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Steroid injections are an effective first-line therapy for flexor tenosynovitis of the hand, with a number needed to treat [NNT] of 2.

De Quervain's Tendon Release: What to Expect at Home

Injection into the tendon sheath may not be critical to a successful outcome SOR: B , based on 1 prospective uncontrolled trial. Injecting into the tendon compartments was more effective than injecting into the surrounding soft tissues SOR: B , based on 1 prospective controlled trial. I typically have excellent results, with patients returning to function within 72 hours. Depigmentation and atrophy can occur with injections, especially in small-statured or dark-pigmented patients.

Mayo Clinic Minute: Is your thumb pain de Quervain's tenosynovitis?

Infectious tenosynovitis must be recognized early; it is typically due to lacerations or puncture wounds. In these cases, I immediately refer to orthopedic surgery for further treatment and evaluation. The exact location of a steroid injection for flexor tenosynovitis of the hand does not appear to be important. Flexor tenosynovitis: Steroid injections provided relief. A prospective, double-blinded RCT 2 published by an orthopedic group in compared 24 patients with primary flexor tenosynovitis.

A successful outcome was defined as absence of triggering and pain, both subjectively and on examination.

Are steroid injections effective for tenosynovitis of the hand? | MDedge Family Medicine

Follow-up examination was completed for all patients at 3 weeks and 4 months after injection. No significant side effects were noted. It is unclear how the study blinded the white, thick consistency of betamethasone compared with the clear nature of lidocaine alone. Injection site may not matter. It happens when the tendons around the base of your thumb become irritated or constricted from overuse.

This causes pain along the thumb side of your wrist with some actions such as grasping, gripping or when turning your wrist. Although the exact cause of de Quervain's tenosynovitis isn't known, it is believed to be associated with overuse due to repeated hand or wrist movements, such as those used when gardening, playing golf, hammering nails or lifting your baby.

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This causes swelling of the tendons in your wrist. Your doctor or physiotherapist will be able to make a diagnosis based on an examination of your wrist and an assessment of its movements.

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What causes upper extremity tenosynovitis?

Patients with this disorder should always receive instructions in combination with another form of treatment, such as nonsteroidal anti-inflammatory drugs NSAIDs , splinting, NSAIDs plus splinting, corticosteroid injection, corticosteroid injections plus splinting, or surgery. Phys Ther. Goel R, Abzug JM. Systematic review and meta-analysis on steroid injection therapy for de Quervain's tenosynovitis in adults. Eur J Orthop Surg Traumatol. Access to the following regional pathways is localised for each region and access is limited to health providers.