Upper Extremity Tendinopathies (trigger digits, deQuervains, Lateral epicondylitis)-Current Treatment of de Quervain Tendinopathy

Current Treatment of de Quervain Tendinopathy

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This document is a summary of a medical review article on the current treatment of de Quervain tendinopathy. The article provides evidence-based information on the pathophysiology, nonsurgical treatment, and surgical treatment of the condition. <br /><br />De Quervain tendinopathy is characterized by myxoid degeneration of the tendon sheaths, rather than acute inflammation. Nonsurgical treatment options include watchful waiting, splinting, and anti-inflammatory medications. Corticosteroid injections are commonly used and have shown to be effective in relieving symptoms. Surgical treatment is usually considered when symptoms persist after nonsurgical treatment. <br /><br />The evidence for nonsurgical treatment includes studies on the use of splints and NSAIDs, corticosteroid injections, and immobilization with or without injections. These studies show varying success rates and some limitations in research design. <br /><br />The evidence for surgical treatment includes studies on the release of the first dorsal compartment, endoscopic release, and excision of aberrant tendon slips. These studies generally show positive outcomes with minimal complications.<br /><br />The article concludes that while there is limited and low-quality evidence available, current treatment options for de Quervain tendinopathy include splints, medications, and corticosteroid injections. Surgery is considered if symptoms persist after nonsurgical treatment. The article recommends future research to address gaps in knowledge and to determine the effectiveness of different treatment options.

Keywords

de Quervain tendinopathy

nonsurgical treatment

surgical treatment

myxoid degeneration

corticosteroid injections

symptom relief

NSAIDs

immobilization

positive outcomes

treatment options