De Quervain’s Tenosynovitis Treatment
Do you have pain in the external area of the wrist that worsens with the mobility of the thumb?
Is the pain more intense when grasping objects?
Do you even hear a crackle or snap every time you move your thumb?
Have you lost strength even for basic activities of daily living?
If you have any such problems, please contact us.
We are specialists in De Quervain tenosynovitis treatments that will help you recover your quality of life.
Take the first step towards a full and pain-free life with Regenerative Medicine.
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Specialists in De Quervain’s tenosynovitis treatment in Valencia
I am Miguel Alfonso Porcar, an orthopaedic doctor specialising in injection treatments for De Quervain’s tenosynovitis.
Our objective is to:
- determine the cause of your pain,
- perform appropriate diagnostic tests to determine the extent of the injury.
- and apply the treatment of regenerative traumatology or orthopedic surgery to achieve maximum comfort as soon as possible.
We want to help our patients using the safest, most successful and least invasive treatments possible!
English-Speaking Orthopedic Doctor for International Patients
Dr Carlos Mairal, an orthopedic surgeon and trauma specialist in regenerative medicine, provides medical care in English for international patients.
If you are looking for cutting-edge treatment for musculoskeletal injuries, osteoarthritis, or tendinopathies and prefer to communicate in English, Dr Mairal will offer you personalised care in a professional and welcoming environment.
Book your appointment today and receive expert care from an English-speaking orthopedic doctor.
What is thumb tendonitis or De Quervain’s tenosynovitis
One of the most common types of wrist tendon inflammation, De Quervain’s tenosynovitis (also called De Quervain’s tendinosis), is a painful condition in which the tendons of the thumb become inflamed and impede the mobility of the thumb due to pain.
When this occurs, the ability to move the thumb and wrist normally may be lost.
Such pathology can be caused by overuse, repetitive gripping or associated precipitating inflammatory medical conditions such as arthritis.
As a general rule, tendons slide easily through a tunnel of tissue called a sheath.
The sheath holds the tendons in place next to the bones of the thumb in order to perform the function of moving the fingers with which they are associated.
Inflammation of the tendons and/or thickening of the sheaths causes friction. The tendons can no longer glide easily through their sheaths. When this occurs, certain movements of the thumb and wrist become more difficult to perform.
Causes of De Quervain’s tenosynovitis
Quervain’s tendonitis is one of the most common causes of inflammation of the tendon lining (sheath).
This condition most frequently affects women, in an age range between 40 and 60 years old.
This pathology can be caused by several factors, among them:
- Excessive use of the thumb. Typical in manual workers.
- A direct blow to the thumb or secondary to a fracture of the distal radius.
- Inflammatory conditions (including arthritis).
- Infectious cause (local or systemic).
- Without a specific cause(idiopathic). The most frequent
Activities that require lateral movement of the wrist while grasping a heavy object with the thumb may aggravate this condition.
Hobbies and sports using this movement include:
- Gardening.
- Racquet sports.
- Skiing.
- Carpentry.
Symptoms of De Quervain’s tenosynovitis
The symptoms described may be the following:
- Pain and tenderness along the inner region of the wrist, over the thumb.
- Pain that worsens when using the hand and thumb.
- Pain that comes on suddenly or develops over time.
- Pain that moves to the thumb or from the wrist to the lower arm (forearm).
- Snapping or popping sensation in the wrist when moving the thumb.
Diagnosis of Dequervain’s tendinitis
In the clinic of traumatology Regenerat, Dr. Miguel Alfonso Porcar will perform a clinical study and complementary tests of the pathology.
No longer to confirm the diagnosis, but to rule out other neighboring pathologies.
The most commonly used test to diagnose Quervain’s tendinitis is the Finkelstein test (which mimics the activity of “pouring coffee into a cup“).
In this test, inflamed tendons are pulled through the injured sheath.
If this motion is painful, you most likely have DeQuervain’s tendonitis.
De Quervain’s Tenosynovitis Treatments
There are several treatment options. In almost all cases we will start with the most conservative (non-surgical) treatments first, followed by ultrasound-guided infiltrations.
Finally, surgical treatment is also an option.
Conservative treatment of De Quervain’s tenosynovitis
Initially we will start with RICE treatments, based on rest, ice application, compression by bandaging and elevation.
- Antalgic orthoses or splints: to rest the wrist and thumb, preventing their mobilization. Splints are usually worn 24 hours a day for four to six weeks.
