Nasser Hyder - Orthopaedic Hand, Wrist and Trauma Surgeon Your Practice Online
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After Care and Therapy

Release DeQuervains Tenosynovitis

Release of DeQuervains Tenosynovitis (Tendonitis) is carried out when non-operative treatments have failed to relieve the pain. Usually two or sometimes three cortisone injections are tried before deciding to carry out surgical release of the tendon. The operation is done under local anaesthetic as a day case procedure.

0 – 2 Weeks

You will be discharged with a bandage round your wrist with some pain killers which may be necessary in the first 2 – 3 days. The bandage is removed after 48 hours at your GP surgery. The wound will be covered with a small sticky plaster. You will need to keep it clean and dry till the skin stitches are removed. The stitches are removed 10 – 14 days after operation again at surgery. You can then wash your hand as required.

Scar Care

It is common for the scar to be tender and sensitive for sometime and you may have to rub cream (E45) on the scar regularly. It may sometimes take around 3 months for the scar to improve. It is occasionally necessary to refer patients to OT (Occupational Therapy) for scar management, which may require the use of silicone gel.

Stretches and Exercise

You should stretch the thumb side of the wrist by bending it in the opposite direction and also by bending the thumb to the middle of the palm. This helps to reduce scarring of the tendon and reduces inflammation.

It is usually possible to return to work after 2 weeks but full recovery may take between 3 to 6 months.

 

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Hand & Wrist Elbow After Care and Therapy