De Quervain's surgery and recovery

[polar28]

I  had surgery on my left wrist for De Quervain's on Dec 20.  My stitches and cast were removed last Thursday and they had some make a splint for me.  The splint is extremely uncomfortable as I am left handed, so I have not been wearing anything.  After a while my wrist will get so sore that I feel nauseated.  I am just wondering if I am doing damage by not wearing the splint.

[broke123]

have u had physical therapy after the surgery?

[bonnielass]

This surgery was performed on Jan 10, 2007, on my right hand. The sutures were removed on Jan 24, 2007.  The doctor immediately released me to work, where I type all day on a computer, with no restrictions, no splint, and no physical therapy. This was after he remarked that the swelling  and bruising (due to so much damage that had to be repaired) should be causing me a fair bit of pain.  Is this the normal course of action?  How long before the pain should subside?

[sammy71]

    I have had a on going problem with pain in my thumb (at the base) and slightly in my wrist, , i have had a steriod shot, and splints and meds etc, nothing is working, i have had only one shot , and novacaine,  and with in hours (3 at most) the pain is substancially worse than it was before i got the shot.  My hand surgeon is/was thinking De Quervains Disease, now he is not so sure, this has been going on since aug 1st 2007.  What i am asking is, what else could it be, what should my next step be?

[mistyblue372]

I had surgery on my right wrist last friday 17th  october my consultant did the surgery which took only nine mins, I have not been given any splints, or anything and he said that I can do normal things straight away but the pain is so bad when I try to do anything with it  do you know how long it takes for any sort of recovery? I thought things would be better but they dont seem to be . is this because the surgery has not worked or that its just recovery time

[mistyblue372]

hi

I had the injection which didnt work for me and like you it was much worse, so I had the operation on the 17th august 2008 and Im still having problems with it, Im still in alot of pain and there are things I still cant do, Im going to see my consultant on the 12th november for his final prognosis, but I can already tell him that as far as i am concerned its not worked, didnt know what to expect or what the final result should have been but feel very dissapointed with the outcome. Dont know how you feel?

but I really hope you have more luck than I have had, all the best.

julie

[Kikz]

I am having Tendonitis now going 3 months and it hurt so bad to the point that my right hand is almost useless,my 1st doctor have given me some anti-inflamatory to ease the pain and to treat the inflamation but after 3 weeks,sad to say it did'nt worked so i was thinking to have a surgery,this is my first time ever so i am asking if this is painful?how long it take to have a De Quervain surgery?thanks a lot and wish me luck....

[Missy3530]

I just had surgery (about 3 weeks ago) after living in excruciating pain for 2 years.  They started me off with a brace where I couldn't move my thumb.  When that didn't work, I received a cortisone shot.  It felt fine, then it was back with a vengeance in about a year.  I got another cortisone shot then.  In about 3 months, it can back with such pain that it was unbearable.  With the surgery, my pain has gone down from a constant 7 (on the pain scale 1-10 with 10 being highest) which would sometimes shoot up to a 9, to a 0 to 3.  I do some activities with my brace on, like typing, but all other times, I wear my brace from when I first got tendinitis.  Since it's such a short surgery, it's usually easy to get an appointment.  When I decided to have the surgery done, I decided on a Wednesday.  The next Monday I was in the operating room (and I got put to sleep due to a fear of needles).  But, many doctors will only do surgery as a last resort.  I'm a college student currently, and a student teacher, so I know how hard it is to not be able to use your right hand.

[Katy_May]

Hi, how is your hand now?  I have been diagnosed with de quervains in both hands but my right hand is worse.  Had splints and a steroid injection when the splints didn't work, but only worked briefly and I go back tomorrow to see the consultant who said it would be surgery if the injection didn't work.  I'm a bit nervous, I work in a busy office environment and do a lot of typing, if I have the op, how will this be affected in recovering as in being able to use my hand?

[Flare_up]

I started with pain right hand in 2004. After a few doctorss, de quervains diagnosis, cortisone shot, therapy, accupuncture and everything else, I had surgery in Dec. 2007. Horrible but it seemed successful. For the next 2 yrs my hand hurt on and off but less than b4 the surgery. The typing isn't the problem, it's the mouse & texting when I feel the most pain. It's starting to hurt more (even though I don't type or do repetitive tasks as often as I use to). So 2 years later my hand is hurting again (the reason I'm reading & looking for info). The pain is in the same area but different than before, I am wondering if this is common and normal?! I hope it's just a flare-up. Any comments regarding this? Thanks.

