89 View. Webwrist sprains and wrist fractures; thumb sprains, finger fractures and finger dislocations; repetitive strain injuries such as de Quervain's tenosynovitis (mummy's thumb), carpal tunnel syndrome, trigger finger, tennis elbow, golfer's elbow and more. >#Xa_]xLmbUYxTW Keeping the affected hand immobile and elevated whenever possible for the first 2 or 3 days. Feel relaxed in hand for a long time. 9 0 obj WebDe Quervain's Tenosynovitis is a condition also known as radial styloid tenosynovitis and it affects the tendons on the thumb side of the wrist. Be sure to tell them about any activities that cause pain, numbness, or swelling. Doctor Examination. It occurs along the thumb side of your wrist. 1 2 . The best way to prevent de Quervains tenosynovitis is by avoiding repetitive movements. Check Price on Amazon. Top. De Quervains release surgery is performed to improve the gliding of the tendons with the goal of reducing pain. With de Quervains tenosynovitis, you will have severe pain when you make movements with your thumb and wrist combined. This will help keep the problem from coming back. Free shipping. A hook and loop closure can be found at the wrist. Clicking or snapping of the tendons occurs occasionally. Fishhook Injuries. $8.90. de Quervains stenosing tenosynovitis. WebDe Quervain's Tenosynovitis Tendon repair followed by immobilization with wrist in 40 extension and MCP joint in 20 flexion for 3-4 weeks. The majority of symptoms associated with DeQuervainstenosynovitis will settle with rest and the correct changes to activity. It is also common in new mums although whether this is due to hormonal changes or repetitive lifting of the baby is unclear. endobj It has been called mommys thumb or mommys wrist because of this. Many people can be cured with one or two cortisone shots. This may happen in repetitive tasks like typing, certain sports, or repeated lifting. Change your actions to reduce the stress on your wrists. Corflex Fit Cool Wrist Splint With Thumb. WebInformation on de Quervain's disease, a painful inflammation of a tendon attached to the thumb. It needs to immobilize the thumb as well as the wrist. 08 7077 0101. immobilization in splint or cast to off-load injured UCL or RCL. [26] Teaching patients to reduce their secondary inflammation does not treat the underlying condition but may reduce their pain; which is helpful when trying to perform the prescribed exercise interventions. Thumb-Sucking. } !1AQa"q2#BR$3br One of the most common causes of thumb and wrist pain is due to tendonitis. $5.85. There are a number places online you can purchase a De Quervains splint. Some doctors call it De Quervains tendinosis. We are here to answer your calls and questions Mon - Fri 8:30am - 5pm EST at 888-378-7763. Free shipping for many products! The item prevents the movement of the thumb in case of thumb pain that is caused by injuries such as arthritic thumb, trigger thumb, tendonitis, tendon damages and De Quervains Tenosynovitis. To diagnose de Quervain tenosynovitis, you may be asked to make a fist with your fingers over your thumb. 2. [12][13] A systematic review of potential risk factors discussed in the literature did not find any evidence of a causal relationship with activity or occupation. First, you bend your thumb so it rests across your palm. Getting injections of steroids or a local anesthetic (numbing medicine) into the tendon sheath. /Filter /DCTDecode Follow the exercise routine suggested by your doctor or physical therapist. Bend your thumb across your palm, then close your fingers over the thumb. /CA 1.0 Corticosteroid injections are very effective in reducing or eliminating symptoms in approximately 70-80% of patients. Arthritis; Bankart Lesions; Because the nerve branches were gently moved to see the tunnel, transient temporary numbness can occur on the back of the hand or thumb. << Once it has been identified the release is performed longitudinally along the tendon. Evidence regarding a possible relation with activity and occupation is debated. A removeable splint that keeps the wrist straight and the thumb still in a comfortable position may improve pain, especially when worn at night. While a positive Finkelstein test is often considered pathognomonic for de Quervain syndrome, the maneuver can also cause some pain in those with osteoarthritis at the base of the thumb. This puts pressure on nearby nerves, causing pain and numbness. Thumb Collateral Ligament Injuries, most commonly ulnar collateral (UCL), are athletic injuries that lead to a decrease in effective thumb pinch and grasp. Your healthcare