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Minor surgery for De Quervain's syndrome

Treating De Quervain's syndrome, a painful condition that affects the tendons between the thumb and wrist

If you have De Quervain's syndrome, HCA UK provides minor surgery to treat the condition.

About

De Quervain's syndrome (also known as De Quervain's tenosynovitis) is a painful condition that affects the tendons between the thumb and wrist. It occurs as a result of overuse of the tendons or a simple strain. The tendons and the sheath that surrounds them (the synovium) becomes inflamed.

Its main symptoms are pain and swelling near the base of the thumb and pain when moving the thumb or wrist. If you have the condition, it will probably hurt when you turn your wrist, grasp anything or make a fist. It is most common in women after pregnancy.

Your GP or consultant will assess the extent of your condition and diagnose using a Finkelstein test, where thumb and wrist movements are performed to detect pain.

If your consultant recommends surgery, its aim is to widen the tunnel the tendons sit in, so that they have more room to move. This is known as surgical decompression of the tendon tunnel.

Need to know

  • What happens icon plus

    Mild cases usually recover in a few weeks without treatment. If steroid injections and wearing a wrist/thumb splint do not help, minor surgery may be recommended. During the procedure, the consultant will make a small cut in the skin and widen the tendon sheath (tunnel). The tunnel roof forms again as the split heals, but is wider, giving the tendons enough room to move without pain. 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 (where you'll be asleep during the procedure).
  • How to prepare icon plus

    Minor surgery for De Quervain's syndrome is generally a very safe procedure. However, as with any surgery, there are some risks and side effects involved. Your consultant will explain these to you and answer any questions you might have. We will let you know in advance how long to avoid eating and drinking before your surgery.
  • Afterwards icon plus

    After the procedure, you will be taken to the recovery unit where our dedicated team will look after you. You’ll be given pain relief medication if needed. Minor surgery for De Quervain's syndrome is performed as a day case. You won’t need to stay in hospital long and should be able to go home after one day. Your consultant or specialist nurse will let you know when you can leave the hospital. They will also advise on how to manage your recovery and when you can get back to your usual daily routines. You will normally have to wear a bulky bandage and keep your hand elevated for two to three days. You may need to stay off work for one week.
Consultant in theatres

Our consultants

We're proud to work with leading experts across a range of medical fields, whose skills are matched by their integrity and compassion.

Our facilities

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

  • Wellington-south-hero-facility-582-582

    The Wellington Hospital

    Wellington Place

    London NW8 9LE

    Appointments 0207 483 5148
    Enquiries 020 3131 7478

  • London Bridge Hospital Facility

    London Bridge Hospital

    27 Tooley Street

    London

    SE1 2PR

    Appointments and Enquiries 020 7234 2009
    Imaging Appointments 020 7234 2773
    Switchboard 020 7407 3100

Request an appointment

We're happy to help you make an appointment with one of our experienced consultants.

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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