What Is De Quervain’s Release?
De Quervain’s release is a surgical procedure used to treat De Quervain’s tenosynovitis, a painful condition that affects the tendons on the thumb side of the wrist. The condition is caused by irritation or constriction of the sheath surrounding two specific tendons that control thumb movement. When conservative treatments such as rest, splinting, physical therapy, or steroid injections fail, surgery may be recommended to relieve pain and restore function.
When Is De Quervain’s Release Recommended?
This procedure may be recommended when patients experience the following despite non-surgical treatment:
- Persistent wrist or thumb pain
- Difficulty gripping, grasping, or pinching
- Swelling near the base of the thumb
- Pain that worsens with movement
- A positive Finkelstein’s test
How Is De Quervain’s Release Performed?
De Quervain’s release is typically done as an outpatient procedure under local or regional anesthesia. A small incision is made over the thumb side of the wrist. The surgeon then identifies and carefully opens the tendon sheath that is causing the compression. This relieves pressure on the tendons and allows them to glide freely. The incision is closed with sutures, and a bandage or splint is applied.
Recovery After De Quervain’s Release
Most patients return to light activity within a few days and resume normal function within a few weeks. Physical therapy may be recommended to restore strength and flexibility. Complete recovery can take 4–6 weeks, depending on the individual.
Risks of De Quervain’s Release
Though generally safe, risks may include:
- Infection
- Scarring
- Nerve injury or numbness
- Persistent pain or stiffness
Benefits of De Quervain’s Release
Patients often experience significant relief after surgery, including:
- Reduced pain
- Improved thumb and wrist mobility
- Enhanced grip strength
- Long-term symptom resolution