provider will tell you how to wear your splint. It should be lightweight also. He undergoes primary repair of the injured structure and is placed into the Sessions should last no more than 10 to 15 minutes. Physical/Occupational therapy can suggest activities to avoid based on the theory that certain activities might exacerbate one's condition, as well as instruct on strengthening exercises based on the theory that this will contribute to better form and use of other muscle groups, which might limit irritation of the tendons. Radial abduction of the thumb is painful. Specific activities that have been postulated as potential risk factors include intensive computer mouse use, trackball use,[12] and typing, as well as some pastimes, including bowling, golf, fly-fishing, piano-playing, sewing, and knitting. Also, multiple injections should be avoided as they can weaken the soft tissues over time. Patients may see wrist swelling or feel a tender bump in this area. doing household chores, or cooking. Zone VIII. De Quervains tenosynovitis: Preventing the thumb and wrist from moving will help the body begin to heal and reduce swelling. The most common cause of de Quervains tenosynovitis is chronic overuse of the wrist. WebPinching your fingers while moving your wrist. /BitsPerComponent 8 Splints. [14] However, researchers in France found personal and work-related factors were associated with de Quervain's disease in the working population; wrist bending and movements associated with the twisting or driving of screws were the most significant of the work-related factors. de Quervains stenosing tenosynovitis. The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. When sitting or lying down, the hand and wrist can be propped up on a pillow. Tenderness if you press on the site of pain. De Quervains tenosynovitis However, DQT involves inflammation of the tendons, whereas trigger finger involves inflammation of the tendon sheath. Swelling and pain can also be eased by applyingan ice pack/frozen peas wrapped in a damp cloth for 10-15 minutes at a time, 3 times a dayto the area. [40], "De Quervain's Tendinosis - Symptoms and Treatment - OrthoInfo - AAOS", "De Quervain Tenosynovitis - an overview | ScienceDirect Topics", "Contribution of kinesophobia and catastrophic thinking to upper-extremity-specific disability", "Risk factors for de Quervain's disease in a French working population", "Local hydrocortisone in de Quervain's disease", "De Quervain's disease: an analysis of 52 cases", "Conservative treatment of de Quervain's disease", "For Some, Thumb Pain Is BlackBerry's Stain", "BlackBerry Thumb: Real Illness or Just Dumb? The name of the condition comes from the BlackBerry, a brand of smartphone that debuted in 1999,[32] although there are numerous other similar eponymous conditions that exist such as "Wiiitis",[33] "Nintendinitis",[34] "Playstation thumb", "texting thumb",[35] "cellphone thumb",[36] "smartphone thumb", "Android thumb", and "iPhone thumb". WebThe tendons become inflamed, causing pain at the base of the thumb and sometimes into the forearm if left untreated. The swelling causes the sheaths (casings) covering the tendons to become inflamed. It also keeps the wrist relatively still. WebIn addition to cuts on the arm, wrist, hand, or fingers, certain sports activities can cause flexor tendon injuries. After surgery, you will need to do physical therapy to strengthen your wrist and thumb. Add to Cart. Which splint can immobilize the wrist and thumb joint, and it can be worn pleasantly. De Quervains tenosynovitis is a type of tendonitis that is frequently seen in young mothers. Evaluation of histopathological specimens shows a thickening and myxoid degeneration consistent with a chronic degenerative process, as opposed to inflammation. VELPEAU Wrist Brace with Thumb Spica Splint for De Quervain's Tenosynovitis, Carpal Tunnel Pain, The Journal of Hand Surgery publishes original, peer-reviewed articles related to the pathophysiology, diagnosis, and treatment of diseases and conditions of the upper extremity; these include both clinical and basic science studies, along with case reports.Special features include Review Articles (including Current Concepts and The Initial treatment of de Quervain tenosynovitis may include: Immobilizing the thumb and wrist, keeping them straight with a splint or brace to help rest the tendons; Avoiding repetitive thumb movements as much as possible; Avoiding pinching with the thumb when moving the wrist from side to side; Applying ice to the affected area It may get worse when you use your hand, thumb, or