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De Quervain’s Tenosynovitis

  • What is De Quervain's tenosynovitis?

    De Quervain's tenosynovitis

    De Quervain's tenosynovitis is a painful condition affecting the tendons on the thumb side of your wrist. With repeated movements, the tendons that move the thumb become constricted in a tight tunnel, creating pressure on nerves, which leads to pain and numbness.

  • The usual cause of De Quervain’s tenosynovitis is chronic overuse of the wrist from daily, repetitive movements. It’s a common affliction among mothers from activities such as cradling an infant while nursing, lifting a child into a high chair or car seat, or carrying heavy bags of groceries.

    Risk factors for De Quervain’s tenosynovitis include:

    • Being a woman
    • Aged 40 years and above
    • Work or hobbies that involve frequent, repetitive hand and wrist motions
    • Past wrist injury, as scar tissue can restrict movement of tendons
    • Pregnancy, due to hormonal changes
    • Arthritis
  • Pain from De Quervain’s tenosynovitis may develop gradually or appear suddenly. The main symptom is pain or tenderness over the wrist joint near the base of the thumb, which may also radiate up the forearm.

    Other symptoms include:

    • Pain that gets worse with the use of your hand, thumb or wrist
    • Pain beginning as an aching sensation and progressing to a point when any movement of the wrist or thumb produces a sharp pain in the affected area
    • Numbness along the back of your thumb and index finger
    • Swelling near the base of your thumb, where the pain is felt
    • A ‘snapping’ sensation or feeling a catch when you move your thumb
    • A squeaking sound when the tendons move

    If you experience persistent pain with little or no relief from rest, using a cold compress or anti-inflammatory medication, it’s best to speak to your doctor.

  • Treatment usually includes:

    • Non-steroidal anti-inflammatory drugs to ease the pain
    • Steroid injections to ease pain and swelling
    • Wearing a splint to rest the area

    If the symptoms persist without improvement, day surgery may be recommended. Surgery for De Quervain's tenosynovitis is almost always successful and you will regain normal use of your hand upon recovery.

    Consult an orthopaedic specialist to learn more about treatment options best suited for your condition.

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  • When De Quervain's tenosynovitis is left untreated, the pain may spread and radiate into the forearm. The pain may also become more intense while performing simple tasks which involve the use of the thumb, such as pinching or grasping.

    Over time, it will become difficult to use your hand and you will likely experience increasingly limited range of wrist motion.

  • Our Specialists

    There are 11 SpecialistsView All

    • Chew Yoon Chong Winston

      Specialty:
      Hand Surgery
      Orthopaedic Surgery

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      Clinic:
      Hand Surgery Associates
      Location:
      38 Irrawaddy Road #10-51/52/53
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      6690 5690
    • Gan Wei Tat Aaron

      Specialty:
      Hand Surgery

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      Clinic:
      Centre For Hand & Reconstructive Microsurgery
      Location:
      3 Mount Elizabeth #06-05
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      6733 8273
      Clinic:
      Centre For Hand And Reconstructive Microsurgery
      Location:
      Centre For Hand & Reconstructive MicroSurgery
      3 Mount Elizabeth #06-05
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      67339093
    • Lee Yi-Liang Jonathan

      Specialty:
      Hand Surgery

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      Clinic:
      Dr Jonathan Lee Hand, Wrist And Upper Limb Surgery
      Location:
      3 Mount Elizabeth #12-08
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      68368382
    • Lim Beng Hai

      Specialty:
      Hand Surgery

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      Clinic:
      Centre For Hand & Reconstructive Microsurgery
      Location:
      290 Orchard Road #09-08
      Paragon Medical
      Singapore 238859
      Contact No:
      6733 9093
      Clinic:
      Centre For Hand & Reconstructive Microsurgery
      Location:
      3 Mount Elizabeth #06-05
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      6733 8273
    • Peng Yeong Pin

      Specialty:
      Hand Surgery

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      Clinic:
      Hand Surgery Associates
      Location:
      38 Irrawaddy Road #10-51/52/53
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      6690 5690
    • Tan Puay Ling

      Specialty:
      Hand Surgery

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      Clinic:
      Infinity Hand, Wrist & Reconstructive Surgery Centre
      Location:
      3 Mount Elizabeth #14-12
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      6735 4220
    • Tan Siau Woon Jacqueline

      Specialty:
      Hand Surgery

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      Clinic:
      Advanced Hand, Wrist & Nerve Centre
      Location:
      38 Irrawaddy Road #08-62/63
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      6592 5522
    • Tan Soo Heong

      Specialty:
      Hand Surgery

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      Clinic:
      Hand, Wrist & Upper Limb Surgery
      Location:
      3 Mount Elizabeth #10-01
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      6737 0177
    • Tan Ter Chyan

      Specialty:
      Hand Surgery

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      Clinic:
      Hand Surgery Associates
      Location:
      38 Irrawaddy Road #10-51/52/53
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      6690 5690
    • Yam Kean Tuck Andrew

      Specialty:
      Hand Surgery

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      Clinic:
      Hand Surgery Associates
      Location:
      38 Irrawaddy Road #10-51/52/53
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      6690 5690

    There are 11 SpecialistsView All

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