De Quervain’s Disease a condition causing pain near the thumb and wrist

Learn About Treatment Options

“ Dr. Fitz is the epitome of what we look for not only in a physician, but what you expect from a specialist. His team, to include the surgery staff, is nothing less than total professionals that are knowledgeable, confident and caring. Seriously, do not waste your time, energy and money going anywhere else.” - Jim J.

About De Quervain’s




De Quervain’s tendinitis is a condition causing painful tendons on the thumb side of the wrist. The tendons that move the thumb travel through a tunnel called the first dorsal compartment. This tunnel (tendon sheath) can enlarge and thicken in some patients causing pain during movement of the wrist and thumb.

Causes

Often, the cause of this disease is unknown. Overuse, repetitive grasping, and certain inflammatory conditions such as rheumatoid arthritis can all trigger the disease. Racquet sports and various workplace tasks may also aggravate the condition. While anyone can get this disease, it tends to affect women more often than men.

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Symptoms

  • Pain on the thumb side of the wrist or at the base of the thumb
  • Swelling on the thumb side of the wrist
  • Pain in the wrist that can travel up the forearm

Treatment Options

Treatment options for De Quervain’s include non-steroidal anti-inflammatory medications (NSAIDs), splints, steroid injections, and surgery. When the conservative treatments stop working and the condition becomes more chronic it is then suggested to look at surgical options. Surgery has typically involved a larger opening of the tunnel to make more room for the tendons. After the surgery the patient has to keep the incision covered for up to 4 weeks.

Dr. Fitzmaurice has developed the EndoTech® Endoscopic De Quervain’s Release, a minimally-invasive technique to treat this condition. This technique requires only a small incision using endoscopic equipment. The thickened tissue (tunnel) over the tendons is then released providing more room for movement. This allows for pain free movement of the thumb immediately after the surgery. The dressings are removed in 2 days and patients are able to return to work within 1 week.

EndoTech®

  • A small incision is made, and the thickened tissue (tunnel) over the tendons is released
  • This technique leaves the surrounding tissues unharmed
  • Movement is allowed immediately after surgery and dressings are removed in 2 days
  • Shorter recovery time, within 1 week
  • Less pain
VS

‘Open’ Approach

  • Large incision through the palm, down to the transverse carpal ligament
  • 6-8 week recovery time
  • Up to 57% recurrence rate
  • 7-20% persistent symptoms








Studies have shown that this remarkable visualization significantly decreases surgical risks, with zero complications to date in over 4000 procedures performed. EndoTech® results in the least amount of pain and fastest recovery compared to other surgical techniques. This allows for a much higher success rate and a greater overall patient outcome.


Fitzmaurice Hand Institute
8841 E Bell Rd #201
Scottsdale, AZ 85260