[achilles2]

If the splint hurts, see if you can go back and have it refitted. I had a splint made for my De Quervain's and the first one did not fit well. So I just called and went back to he hand therapist who made my splint. She remolded it and now it fits well and I do have any rubbing or pain from the splint.

[steph701]

When I was 8 months pregnant I developed a very bad pain in both of my wrists/thumbs. I went and saw a hand Dr. and he numbed the area to diagnose me with De Qiervain's. He said to do the surgery right away. I was skeptical because of what I read on the internet about all the things I should try first. He said cortosone shots will just prolong the problem and nothing will make it go away but surgery. So since I have 5 little kids and work on the computer I needed to do something fast because I could not function it hurt so bad. I had surgery dec 11th 2009 on both of my wrists. I am pain free! This has been the best thing ever! There is still a slight tightening feeling when I try to bend my wrist towards my pinkie..other than that I can use my thumbs just fine now.
  I was put asleep for the procedure and woke up to my hands wrapped in ace bandages. I bruised really bad on my left wrist due to the tendon being "torn up badly". I kept the bandages on for about 5 days then removed them and just kept cotton with a piece of medical tape over the incision sight till I saw my Dr. 14 days later. He said they look great and I could go back to doing whatever I want. I started lifting weights again and doing my girls hair and of course typing. everyday gets better of course. It takes time for anything to heel but this surgery worked great for me and I hope it does for you too! Best of Luck

[happybunny67]

I had read all kinds of posts about De Quervains, most negative but occassionaly a positive one here and there. I suffered for over six months until I decided to have surgery. The pain had come on seemingly overnight, we thought it was just a sprained thumb. But, by the time I had surgery, I couldn't write, couldn't open doors, use scissors, etc. It was a lot of pain and I do not have a job of repetitive use nor am I a new mother. It just happened.
So I am now six weeks post op from the surgery. There were moments during these last six weeks that I questioned why I had the surgery, I had a lot of nerve pain, skin tenderness etc. But I am happy to say that by following ALL the doctor's instructions, doing physical therapy and very important Scar massage, I am doing really well. The nerve pain is fading and I feel like my hand is back as good as new. I DON'T overdue it though.  You really need to baby your hand and not go over board. It is easy to do when it feels so much better but in the long run you will be happy for it.
Thanks.

[KHAJI]

well hello to my fellow de quervain sufferers. i am too like you all suffering with pain. i have been diagosed with de quervain's al most a year ago... i wore the brace and it didnt work. i also received 3 injection in my left wrist. i finally got the surgery this year feb/2010. i regret to say that i have not felt this much pain since i had the surgery it is worst. i am constantly in pain. i have to take sleeping pills just to go to sleep at night. my left hand and forearm hurts to the touch. nothing helps. my dr. did not send me to physical therapy, instead he said to continue work with no restrictions. i draw blood, pump a blood pressure cuff, do EKG and give injections i am not healing and i feel like my wrist never had a chance to rest....... what's next

[greenize]

KHAJI,
I too have bilateral de quervains I work as a lab tech and this all started Jun 09. I was off 6 weeks last summer with injections and 24/7 splint wearing. Got better went back to work got worse. Had surgery Oct 09 and have been off (except 3 days in Dec I tried to go back and had to go back home)  My surgeon just released me back to work with the restrictions of no blood drawing. So I am going  back to work  I only work 20 hrs /week anyway so I go back to those hours with the restrictions.  I have learned a lot these past 5 months.  The first and most important thing is to wear the splints 24/7 stay home from work ( I filed a work comp claim) and rest rest rest those thumbs. I started hand therapy 10 days post op  and have been going most weeks twice weekly.  This is a serious thing and if you don't recover the right way you will be having problems forever.  I am at about 90% pain free and the pain is mild and only if  I pick up something too heavy or if I do too much without my splints. It's been slow going but I am seeing the light at the end of the tunnel.  I still have good days and a few not so good.. You my friend need to get proactive and demand your doctor to give you a work release and stay home if you can, otherwise you put yourself at risk for this not getting better. Remember the operation just releases the tendons it does not take away the inflammation that started this mess to begin with.  This will affect your livelyhood get off your butt and get er done!!!!!!!!!!!!!!!!!!!

[sway108]

I had my surgery last May 20 for DQT.  My pain started during the third trimester of my third pregnancy.  It was painful but bearable, only when it gets bumped by accident that it hurts really bad.  At first I was diagnosed with ganglionic cyst and was given a cortisone shot six after being diagnosed but three months later the pain was back.  I tried to bear the pain which was getting worse.  To make story short, after almost two years of pain I went to another doctor who right away scheduled a surgery.  So now I am hoping that this surgery will heal nicely and get rid of the pain.

