If you feel a stop-and-go sticking sensation with thumb movement and have chronic pain and swelling along the base of the thumb at the wrist, you might be suffering from de Quervain’s tenosynovitis. Also referred to as de Quervain’s disease or de Quervain’s syndrome, other identifying symptoms include:
De Quervain’s syndrome symptoms can present as either sudden onset or with a gradual increase in intensity, with both cases getting noticeably worse over time. De Quervain’s syndrome symptoms are caused by inflammation, irritation, and swelling of the thumb tendons and the sheaths which they normally glide smoothly through. Underlying causes include a direct blow to the thumb, repetitive activities—gaming, gardening, racket sports, work tasks—that stress the tendons, and/or inflammatory conditions such as rheumatoid arthritis. Anyone can get de Quervain’s tenosynovitis, though it’s more common in women than men and typically affects people between the ages of 30 to 50.
Assess and Treat Your De Quervain’s at Naples Plastic Surgery
If you have been experiencing symptoms associated with De Quervain’s syndrome in the southwest Florida area, consider a consultation with Dr. Jason Crespo, MD, a board-eligible plastic surgeon and hand surgeon at Naples Plastic Surgery. Dr. Crespo’s extensive medical training in orthopedic hand surgery and plastic surgery makes him uniquely qualified to assess and treat all issues that impact proper functioning of the hands and fingers.
De Quervain’s Tenosynovitis Treatment in Naples
Prior to suggesting any treatment options, Dr. Crespo will assess your medical history and conduct a physical examination of your hand. In addition to checking for pain and normal range of motion, your surgeon will also perform a Finkelstein test. This range of motion test is considered a definitive diagnostic tool for the condition. Dr. Crespo typically relies on three different treatment options to address De Quervain’s syndrome: custom splint fabrication, steroid injection, and first dorsal compartment release surgery.
Custom splint fabrication is an option Dr. Crespo recommends for those with milder cases of De Quervain’s syndrome. This involves the customized bracing and/or splinting of your wrist and thumb to take pressure off the tendons and give them time to heal. In such cases, Dr. Crespo recommends a certified hand therapist, who may also conduct some physical therapy as part of the treatment.
Dorsal compartment release surgery generally provides a long-term, and usually permanent, cure, as the surgery opens up any constricted portions within the sheaths. Dr. Crespo performs the outpatient surgery with the majority of his patients using what is known as “WALANT” (wide-awake, local-anesthesia, with the option to perform with or without a tourniquet) surgery with minimal incisions. This means that there is hardly any downtime and most patients can use the affected hand immediately. Some patients, such as those prone to anxiety, are not eligible for WALANT, but can have the same surgical procedure performed under a regional anesthetic and monitored IV sedation.
Patients typically experience immediate relief from pain and a rapid easing of other symptoms. Dr. Crespo conducts a follow-up exam about 10 to 14 days after the surgery, at which point the stitches are removed.
Naples Plastic Surgery places the same commitment to superior patient care, comfort, and individualized service on our hand surgery patients as we do for our cosmetic patients. We strive to treat you like you’re the only patient in our office each step of the way, and our staff and surgeons go above and beyond to ensure your comfort, relaxation, and that all questions or concerns are addressed.
Also, as a plastic surgeon, Dr. Crespo keeps the final aesthetic result of a procedure at the forefront of his mind alongside the functional result. Plastic surgeons are experts at minimizing the appearance of scarring and helping ensure a full cosmetic recovery after any kind of surgery, and hand surgery is no exception.
At Naples Plastic Surgery, our cosmetic services are designed to contour and enhance your body to help you achieve the body image that you desire. Known for offering among the best facial plastic surgery in Naples, our board-certified surgeons are known as much for their artistry as they are for their surgical skills. We understand that your image is the key to feeling great, so we will provide you with the most reliable advice and services to help make you look and feel your best.
The surgical team at Naples Plastic Surgery has the training and experience necessary to help you pursue your own individual cosmetic goals down to the very last detail, all in a warm, comfortable, and private environment.
Dr. Jason Crespo, MD, is a board-eligible plastic and hand surgeon who is fluent in English and Spanish. He obtained his Medical Doctorate at The University of Connecticut School of Medicine. Dr. Crespo then completed an integrated plastic surgery residency, followed by an orthopedic hand fellowship at UMass Medical School in Worcester, MA.
The plastic surgery process at Naples Plastic Surgery begins with a one-on-one, confidential consultation in which your surgeon conducts an examination to determine which procedures are likely to produce the most robust aesthetic improvements. This includes a comprehensive discussion with you to identify the benefits, risks and costs associated with each procedure. It may be possible to combine a number of surgical procedures into a single surgery if you desire and if your medical condition permits it.
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Plastic Surgeons | Paul M. Gardner, MD, FACS | Leopoldo M. Baccaro, MD | Jason Crespo, MD