Symptom Finder - Treatment of De Quervain Tenosynovitis
De Quervain Tenosynovitis (Other tendon sheaths of the hand and wrist may become inflamed and present with similar symptoms and signs, e.g., trigger finger)
1. First, try rest and immobilization with an NSAID such as Naproxen (Naprosyn) 5 mg bid–tid or Ibuprofen 600 mg qid. Other NSAIDs may be tried
2. If above is unsuccessful, inject tendon sheath with lidocaine 1% ½–1 cc and methylprednisolone acetate (Depo-Medrol) ½ cc (20 mg).
3. When above measures fail refer patient to an orthopedic surgeon for surgical release of the tendon.
1. First, try rest and immobilization with an NSAID such as Naproxen (Naprosyn) 5 mg bid–tid or Ibuprofen 600 mg qid. Other NSAIDs may be tried
2. If above is unsuccessful, inject tendon sheath with lidocaine 1% ½–1 cc and methylprednisolone acetate (Depo-Medrol) ½ cc (20 mg).
3. When above measures fail refer patient to an orthopedic surgeon for surgical release of the tendon.