[lignessa2]

I am 4 months post injection for deQuervains. I was referred to the doctor for an ultrasound/MRI, but he assured me I did not need it and an injection in my wrist and thumb would fix me up. The injection in my wrist was extremely painful and it felt like there was some resistance-I told him it was very, very painful. When he was done, i did not want the thumb injection, but he said they work together. That one was not as bad, and my thumb became numb. My wrist however felt horrible. I am a wheelchair user, independent, work-out, etc. I had to be wheeled to a room for a therapist to make a thumb-spica splint. Again, I mentioned extreme pain, as the therapist said the lidocaine should have numbed my wrist. I could not leave the building, get into my van or start the engine ..I asked a stranger for help and called the doctor's office from my cell phone and the secretary came down to start my van. I have not driven, wheeled my chair or been independent since. I now have severe atrophy, nerve damage, and cannot use my hand. The doctor has since said he does not know what is wrong with me and cannot help. My 2 follow up visits with him were basically him telling me I was okay. My thumb also locked behind my palm immediately after the injection, if I tried to move it or if it was touched..that did resolve after 2+ months. I had tenderness in my wrist for 6 weeks prior to the injection for a "twist" injury while I was with my physical therapist. Occassionally in the night and early morning, I would feel like my wrist would catch and you could see it click and slightly bulge at the wrist. This never happened in therapy (of course), so my therapist suggested I film it if it happens, which I did. I tried to show it to the surgeon before my injection as I had only tenderness when he examined me, but he would not look at it. His OT insisted he see it on my follow-up visit and he flipped out because it is a video of "true Trigger wrist" no finger involvement-just wrist movement triggering-he asked me to copy my cell pjone video for him. His colleague responded the same saying it has never been filmed before. So, I have had to leave my apartment and am staying with a friend. No one will address my symptoms..I am at a loss.I finally did get an MRI and EMG..progressive nerve damage and pinhole tears in tendon. Does anyone have any ideas? Thank you for reading this.

[happybunny67]

I am sorry I have not checked this forum in a long time.

I want to say that it has been over a year (for some reason I was thinking it was almost 2 until I saw my post up there) anyway, I feel completely 100 percent normal. It feels like it did before the pain started.

I am so sorry to those of you that have not had good results. Here are some of the specifics that my surgeon told me he did that were different than most, he said he releases the tendon further up the forearm than is usual for most of these surgeries and he feels that is very important. I would have to agree.

He also specifically made sure that I started massaging and getting to physical therapy right away which I did. The only thing I didn't do was massage soon enough and I have a small pucker at the incision site but that is so minor compared to the pain.

For those that still have pain after the surgery, I am so sorry to hear that. Get your doctor to follow up with physical therapy and ask them how far did they release your tendon from the sheath that tightens up around it. My surgeon went up into the base of the thumb and part way up my forearm.

Now, I had tenderness and loss of feeling for a while but it did come back. My thumb tingled and felt like it was asleep for a good amount of time, at least 6 months total but it feels completely normal now.

I would advise that anyone that has this to really take it easy as long as you possibly can and do as much with your opposite hand as possible. If you need both wrists done, I would take as much time in between as you can so that you can really baby that post op wrist. The more time you allow to heal and the better you are at massage and physical therapy, the better you will feel in the long run.

Best of luck everyone. If anyone lives in the Central PA region, I would completely recommend my surgeon.

Good luck.

[neckandshoulders]

I have glanced through most forums, blogs, etc. on de Quervain and may have a few useful aspects to share. I waited to publish anything because I wanted to test everything and give it time to prove success. I have had phenomenal success with mainly some simple exercises and stretches and am functioning pretty much as I had before the onset. I will not label my success as a cure because I know this condition can come and go, but will provide updates if my path changes again. I feel a bit of background is important in case you find other insights or ideas.