wrist. I feel off the bike and hurt my wrist. The pain may develop slowly or come on suddenly. A splint is a support device that protects your thumb and wrist and keeps them from moving. WebOrdering information. A squeaking sound as the tendons move within the swollen sheaths. Change your actions to reduce the stress on your wrists. If non-surgical methods don't work to alleviate pain and tenderness in your wrist, De Quervain's surgery is the next step. Most people notice improvement after 4 to 6 weeks of treatment. The thumb and wrist extensor tendons (Abductor Pollicus Longus and Extensor Pollicus Brevis) are encased in a "sheath" or a tunnel at the wrist, which keeps the tendons in WebDe Quervain's Tenosynovitis Tendon repair followed by immobilization with wrist in 40 extension and MCP joint in 20 flexion for 3-4 weeks. $8.19. Next, bend your wrist toward your little finger. If these non-surgical treatments do not improve the symptoms, surgery may be recommended. AU $17.49. Up to date guidelines can be found on the NHS website: Other medicines can help to reduce inflammation, swelling and pain. /CreationDate (D:20221130050915Z) If non-surgical methods don't work to alleviate pain and tenderness in your wrist, De Quervain's surgery is the next step. The exact cause of de Quervains disease is unclear, but doctors often associate it with an injury to the area or overuse. This form of tendinitis happens when the sheath surrounding the tendons between the thumb and wrist becomes inflamed. Some occupational and physical therapists use other treatments, in conjunction with Therapeutic Exercises, based on the rationale that they reduce inflammation and pain and promote healing: UST, SWD, or other deep heat treatments, as well as TENS, acupuncture, or infrared light therapy, and cold laser treatments. #9=k~/>:dL|;oze|3n}>.QKNQXmQ`Gu|M d_x>#2?&sg ip",+'# !QVq(TwoVqw'i]RrZM+]Rq^Y--Kn~. The modified Eichoff maneuver, commonly referred to as the Finkelstein test, is a physical exam maneuver used to diagnose de Quervain syndrome. WebOnce patients are back home after De Quervains tenosynovitis and the local anesthesia begins to wear off, they will notice pain and swelling in the thumb and wrist, and possibly also numbness and tingling at the incision site. The most severe cases of de Quervains tenosynovitis require surgery. [7] On occasion, there is uneven movement or triggering the thumb with radial abduction. This results in pain and tenderness on the thumb side of the wrist. BREG Apollo Universal Wrist Brace with Thumb Spica. /Creator ( w k h t m l t o p d f 0 . Please see an example of wrist and thumb splint below. This is done to prevent potential subluxation of the 1st compartment tendons. If you do need to wear the splint continuously, please take it off a few times a day for hand hygiene and to gently exercise the wrist and thumb to prevent stiffness. This article looks at some of the most common causes of hand pain.. De Quervain's Tendinitis. Median nerve damage after left distal radius break, hand and wrist atrophy Foot cast for lisfranc injury? /Subtype /Image WebThe importance of wrist braces and splints in the carpal tunnel syndrome therapy is known, but many people are unwilling to use braces. This creates a thickening and narrowing of the area in which they are housed over the bony area of the thumb on the sideof your wrist. De Quervains affects the thumbs tendons cords of tissue that connect muscles and bones. /SA true You have to adjust your neoprene wrap. Get Fast and Free UK delivery when you order today. Patients feel pain in the thumb-side of the wrist. WebDe Quervain's tendinosis is treated by reducing the swelling/irritation of the tendons and tendon sheath, thereby relieving the pain caused by the condition. Anti-inflammatory medication or acetaminophen may also alleviate symptoms. WebBuy a PhysioRoom Wrist Brace with Thumb Spica from PhysioRoom. The thumb bar will need bending to fit. Your doctor will probably order a splint that will hold your thumb and wrist firm and still. Splints. Results from this surgery are excellent in most cases. WebDe Quervain tenosynovitis is a condition that can cause wrist and thumb pain. Activities are more comfortable with such a splint in place. De Quervain's Tenosynovitis . /Height 190 Reviewed in the United States on June 16, 2022. De Quervains syndrome is not harmful, but it can be a really painful nuisance. Megamenu Menu Toggle. If you have tenderness or pain at the base of your thumb, you probably have de Quervains tenosynovitis. DeQuervainstenosynovitisis caused by irritation between