What is De Quervain’s Tenosynovitis?
De Quervain’s disease can occur in the hand and wrist when tendons and the tendon covering on the thumb side of the wrist swell and become inflamed. Patients with this condition experience pain and inhibited freedom of movement.
Causes of De Quervain’s Tenosynovitis
Although it is difficult to determine a precise cause for this condition, it may be attributable to changes in the use of the hand. Various factors such as repetitive movements, fluctuations in hormone levels, and swelling can be contributing factors. New mothers may also develop this condition about 4-6 weeks after delivery.
Treatments for De Quervain’s Tenosynovitis
- Splint: This may be used to stop you from moving your thumb and wrist.
- Anti-inflammatory medications: These may be prescribed to reduce inflammation.
- Injection: Dr. Sammer may injection a cortisone-type of steroid into the tendon compartment. Response varies based on a number of factors, but for some patients this treatment may provide a permanent solution.
- Surgery: If these less-invasive options do not provide relief, Dr. Sammer may perform a surgery to open the tunnel and make more room for the tendons.
Dr. Sammer’s Approach to De Quervain’s Release Surgery
Dr. Douglas Sammer is board-certified and fellowship-trained, which distinguishes his training and credentials from many other doctors. He has advanced knowledge of hand, finger, wrist, and elbow plastic surgery, and utilizes the most advanced treatment techniques available today. A consultation and physical examination can help point a way to the best approach to dealing with your specific De Quervain’s Release surgery.
What is Trigger Finger?
The tendons that bend the fingers glide easily with the help of pulleys. These pulleys hold the tendons close to the bone, similar to how a line is held on a fishing rod. Trigger finger occurs when the pulley becomes too thick, so the tendon cannot glide easily through it, resulting in a catching or locking of the finger or thumb joint.
Symptoms of Trigger Finger
Symptoms include pain and tenderness over the base of the finger. Patients may wake up with a finger stuck in the flex position.
Treatment for Trigger Finger
Most cases of trigger finger can first be treated with a steroid injection. This usually starts to work in 4-6 days, but it may take up to one month to fully resolve the issue.
Surgical Treatment for Trigger Finger
Trigger Finger Release surgery may be warranted if a steroid injection and other non-invasive options fail to resolve the problem. This procedure releases the inflamed and irritated tendon that causes trigger finger. Patients experience restoration of smooth finger or thumb movement, and a resolution of the associated pain.
Dr. Sammer’s Approach to Trigger Finger Release Surgery
Dr. Douglas Sammer is board-certified and fellowship-trained, which distinguishes his training and credentials from many other doctors. He has advanced knowledge of hand, finger, wrist, and elbow plastic surgery, and utilizes the most advanced treatment techniques available today. A consultation and physical examination can help point a way to the best approach to dealing with your specific Trigger Finger Release surgery.