I was diagnosed with de Quervain symptoms in both wrists since the summer of 2009 and had some really bad bouts of pain, burning, waking with aches, tingling in the index finger, etc. during 2009 and the summer of 2010. I immediately rand to the orthopedic clinic and was almost forced to consider surgery. I ran! It came on very sudden after a long car trip, in which I tend to extend and push my thumb on the top of the steering wheel. I also tend to push on my thumb and pinkie in locked extended position with the use of a turbo mouse. The pain got so bad I thought I was going to have to give up my work in graphic design. I have tried everything except surgery. I did one Cortizone shot and it abated the pain for about 2-3 months. Hand massage and stretching helped a little. Took some meds, mainly for the inflammation, but was not interested in masking the pain. Did a few ultrasound and infrared sessions, felt cool, but worked like the massage. Chiropractic treatments seem to be doing something, but did not take the pain away completely. Focused heavily on posture, ergonomics at work, changing habits, rest, etc. Had two free deep massage sessions on my neck on shoulders and felt great for a few days. I had full spectrum blood/systemic tests and checked for deficiencies (was a bit low in B-12 and docs asked about my diet which did not include a lot of animal protein). I looked into prolotherapy, PRP injections and acupuncture, but did not commit. Even inquired about neuromodulation, but figured I would never be a good candidate. Tried lots of different types of exercise and usually felt pretty good during a good cardio workout, probably because of good blood flow. Copied a slow hand-weight regimen I saw on YouTube. Tired my own set of isometric weight exercises (5-10 lbs. at the most), didn't help or add to the pain, interestingly. Tired 3 different types of mouse and keyboard set-ups. Bracing, tape, splints, immobilization, etc. was fine until I took off the brace off, I even tested a prototype cast from Exos Medical (I mentioned this company because I spoke briefly with their sports physiologist who told me something important that stuck in the back of my mind and will get to further in). I searched and searched for more information and never found anything useful and most was not very positive. I assume those who have found relief do not share their results for whatever reason, but I am driven to provide some insight since I know the feeling when you don't know where to turn.

In the winter of 2011 I recalled my conversation with the Exos sports physiologist, the chiropractor and the deep massage sessions. I was too focused on just my wrists, fingers and forearm and really had not tried anything in the upper body and neck. I started some simple slow motion neck movements and stretching in the shoulders, neck and arms. I am not saying this is a cure, but I have been almost pain-free, without inflammation, etc. since the early spring 2011. One hypothesis is that the condition, whether de Quervain or not, is being created by a combination of the subluxation that I have in the extremity joints and the involvement of nerves that emanate from the lower cervical (neck) region also as it all ties together with the muscles in the upper body. Whenever I take a shower I do some very simple stretches and movements and focus on my neck, upper shoulders, back, forearm and a bit on the fingers and wrists. If interested, I can try to explain the mechanics in a future post. I did not try any more upper body deep massage, but that may help and certainly can not hurt. The only other things, to which my success, can be attributed would be the additions of a complex B vitamin and more protein. I also do not try to lock my thumb in a stretched position for any long periods. There is nothing else I have changed in my lifestyle, diet, etc. And I'm sure my posture has gone back to its bad habits. The only time I feel a tinge of the pain is when under stress or have forgotten to do my stretching for a couple days or have not exercised. Otherwise the only feeling I have is some stiffness.

I do have a couple strong opinion. First, do not jump to surgery, you are your own advocate for your health and you owe it to yourself to consider all the options and test a few things. Even if you have gone through surgery and have not had complete success you can still try other options. Surgery may work and may be the end option, but found only a handful of physicians who would consider other treatments or would offer up information of success stories. Second, rest is not the answer in my case, the only time I got relief was when I was aggressively using my hand, thumb, the muscles, etc. The sports physiologist said he had seen many cases of de Quervain and nobody ever did more damage when pushing hard during exercise or doing tasks that involved grasping, pushing, etc.. A lot of his athletes would, as he put it: "stretch the hell out of those muscles and work your back and upper body as hard as you can."

I hope this provides some hope and ideas to try. I would be happy to provide more detail and would love to hear more thoughts.

[AellaJo76]