Many people find it helpful, especially at night when a sore thumb can wake them up or to avoid a numb thumb in the morning.
- Apply ice to the thumb and wrist area to reduce swelling.
- To eliminate pain and inflammation, it is possible to modify or limit your activities, avoiding any type of movements that involve repetitive use of the thumb.
- We may also recommend non-steroidal anti-inflammatory drugs (NSAIDs) to relieve pain and prevent inflammation.
Corticosteroid injections
Steroid injections into the tendon sheath may be considered. Ultrasound-guided injections to localize the exact point of injury.
This way we avoid skin discoloration or cutaneous fat atrophy, especially in women, caused by too superficial corticoid injection.
Platelet Rich Plasma Treatment
Multidisciplinary pain management for complex cases with chronic tendonitis may include platelet-rich plasma (PRP) injections and other forms of regenerative medicine as options prior to surgery.
- Use a concentrated dose of platelets prepared from your own blood.
- After a period of blood processing, Platelet Rich Plasma is obtained, which has proven to have reparative and regenerative capacity.
- After verifying that the sample processing is optimal, PRP infiltration is performed with the help of ultrasound.
- The results are promising. It implies a more effective benefit in the long term and with the security of being a substance that derives individually from each patient.
It has been shown to delay and even avoid surgery.
Surgery for De Quervain’s Tenosynovitis
If both conservative treatment and PRP infiltrations do not resolve the condition and symptoms persist for 6 to 12 months, Dr. Miguel Alfonso Porcar may recommend surgery.
It is an outpatient procedure usually performed under local anesthesia or mild sedation.
The goal of this surgery is to eliminate pain and restore range of motion of the thumb and wrist.
During surgery, Dr. Miguel Alfonso Porcar makes a small incision in the sheath through which the tendons pass. This allows more room for the tendons to slide easily through the sheath.
After recovery, we will perform an exercise program to strengthen the thumb and wrist. Recovery time varies depending on age, general health and duration of symptoms.
In cases that have developed gradually, the pathology is often more difficult to manage. Symptoms may take longer to disappear and the thumb and wrist may take longer to regain their range of motion.
After treatment, it can be prevented by changing the activities that cause pain.
Why Clínica Regenerat to treat your De Quervain’s tendinosis in Valencia?
Specialists in the treatment of hand and wrist pain in Valencia
In the field of treatment of pain and pathologies in the hand and wrist, Regenerat clinic is your reference center.
State-of-the-art technology
We perform diagnostic methods and cutting-edge , minimally invasive treatments that relieve and in many cases eliminate your Quervain’s tendonitis in Valencia, offering better health and quality of life.
Patient Testimonials
Our patients value our experience and multidisciplinary treatment for DeQuervain’s tendonitis, eliminating pain and recovering your activity after treatment.
Hand or wrist pain causes
Some of the most common causes of hand and wrist pain that a hand specialist can treat are sprains and strains.
A sprain refers to an injury to a ligament, while a strain refers to a muscle injury. Sprains and strains occur due to excessive force applied during a stretching, twisting or pushing action.
Other causes of pain in the hands and/or wrists include:
- Hand osteoarthritis: A degenerative joint disease that is the most common type of arthritis affecting older people. It causes the cartilage, the tissue that cushions and protects the ends of the bones in a joint, to wear away, resulting in painful bone-on-bone contact.
- Thumb arthritis: Arthritis affecting the base of the thumb, i.e. the progressive destruction of the articular cartilage between the trapezium and the first metacarpal.
- De Quervain’s tenosynovitis: Also called radial tenosynovitis, this is a painful condition affecting the tendons of the first extensor compartment, producing pain at the level of the anatomical snuffbox.
- Trigger finger: A condition in which the finger locks or catches if you try to straighten or bend it.
- Carpal tunnel syndrome: A condition characterized by numbness or pain in the thumb and first three fingers. It occurs when the median nerve is compressed at the wrist. It is usually a common complaint in people who use their hands for prolonged periodsin particular occupations, such as computer work.
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Regenerat is a paediatric and adult trauma clinic, specialising in regenerative medicine treatments that delay and, in many cases, avoid orthopaedic surgery.
Our patients get an unbiased diagnosis and we offer you various surgical and non-surgical treatment options.
The most common pathologies treated at our medical center are osteoarthritis, back pain, tendon injuries, and sports injuries.
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