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Operation De Quervain's Disease

Effective solution for wrist and thumb pain

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Does your wrist hurt on the thumb side, especially when gripping or turning your hand?
Trust the experts at Perfect Clinic to help you solve the problem.

Information about the procedure

What is Quervain’s disease?

De Quervain’s disease (also stenosing tendovaginitis) is a painful inflammation of the tendons and tendon sheaths of the thumb in the wrist area. If conservative treatment does not help, surgery offers permanent relief. It is an inflammation of the tendons and their sheaths (tendovaginitis) in the area of the first tendon compartment of the wrist. The tendons of the muscles responsible for unwinding and extending the thumb are affected. As a result of the inflammation, the tendon thickens and the tendon canal narrows, causing pain and restricted movement of the thumb and wrist. It most often affects middle-aged women, young mothers or people performing repetitive hand movements.

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How can this procedure help you?

What problems does it solve and who is it suitable for?

This procedure is performed under:

Analgosedation
Local anaesthesia
General anaesthesia

Indications:

  • Chronic pain in the thumb wrist area that persists for at least 3 months
  • Limited thumb range of motion
  • Inflammatory thickening of the tendon channel
  • Difficulty in normal activities (grasping, lifting the child, working)

Suitable for:

  • Patients with failure of conservative treatment (splints, sprays, physiotherapy)
  • Persons with long-term pain when moving the thumb
  • Persons with hand strain (PC work, manual work)

Procedure overview

Treatment procedure

1

Consultation with a doctor

  • Clinical examination, a typical test is the so-called Finkelstein test – pain when bending the thumb into the palm and tilting the wrist towards the pinky edge.
  • Recommendations for surgical solution
2

Preparation before the procedure

  • Discontinue or adjust the dosage of blood thinners 7 days before the procedure as agreed with the doctor
  • 2 – 3 hours before the procedure a light meal
  • Not wearing jewelry or nail polish in the area
3

Procedure

  • Outpatient procedure lasting about 20-30 minutes
  • The surgeon makes a small incision in the wrist area and releases the narrowed tendon channel
  • The tendon can move freely without friction and pressure
4

After the procedure

  • Hand elevation is recommended
  • Rest and analgesics
  • It is necessary to warm up the thumb and wrist early to avoid adhesions
5

Follow up

  • Takes place in approximately 7-10 days, depending on individual healing

Want to know more?

Put yourself in the hands of experienced professionals - arrange a consultation at one of our clinics and together we will find the best solution.

Pavel Coufal, Perfect Clinic
Richard Billich, Perfect Clinic

Recovery

Aftercare

Increased restriction: rest for a week after the procedure

Recommendations

  • Return to normal activities in 1-2 weeks
  • For physically demanding work after 3-4 weeks
  • Early rehabilitation and scar care is important

Contraindications

Possible complications

The treatment is not suitable for people who:

  • With acute infection in the hand area
  • With allergy to anaesthetics
  • With severe overall disease without compensation

Possible complications are rare and may include:

  • Swelling, hematoma, infection
  • Scarring, tendon adhesions
  • Nerve injury in the wrist area (rare)


It is always important to consult your doctor before treatment.

Other services

For a perfect result

The procedure can be effectively combined with other services available at Perfect Clinic:

Trigger finger surgery
Trigger finger surgery

Effective solution for painful trigger fingers

LED phototherapy
LED phototherapy

Skin revitalisation with light energy

Dupuytren’s contracture surgery
Dupuytren's contracture surgery

Solution for finger and palm contractions

Price

Every patient is unique – to ensure the highest level of care and precision, each treatment plan at Perfect Clinic is tailored individually based on your personal needs and goals.

Please complete a short consultation form, and our specialists will provide you with a personalised treatment proposal and exact pricing.

Request a personalized quote

Your first step to beauty and self-confidence

Does your wrist hurt on the thumb side, especially when gripping or turning your hand?

Schedule a consultation and take the first step on your journey to beauty and self-confidence.

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