De Quervain’s Release Surgery in Hyderabad

De Quervain’s release refers to a same-day surgery that helps relieve symptoms of De Quervain’s tendonitis. De Quervain’s release surgery is often not required, but it is recommended in severe cases where non-operative measures have not improved the symptoms. In this surgery, a small incision is made in the sheath covering the thumb tendons, helping relieve pain and pressure.

The experts at Apollo Hospitals Hyderabad will guide you throughout the surgery, explaining what to expect and how to recover quickly after the procedure.

What is De Quervain’s tenosynovitis?

De Quervain’s tenosynovitis, also known as thumb tendonitis, is painful inflammation of wrist tendons. Tendons are cords of strong, flexible connective tissue that link your muscles to your bones. In de Quervain’s tenosynovitis, the tendons on the thumb side of the wrist are affected. These tendons are covered by a protective tissue called the sheath, which gets inflamed, causing certain wrist motions to be painful.

If you are affected by de Quervain’s tenosynovitis, you may experience pain while moving your thumb or making a fist. This is a relatively common medical condition and is assumed to be caused by overuse of the thumb or wrist.

What is De Quervain’s Release

De Quervain’s Release, also called first dorsal compartment release, refers to a surgical procedure performed to relieve the pain caused by de Quervain’s tenosynovitis. This surgery is usually not required to treat de Quervain’s tendonitis, unless it is a severe case in which other non-surgical methods have not controlled the symptoms.

The primary goal of this wrist pain surgery in Hyderabad is to create more space (for easier movement) for the irritated tendons. It reduces the friction and pain in the wrist caused by inflammation of wrist tendons.

What happens in the De Quervain’s Release Surgery in Hyderabad

If no other treatment options work, the ultimate de Quervain’s treatment in Hyderabad is surgery. This surgery usually takes about 30 minutes, and you can go home the same day. It is a relatively non-invasive treatment, typically performed under local anaesthesia. The surgeon first identifies the affected tendons and makes a small incision near the base of the thumb.

Surgeons will then proceed to cut open the sheath covering the thumb tendons. This will provide more space for the thumb tendons to glide freely. In case excess tissue (named tenosynovium) is present around the tendons, the surgeon will remove it. Finally, the incision will be closed, and you are free to go home. Sometimes a splint is recommended to speed recovery.

What if de Quervain’s tenosynovitis goes untreated?

De Quervain’s tenosynovitis is a treatable condition and can be treated with minimal effort. However, if left untreated, it can lead to chronic pain and, in rare cases, you can permanently lose some function or range of motion. If you put too much pressure on your wrist, your tendon sheath or tendon may rupture, potentially causing permanent damage.

Recovery After the Surgery

Quervain’s release surgery is an outpatient procedure, which means that you can go home the same day as the surgery. You might need to keep your hand bandaged for a week; sometimes doctors may ask you to wear a wrist splint.

Doctors may recommend that you refrain from putting any physical stress on the wrist. Complications of surgery are exceedingly rare, but refrain from putting too much stress on your tendons for some time.

Conclusion

De Quervain’s tendinitis makes it difficult and painful to use the thumb and wrist properly. Fortunately, it is a quite treatable condition and there are many treatment options like medication (NSAIDs), therapies, and wearing splints, available to treat it.

However, if these treatment options fail to provide wrist pain relief, then surgery becomes the last De Quervain’s treatment in Hyderabad available.