the extensor pollicis brevis (EPB) and the abductor pollicis longus (APL) tendons of the thumb. The pain is worse with movement of the thumb and wrist at the same time. [20], De Quervain syndrome is diagnosed clinically, based on history and physical examination, though diagnostic imaging such as X-ray may be used to rule out fracture, arthritis, or other causes, based on the person's history and presentation. fractured scaphoid & thumb pain Schapoid fracture, broken wrist Cast and crutches Scaphoid Fracture Jones Fracture 4.5 weeks ago. $6.29. ulnar deviated wrist while patient clenches thumb in fist, followed by relief of pain once the thumb is extended even if the wrist remains ulnar deviated rest, NSAIDS, thumb spica splint, steroid injection. These injections are very effective and are used regularly. Pain relief is usually rapid. Please see an example below of a splint that immobilises the wrist and thumb. The recovery often takes about six weeks after surgery. This site uses cookies to bring you the best experience. The thumb and wrist extensor tendons (Abductor Pollicus Longus and Extensor Pollicus Brevis) are encased in a "sheath" or a tunnel at the wrist, which keeps the tendons in place. Presently having aching and burning feeling in foot De Quervains tenosynovitis is caused by irritation between the extensor pollicis brevis (EPB) and the abductor pollicis longus (APL) tendons of the thumb. Thumb Boutonniere Deformity - Is My Hand and Wrist Pain Caused by Carpal Tunnel Syndrome or Something Else? Choose a symptom and answer simple questions using our physician-reviewed Symptom Checker to find a possible diagnosis for your health issue. WebDe Quervains tendinosis is a painful swelling (inflammation) of specific tendons of the thumb. The onset is often gradual. Imagine you are holding some seeds as in the first picture, then gently move your arm away from your body as if scattering them. Swelling at the wrist and in the thumb area. This causes pain on the thumb side of the wrist. Finger, Hand, and Wrist Problems, Noninjury. [3] Diagnosis is supported if pain increases when the wrist is bent inwards while a person is grabbing their thumb within a fist. Which splint can immobilize the wrist and thumb joint, and it can be worn pleasantly. Watch out for red marks on your skin due to rubbing or pressure points or a rash due to heat or allergy to the material. endobj Topical gels can reduce pain and inflammation. Talk to your family doctor to find out if this information applies to you and to get more information on this subject. [4] Steroid injections are commonly used, but are not proved to alter the natural history of the condition. Free Delivery On Orders Over 40 Experts since 2000. JFIF x x C Wrist [31] It should not be confused with de Quervain's thyroiditis, another condition named after the same person. The muscles connected to the APL and EPB tendons are on the back of the forearm. Fortunately, most people improve with time and do not need surgery for de Quervains tenosynovitis. The medical name for the condition is De Quervain syndrome and is associated with the tendons connected to the thumb through the wrist. Check Price on Amazon. 3. /AIS false Buy Doctor Developed Copper Wrist Brace/Carpal Tunnel/Wrist Support/Wrist Splint/Hand Brace -F.D.A. However, the pathology of the condition is not inflammatory changes to the synovial sheath and inflammation is secondary to the condition from friction. Check Out on Amazon. Finkelsteins test can help confirm the diagnosis. Your doctor will then bend your wrist toward your little finger. Causes for the condition extend beyond smartphones and gaming consoles to include activities like golf, racket sports, and lifting. Just keep in mind that fractures and torn ligaments take six to eight weeks to heal. For traumatic injuries, Dr. Day recommends a spica splint, which comes up the thumb. Is it possible that my symptoms could return? National Institutes of Health, MedlinePlus: De Quervain tenosynovitis, This article was contributed by: familydoctor.org editorial staff, Copyright American Academy of Family Physicians. Take frequent breaks to rest if you are using your wrists. Bend itto the contour of your thumb and wrist for comfort. There is evidenceto suggest that only using the splint during painful activities can help but sometimes it is necessary to wear the splint continuously forup to6 weeks to rest the tendons. Normally, tendons glide smoothly in the hand and wrist. Carpal tunnel syndrome is a painful disorder that occurs when the tissues in your wrist get swollen or inflamed, Complex