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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  • Dr. Henry and his staff are amazing! I was able to get an urgent new patient appointment immediately with surgery that same afternoon. Dr. Henry does an excellent and thorough job explaining my injury and the healing process. Very impressed with his plan of early mobility and physical therapy, which helped restore my function back to normal within 8 weeks of surgery. I would 100% recommend Dr. Henry and his staff! Very pleased and grateful for his help. - 03/23/18
  • you were very good, thank you very much - 05/17/18
  • With the severity of my injury I am amazed at how functional my wrist is with the amazing team work shown at the office. From the very start the service and care have been outstanding!! I can't thank everyone enough! - 02/23/18
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • Dr. Henry was able to salvage my hand to make it usable again. I have already sent my Father here and he no longer has any pain in his wrist. - 11/13/17
  • MD was very thorough and spent a good amount of time with the patient (me). MD had good bedside manners which you do not see from a lot of doctors nowadays. He also made sure everything was understood and that I was given a chance to ask questions or address any concerns I had. Everyone was courteous and professional. Thank you for making mu visit a pleasant one. - 05/02/18
  • 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
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • Dr. Henry and his staff are phenomenal. Dr. Henry has a gift for not only treating health issues extremely effectively, but he is extremely thorough and very efficient at communication and explaining everything he is doing and all of clearly outlining your options for future procedures. - 05/11/18
  • :) - 06/01/17
  • I couldn't be more pleased with the level of service I received while in Dr. Henry's care. The level of detail in which my injury was explained and resolved, and the level of competency that was displayed throughout the healing was truly outstanding. - 01/30/18
  • excellent! dr & staff! - 06/14/17
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • Very efficient practice - 10/19/17
  • The staff is nice and everyone is up on the treatment. I feel confident that I am getting the best care and am glad I came here. - 10/30/17
  • every body was excelent - 01/09/18
  • very good team work, best clinic - 06/21/17
  • Dr. Mark Henry is a true healer; the finest most competent doctor I've ever encountered. I am forever grateful to Dr. Henry and the entire staff for saving my finger and facilitating my complete recovery with grace and seriousness of intent. Thank you. - 01/10/18
  • every thing was really great - 10/19/17
  • great doctor - 05/23/18
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • no complaints hand is coming along very well - 11/06/17
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • best place for treatment of hand and wrist problems. Dr. Henry was recommended to me by a friend who is a medical care professional. - 10/06/17
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • I am really happy with my experience. I always knew what was going on and over time got to know the staff based on how many times I've been here. Most importantly, I feel I got the right treatment for my injury. - 10/19/17
  • all excellent care - 07/12/17
  • Outstanding service and results - 10/30/17
  • The staffs here was GREAT!!!! - 06/21/17
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • thank you - 10/16/17
  • The staff and the Dr. are very helpful and understanding .I have not yet seen a better staff like this office . I will recommend any one here . - 11/06/17
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • an experience beyond expectation - 10/06/17
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • Dr. Henry is a tremendous doctor! - 05/22/18










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