musculoskeletal and connective tissue disorders
De Quervain Syndrome
Treatment of De Quervain Syndrome
Corticosteroid injection Thumb spica splint Sometimes surgery Rest, warm soaks, and Nonopioid Analgesics (NSAIDs) may help in very mild cases of De Quervain syndrome. Local corticosteroid injections and a thumb spica splint help 70 to 80% of cases. Tendon rupture is a rare complication of injection and can be prevented by confining infiltration to the tendon sheath and avoiding injection of the corticosteroid into the tendon. Intratendinous location of the needle is likely if injection is met with moderate or severe resistance. Ultrasonographic guidance is sometimes used. Surgical release of the first extensor compartment is very effective when conservative therapy fails. 