regional pain syndrome is a chronic pain condition that often happens after an injury. Patients can begin to do some gentle range of motion movements and exercises to keep the hand flexible within a few days of surgery. De Quervains tenosynovitis can be diagnosed by symptoms and examination in a doctors office. WebDe Quervain's syndrome is a painful condition that affects tendons where they run through a tunnel on the thumb side of the wrist. Bend the middle thumb joint whilst keeping the wrist and thumb tip still. This type of splint can help you to solve the problem related to De Quervain tenosynovitis. + AU $21.95 postage. WebAircast A2 Wrist Brace with Thumb Spica. Normally, tendons glide smoothly in the hand and wrist. Free shipping. Hormonal changes during pregnancy can cause it. What kind of exercises should I do to strengthen my thumb? Especially avoid those that involve repetitive hand and wrist motions. Damage to the radial nerve (neuroma), though this is usually temporary, Displacement of the tendons, causing a snapping or catching sensation in the wrist (very rare), Significant bleeding from the incision or the incision opening, Skin around incision is swollen or warm to the touch. [2], The cause of de Quervain's disease is not established. $4.89. Most individuals who undergo this procedure will be able to drive again as soon as they are no longer taking opioid medications. Your healthcare provider will tell you how to wear your splint. Median nerve damage after left distal radius break, hand and wrist atrophy Foot cast for lisfranc injury? Free shipping. De Quervains tenosynovitis is inflammation at the thumb side of your wrist. An x-ray can sometimes be helpful to rule out other conditions such as arthritis or wrist fracture. The purpose of surgery for De Quervains tenosynovitis is to open the compartment that encases the inflamed tendons, so they can move freely without causing pain. De Quervains tenosynovitis is a painful condition affecting the tendons around your thumb. This is a very common cause, You have injured your wrist. It generally responds well to treatment. 3. They can also teach you exercises to strengthen your muscles. When can I return to my activity (job, sport, etc.)? [citation needed]. If breastfeeding, try to relax your thumb and wrist once you have positioned your baby. The tunnel roof forms again as the split heals, but it is wider and the tendons have sufficient room to move without pain. Always follow the instructions on the packet. [24], Surgery (in which the sheath of the first dorsal compartment is opened longitudinally) is documented to provide relief in most patients. Move the wrist in a handshake action within comfort. There are several measures patients can take to alleviate pain and swelling as healing begins: Patients will need to keep the incision site clean and dry until the physician removes the stitches 1 to 2 weeks after the procedure. Symptoms can come on gradually or be noted Do the 3 straps up over the back of the wrist/ forearm. WebPinching your fingers while moving your wrist. Sponsored. WebOrdering information. Painkillers like paracetamol will ease the pain, but need to be taken regularly in order to control the pain. See picture of a right hand and wrist. ", Shoulder injury related to vaccine administration, https://en.wikipedia.org/w/index.php?title=De_Quervain_syndrome&oldid=1122144908, Short description is different from Wikidata, Articles with unsourced statements from December 2013, Articles with unsourced statements from October 2020, Wikipedia medicine articles ready to translate, Creative Commons Attribution-ShareAlike License 3.0. De Quervains tenosynovitis is inflammation at the thumb side of your wrist. Repeat this sequence x5 a few times a day. 4 0 obj >> [1][2] If sharp pain occurs along the distal radius (top of forearm, about an inch below the wrist), de Quervain's syndrome is likely. A flexible brace that supports the outer side of the thumb. Initial treatment of de Quervain tenosynovitis may include: Immobilizing the thumb and wrist, keeping them straight with a splint or brace to help rest the tendons; Avoiding repetitive thumb movements as much as possible; Avoiding pinching with the thumb when moving the wrist from side to side; Applying ice to the affected area You may benefit from using a splint thatimmobilisesthe wrist and thumb. There is some evidence to suggest exercising the nerve can helpthe oxygen and blood flow. De Quervains tenosynovitis However, DQT involves inflammation of the tendons, whereas trigger finger involves inflammation of the