Hi
I had the operation for De Quervain's almost five years ago.  As I worked in a Control room I had been using a touch screen (right hand only) for ten years and have been a touch typist since I was 16 (I am now 35).  
About two to three years before the operation I began experiencing sharp pains in my right wrist whilst trying to grip objects.  This worsened and my thumb began to lock into place, usually whilst I was asleep.  The pain was awful and would wake me up.  
I was referred to a hand specialist after visiting my GP and after the consultant had also asked for a second opinion I was diagnosed with De Quervain's, and was given a steroid injection.
After the first injection hadn't worked and the pain became worse my consultant decided on surgery.
I had the surgery on the NHS and unsurprisingly the consultant who has his own private practise was called away.  This meant I another surgeon carried out the operation, under too little anaesthetic.
After the operation I was sent home with a bandaged wrist and instructions not to move the wrist or get the bandage wet for a week.  I was also given an appointment to see a physiotherapist after two weeks.
I attended the physiotherapist appointment and was asked what exercise I had been doing.  To which I replied "None, I wasn't given any".  I was given a number of exercises and told the scar tissue had already begun to heal over the tendon.  I was not amused!
After being off work for three months and thankfully being in the Fire Service I was sent for two periods of two weeks at the Fire Service Therapy Centre, for physiotherapy and management of the problem.
Whilst there I was given intensive exercise and ultra sound over the tendon and scar tissue.  All of this helped, but unless you keep the ultra sound and exercises up it begins to seize up again.
Five years on and I am in agony with it.  The swelling is now on the right side of my wrist as well as the left and I have lost full movement in my wrist.  If I had the choice again I don't think I would have the operation as it now looks as if I'll be needing another.  I would of sort alternatives, if I had received the proper advice.
I also have a friend, who knows someone that has had an operation for De Quervain's four times.
Please do your research and make sure surgery is the best way forward.  Also make sure they give you the correct exercises straight away.

[billie100]

had quevain's surgery three weeks ago (10/26/11).  stitches taken out 5 days ago.  i had absolutely no discomfort until today.  i am in a brace and will start massage in a couple of days.  i have a bandage over the incision and the brace over that.  i have had a little bleeding.  is that unusual?  how do i do massage if the incision hasn't closed completely?  my thumb is aching now... is that unusual three weeks post surgery?  I've had no signs of swelling or signs of infection other the moderate thumb pain.

[billie100]

had quevain's surgery three weeks ago (10/26/11).  stitches taken out 5 days ago.  i had absolutely no discomfort until today.  i am in a brace and will start massage in a couple of days.  i have a bandage over the incision and the brace over that.  i have had a little bleeding.  is that unusual?  how do i do massage if the incision hasn't closed completely?  my thumb is aching now... is that unusual three weeks post surgery?  I've had no signs of swelling or signs of infection other the moderate thumb pain.

[Ctbisme]

Hi everyone,
I had the surgery two weeks ago, and my bandages came off one week ago. Ever since the surgery I haven't had feeling in a circle covering the first knuckles of my thumb and forefinger. Can anyone tell me if they experienced this too? I'm just worried they got the nurse and my next appointment isn't for another 3 weeks.
Thanks!

[prplmeanie]

Can you explain to me the stretches and exercises you do to release the neck and shoulder tension that may be causing the wrist pain? I have DeQuervain's in both wrists but I am a graphic designer (ie I need to be able to use the computer all the time) and I like to do fairly strenuous work-outs (like P90X or something with resistance bands) but I'm in a lot of wrist pain and they've been getting much worse in the last few months. My doctor says the next step is surgery (cortizone shots helped for a while) but I really don't care to take the surgery step if I don't have to. Any pointers to relieve the pain without surgery would be appreciated! Thanks!

[neckandshoulders]

Hello prplmeanie,

As you may have read from my previous post, I also work in design and am not sure de Quervain is related or caused by overuse, but I sure know the pain is causes, regardless. I have posted my regime on a musician's forum and have learned a few things from that time forward. Here's the link, scroll down, listed under neckandshoulders: http://forums.musicplayer.com/ubbthreads.php/topics/2375081/1 Do note I am no expert and one does need to be extra careful, especially when it involves the neck, but I have kept with this routine of stretch & hold techniques combined from other therapies, non-physician sites, PT visits, etc. with a few small adjustments and some proper movements learned from Alexander Techniques added. Interesting, as you mention strenuous workouts, when I had the worst of the symptoms that's when I did find a bit of relief (probably getting good blood flow) and I did try a low hand-weight regime (seen on YouTube), which neither helped, but did not make it worse either. Some "as of late" notes: I have read more that dQ may truly be a form of tendonitis, which would not respond to bracing, immobilization, Cortisone shots (only abates pain/inflammation for awhile) and certainly not surgery. There was also a video segment where one immerses the hand, wrist and upper arm in water as cold as you can stand it and then immersing into hot water, may help relieve inflammation, but still probably won't get at the core of the problem. Also heard possible low vitamin D, but there is always stuff out there about deficiency causes. Still believe, in general and in my case, it's about interconnection, learning how to change movement pattens to correspond with your physiology, focus on arm, shoulder, back and neck, treat as tendonitis, getting good blood flow to the very narrow wrist region, look at posture, ergonomics and not letting the symptoms get too intense. Hope you avoid surgery, I hear many cases where the pain comes back and with additional complications. Can try to chat with you offline, if interested, not sure how this forum works. Will keep checking back.