How is DeQuervain’s syndrome diagnosed?
The hallmark of the disease is a Finkelstein’s test. In this test, the patient makes a fist with the fingers over the thumb. The wrist is then bent in the direction of the little finger. This test can be quite painful for the person with DEQuervain’s stenosing tenosynovitis.

How is DeQuervain’s syndrome treated?
The goal is to reduce inflammation and relieve the pain caused by the irritation and swelling. In addition, it is vital that the gliding motion of the tendons be restored and that the scar tissue be “broken up” to assure return to normal function without recurrence of swelling and pain. In most cases, your doctor may recommend resting the thumb and the wrist by wearing a specially designed splint for approximately three to six weeks. This may be fabricated by an occupational therapist. An occupational therapist can also set up an effective treatment plan for DeQuervain’s, utilizing such modalities as heat/ice, ultrasound, stretching/mobilizing the tendons and joints, as well as progressive resistive exercises. These will hopefully culminate in a home exercise program which the patient can continue on their own.

What is the role of medication or injections?
Anti-inflammatory medication taken by the mouth can help reduce the swelling in the tendon sheath and thereby relieve the pain. This must be complemented by occupational therapy to regain normal motion of the tendon and surrounding joints. In more resistant cases, injection into the tendon sheath may help reduce the swelling locally and assist the patient in regaining motion and reducing pain.

What is the role of surgery?
When symptoms are severe and/or do not improve, surgery may be recommended. Surgery can generally be done on an out-patient basis, with the patient returning home on the same day. The surgery is simple in concept: The surgeon frees up the compartment lining which surrounds the irritated tendons. After surgery, the wrist is generally immobilized by dressing or splint for several days to several weeks followed by exercises which are designed to regain motion in the thumb and wrist. Normal use of the hand can usually be resumed once comfort and strength have returned. Your physician or occupational therapist can advise you on the best treatment for your particular situation.