tendon sheath. Medical Device & Doctor Handbook-Night Support for Women Men thumb arthritis, tendonitis or tendinopathy, ganglion cyst or a wrist sprain / strain, our copper neoprene wrist brace will provide symptom relief in style! Wearing a splint. [4], There is some evidence that the natural history of de Quervain tendinopathy is resolution over a period of about 1 year. De Quervains affects the thumbs tendons cords of tissue that connect muscles and bones. The condition is also known as de Quervain tendinitis or de Quervains tenosynovitis. Fitness: Adding More Activity to Your Life. Hand and wrist pain - De Quervains Tenosynovitis, Please note only use ice if you have normal skin sensation, Stop if there is excessive pain, numbness or tingling, Do not put ice directly on to the skinas this may cause a burn. w !1AQaq"2B #3Rbr [25] The most important risk is to the radial sensory nerve. Medical professionals use the Finkelstein test to diagnose a common condition that causes wrist pain called de Quervains tenosynovitis. The symptoms can start following prolonged or unusual activitysuch as gardening, DIY, oruse of agamingconsole. complete part-time splinting for an additional 4-6 weeks. After the stitches are removed, patients may be referred for 6 to 8 weeks of physical therapy to learn stretches and exercises that can restore range of motion, dexterity, and strength for the hand and fingers. Presently having aching and burning feeling in foot Certain movements of the thumb and wrist can be excruciating. Nonsurgical Treatment. Through a transverse or longitudinal incision, and protecting the nerve branches just under the skin, the surgeon widens the tendon tunnel by slitting its roof. Take frequent breaks to rest if you are using your wrists. See all the conditions our hand therapists treat here. This type of splint can help you to solve the problem related to De Quervain tenosynovitis. Diabetics should be aware that blood sugars can be increased for a few days after a cortisone shot. Another is lifting heavy grocery bags by the handles. Wear a brace or splint on your thumb and wrist, if necessary. C `" This creates a thickening and narrowing of the area in which they are housed over the bony area of the thumb on the side of your wrist. How to prevent De Quervains and manage flare ups? Your hobby or job involves repetitive hand and wrist motions. Some mild cases recover over a few weeks without treatment. [3] Radial abduction of the thumb is painful. WebDe Quervain's tenosynovitis is a swelling of the tendons running along the thumb side of the wrist, and attached to the base of the thumb. Other causes could include a direct injury to the wrist or inflammatory arthritis. It needs to immobilize the thumb as well as the wrist. Thumb Spica Splint & Wrist Brace Both a Wrist Splint and Thumb Splint to Support Sprains, Tendinosis, De Quervain's Tenosynovitis, Fractures or Trigger Thumb Hand Brace for Carpal Tunnel (Left S/M) 1 offer from $25.95. In this post, well go more For the few who experience complications, they are almost always minor and temporary. Secure transaction . Avoid steering a pram one handed, this is very stressful for your wrist. indications. $8.49. [39], One hypothesis is that the thumb does not have the dexterity the other four fingers have and is therefore not well-suited to high speed touch typing. Wrist Hand Brace Support Sleeve Fit Carpal Tunnel Splint Strap Sprain Arthritis. Returns Policy . Scar tissue can restrict the movement of your tendons. WebDe Quervains tenosynovitis is one of the most common forms of tendinitis. [4] Symptoms can come on gradually or be noted suddenly.[4]. Medical Thumb Spica Splint Support Brace stabiliser arthritis For Then the patient moves their wrist in the direction towards their small finger (take care, this can be very painful!). On occasion, there is uneven movement or triggering the thumb with radial abduction. Wearing a splint that supports and immobilizes the thumb and wrist (thumb spica brace) can help reduce symptoms. The anaesthetic may be local (injected under the skin at the site of operation), regional (injected in the armpit to numb the entire arm) or a general anaesthetic. It occurs when the 2 tendons around the base of your thumb become swollen. Surgical decompression of the tendon tunnel. WebOnce patients are back home after De Quervains tenosynovitis and the local anesthesia begins to wear off, they will notice pain and swelling in the thumb and wrist, and possibly also numbness and tingling at the incision site. 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