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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  • 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
  • Outstanding service and results - 10/30/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • 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
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Very efficient practice - 10/19/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • The staffs here was GREAT!!!! - 06/21/17
  • always outstanding service! - 04/12/17
  • 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
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • 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
  • 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
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • 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 happy I came here for the surgery, etc. - 06/09/17
  • 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
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • Great staff. - 05/02/17
  • 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
  • Great work. - 02/03/17
  • very impressed with the whole experience. - 02/28/17
  • Awesome experience. Luis rocks! - 04/06/17
  • :) - 06/01/17
  • :) - 05/11/17
  • 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 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 gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • excellent! dr & staff! - 06/14/17
  • thank you - 10/16/17
  • 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
  • every thing was really great - 10/19/17
  • 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
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Great staff and speedy process! - 04/14/17
  • an experience beyond expectation - 10/06/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • no complaints hand is coming along very well - 11/06/17
  • very good team work, best clinic - 06/21/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Very professional - 03/30/17
  • 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
  • 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
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • all excellent care - 07/12/17
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • Love the Doctor and his staff. - 02/08/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • thank you for helping me - 02/03/17
  • 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
  • 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
  • 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
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Great Appoitnment - 05/11/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • 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
  • 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
  • Thank you! - 03/08/17
  • 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
  • every body was excelent - 01/09/18
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • joel was also my assistant but everything was great - 03/07/17
  • great job! - 03/20/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • thank you, you all were very helpful - 03/03/17










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