De Quervain's Contracture
The problem is a swelling of the tendon sheath around the tendons passing along the distal radial aspect of the wrist. This sheath runs through a tight tunnel holding the tendon down to bone, and this swollen sheath passing through a tight tunnel results in significant pain. For this problem, there are three modes of treatment: no treatment, conservative treatment, and surgerical treatment.
As a last resort, when conservative treatment has failed, surgical decompression of the tendon by opening up the pulley can be performed as an outpatient procedure under local anesthesia with a small incision. This has a good success rate.
Conservative treatment consists of modification of activities, use of a thumb brace and occasional icing, and then possible use of anti-inflammatory medications. If the pain still persists despite the recommended treatment mentioned above, a cortisone injection can be helpful. No more than three cortisone injections are recommended per year in any one location.
OUR THOUSAND OAKS OFFICE HAS MOVED | Our new facility is located off Russell Ranch Road in Westlake Village. MRI and physical therapy will not be moving to Westlake until February 13, but both are still available in our old Thousand Oaks office.x