Hand & Wrist Center of Houston Home If you suspect broken bones, dislocated joints, lacerated tendons, lacerated nerves, infection, or have an open wound below the elbow, then call us immediately.
 
WRIST TENDON ENTRAPMENT (DeQuervain's)


WHAT YOU SHOULD KNOW

The most common version of this condition is referred to as DeQuervain's tenosynovitis. All the tendons at the wrist pass under tight constricting bands. Normal daily use of the hand and wrist can cause swelling of the tendon liner tissue. Once swelling starts, there is not enough room to pass back and forth under the tight band. Friction develops which leads to more swelling and a vicious cycle sets in unless something is done.

MEDICAL HISTORY

Patients usually notice pain at the area of entrapment. The most common one is near the base of the thumb. Movement in certain directions, pinching or gripping makes the pain worse.

EXAMINATION

Pressure applied where the entrapment is located will be painful, and testing movement in certain directions will bring out the typical symptoms. Sometimes a localized swelling can be seen and felt.

ADDITIONAL TESTS

None are needed.

TREATMENT OPTIONS

  NON-OPERATIVE SURGICAL RELEASE
CONSISTS OF Cortisone injection to shrink swelling around the tendons Simple release of constricting band to make more space for tendons
FEATURES Limit of 2 total injections Outpatient, minimal incision
ADVANTAGES Avoids surgery Definitive solution to problem
DISADVANTAGES Not effective for moderate to advanced conditions Requires surgery, nerves irritated afterwards

RECOVERY

Sutures are removed in the office 2 weeks after surgery. Until that time, the small wound must be kept clean and dry. Otherwise, there are no formal restrictions of any kind, and patients are encouraged to use the hand for all normal everyday activities. There will be some soreness because the body has had an intervention. Daily exercises to move the tendons that have now been freed must be done to prevent stiffness. Massage over the incision calms local nerve irritation and makes a softer scar when fully healed.

The information presented above is for general educational purposes only. Individual patient diagnoses, treatments, and results may vary substantially for a variety of reasons.
 
 
 
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  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • thank you, you all were very helpful - 03/03/17
  • Awesome experience. Luis rocks! - 04/06/17
  • :) - 05/11/17
  • very helpful staff - 01/16/17
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  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • all excellent care - 07/12/17
  • Thank you! - 03/08/17
  • I was very impressed with how I was treated by the doctor as well as the Medical assistant. All my questioned were answered and I was treated with care and respect. Luis was Awesome! Doctor Henry was very informative. I will recommend him to friends and family - 06/09/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • Thank you for the hard work and excellent care. If ever I need this type of care again I will be knocking on your door. I've already recommended your services to others. Thanks Again! - 03/07/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • The entire team at the Hand and Wrist Center is outstanding. They made the recovery so smooth and comforting from the courteous receptionists, excellent occupational therapist, attentive medical assistants, and brilliant doctor. Thank you! - 03/31/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Luis was great as well. - 01/04/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • very good at explaining how I should take care of my thumbs and always answered any question I had regarding my health issue I was very pleased with my visit and the care I got at both visits - 03/07/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • great job! - 03/20/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • always outstanding service! - 04/12/17
  • The doctor was very informative and provided me with a solution quickly and I really appreciate that in this day and age. This is an awesome institution. - 03/02/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • joel was also my assistant but everything was great - 03/07/17
  • Great work. - 02/03/17
  • Had a wonderful experience overall. Breaking my arm was tough but the staff here was always very, kind and helpful. Especially Dr. Henry, Mary, Karen, Luis, Joel, Teresa and David. I'll miss them all but hopeful won't have to see them any time soon :)Thank you! - 05/04/17
  • thank you for helping me - 02/03/17
  • some of the most friendly staff and the doctor always explained the information in a manner in which I could understand which always made it very helpful. will definitely recommend this location to family and friends. - 05/31/17
  • :) - 06/01/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • thank you for all you have done! I recommend you foranyone that is having any problems via hand wrist. Amazing surgon and doctor!!! - 02/01/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • very impressed with the whole experience. - 02/28/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • very good team work, best clinic - 06/21/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • excellent! dr & staff! - 06/14/17
  • The staffs here was GREAT!!!! - 06/21/17
  • Love the Doctor and his staff. - 02/08/17
  • Great staff, Great Doctor, Great surgery, recovery, and follow up. Thank you for the time and attention with helping me through the entire process. I felt very comfortable and safe with the entire process. - 02/10/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • We have had the best experience here. The staff has always accommodated us and since Tyler is only 10, they always go out of their way to make sure we are comfortable. I have and will continue to recommend Dr. Henry and his staff to anyone I know. Thanks! - 02/28/17
  • Great Appoitnment - 05/11/17
  • Great Appoitnment - 05/11/17
  • Great staff. - 05/02/17
  • Staff is always friendly and helpful. I will definitely recommend this office. Dr. Henry is a very skilled surgeon and went out of his way to make sure I understood my procedure and the rehabilitation process. - 03/24/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Very knowledgeable about the possible procedures the could be preformed! Dr. Henry is a very honest person and I appreciate that in a man more than anything. He gave me truth and not what I wanted to hear! Thanks - 04/04/17
  • Great staff and speedy process! - 04/14/17
  • thank you - 02/09/17










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