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 have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • Everyone is always nice - 12/14/16
  • 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
  • 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
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Dr. Henry has the best verbal skills I have witness on a physician; and, I have been a physician myself for decades! - 12/01/16
  • Thank you to everyone here with my surgery and healing process! I really felt comfortable with everyone on the staff and feel as though I came to the best place possible for my surgery. THANK YOU!!!! - 09/09/16
  • Great friendly staff - 10/28/16
  • 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
  • very impressed with the whole experience. - 02/28/17
  • Luis was very kind and helpful with all of my questions and concerns. He also assisted me with obtaining supplies for my brace and hand until I can get to therapy. - 10/21/16
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • 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
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Wonderful work no issues - 11/17/16
  • Luis was great as well. - 01/04/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • Very professional - 03/30/17
  • I have never doubted I was in the best possible hands here. I cannot correctly express my gratitude. Thank you all very, very much for everything you've done for me. - 11/09/16
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • :) - 05/11/17
  • Love the Doctor and his staff. - 02/08/17
  • great - 10/06/16
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • I will definitely recommend your practice to my friends and family. Thank you very much for seeing me and for the very detailed explanation! - 10/14/16
  • Thank you! - 03/08/17
  • Dr. Henry and each and every one of the staff we met exhibited a spirit of excellence in every area. From the first visit we were comfortable and confident that we would be well taken care of. - 09/28/16
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • I am feeling so much better! My hands do not fall asleep and I do not drop things anymore. Yah! Thank you so much! - 09/16/16
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • 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
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • Amazing Doctor and staff. - 11/16/16
  • thank you, you all were very helpful - 03/03/17
  • 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
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Great staff and speedy process! - 04/14/17
  • Great staff. - 05/02/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Awesome staff.. - 09/26/16
  • 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
  • At every interaction with your office: consultation with Dr. Henry, day of surgery, need for prescription refills, all follow-up visits, I felt comfortable, welcome, and well informed. On the day of my last visit, I am very optimistic about the function of my left hand. Thank you. - 09/07/16
  • Awesome experience. Luis rocks! - 04/06/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • Thank you for the help. - 11/10/16
  • Great Appoitnment - 05/11/17
  • Awesome as always! - 10/11/16
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • 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
  • Very pleased with the staff and Dr. Henry. Would highly recommend Dr. Henry to my family and friends in the future. Love this place!!! - 09/07/16
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • thank you for helping me - 02/03/17
  • I enjoyed my visit - 11/14/16
  • I was impressed at how fast I was able to get an appointment. The staff was very helpful and the doctor was amazing! - 12/08/16
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • joel was also my assistant but everything was great - 03/07/17
  • ;) - 09/08/16
  • thank you - 02/09/17
  • Great work. - 02/03/17
  • very helpful staff - 01/16/17
  • always outstanding service! - 04/12/17
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • 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
  • This was only a consult, but I felt that I was leaving with enough information and a plan on the next step needing to be taken. - 09/26/16
  • great job! - 03/20/17
  • The staff was great. David was very helpful with my surgery scheduling and questions. Luis was fabulous when I needed help with changing my dressing. Joel was nice helping me with the undoing of the dressing. Great group to be a patient of. - 12/13/16
  • 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
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Everyone was great and very helpful. Our family really appreciates the medical attention my son received from his injury. Thank you so much. - 11/01/16
  • The Doc is awesome and his staff is on their game, the wait can be a little long but you get that when you are dealing with elite care. - 09/19/16
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • Great Appoitnment - 05/11/17
  • Amazing services and results. Unique experience - 10/31/16
  • Great detailed information. - 11/03/16










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