treatment of dequervain's disease/radial sided wrist pain

In most cases a single cortisone shot will remedy a painful case of 1st extensor compartment tendonitis between 50 and 80% of the time. When unsuccessful, a second shot, 4-6 weeks later, may be helpful in 25-50% of cases.

After 2 unsuccessful shots, additional cortisone is of little value, and surgical release of the retinaculum--the tissue overlying the APL and EBB tendons, may be required.

Surgery is performed as an outpatient under a local anesthesia, with or without sedation. A postoperative dressing is removed 1 week later and therapy is started. Usually by 6 weeks the wrist feels better, and in most cases, return to normal activity is allowed. The surgery is successful in the vast majority of patients--greater than 95%.

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  • De Quervain's Tenosynovitis

    De Quervain's Tenosynovitis

    This condition, also called stenosing tenosynovitis of the first dorsal compartment of the wrist, is an inflammation of the sheath that wraps around the tendons at the thumb side of the wrist.

  • De Quervain's Release

    De Quervain's Release

    This outpatient procedure relieves the symptoms of De Quervain's tenosynovitis by releasing the tendon sheath that wraps around the tendons at the base of the thumb.

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