What are treatment options for de Quervain tenosynovitis?

Updated: Aug 27, 2018
  • Author: Mark R Foster, MD, PhD, FACS; Chief Editor: Harris Gellman, MD  more...
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Answer

Prescribe rest, NSAIDs, and a thumb spica wrist splint for patients with minimal symptoms. [27]

Peritendinous lidocaine-corticosteroid injection is considered by many to be the initial treatment of choice for de Quervain tenosynovitis. One review of the literature showed corticosteroid treatment to have a cure rate of greater than 80% and concluded that corticosteroid injection is safe. [28] (Surgical therapy is an option if conservative management fails.) [29]

A study examined injections of triamcinolone for de Quervain tenosynovitis and found an 89% efficacy rate for the drug. [30] In this report, patients could receive a maximum of three injections 2 weeks apart. A favorable result was measured by a questionnaire indicating no disruption in daily life.

One retrospective review concluded that in patients with more than minimal symptoms in de Quervain tenosynovitis, steroids are superior to NSAIDs and splinting. [31]


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