Expert De Quervain’s Tenosynovitis Treatment in London
Target the source of wrist pain with personalised treatment for De Quervain’s tenosynovitis. At our London clinic, we assess tendon-related discomfort and offer non-surgical and surgical options based on your condition and goals.
What Is De Quervain’s Tenosynovitis?
De Quervain’s tenosynovitis is a painful condition affecting the two tendons in the wrist on the thumb side of the wrist. These tendons—abductor pollicis longus and extensor pollicis brevis—run through a narrow tunnel and can become inflamed due to overuse. This results in pain and swelling, especially when moving the thumb or gripping objects.
The condition, also known as De Quervain's syndrome, is common among parents, manual workers, and those who engage in repetitive thumb and wrist movements. A positive Finkelstein test is often used to diagnose it.
Our treatment for De Quervain’s tenosynovitis is designed to reduce inflammation and pain, restore movement, and prevent recurrence.
What Can De Quervain’s Tenosynovitis Treatment Address?
Our expert-led approach can treat De Quervain’s across multiple scenarios:
- Acute Onset: Triggered by repetitive use or new activity.
- Chronic Pain: Persistent pain on the thumb or side of the wrist despite conservative measures.
- Work-Related Injury: Repetitive strain injuries from typing, lifting, or tools.
- Postpartum De Quervain’s: A common form of tendinitis in new mothers.
- Refractory Cases: When previous steroid injections or splinting have failed.
Our team will assess the extent of inflamed tissue and determine the right approach, from bracing to decompression of the tendon tunnel.
How Does Our De Quervain’s Tenosynovitis Treatment Work?
Treatment begins with an in-depth evaluation and may include:
- Finkelstein Test: To assess pain on the thumb side of the wrist.
- Splinting: Wear a splint to immobilise the area and ease inflammation.
- Pain Relief: Painkiller medications and non-steroidal options are often used.
- Steroid Injections: For immediate symptom relief and to reduce inflamed tissue.
- Hand Therapy: Exercises from a hand therapist to restore function gradually.
If non-surgical methods are not effective, tendon release surgery may be advised. Surgical decompression of the tendon tunnel is performed under local anaesthetic or general anaesthetic as a day case. The procedure creates room to move without pain by releasing the tendon sheath and clearing any constriction.
Treatment Overview: What to Expect
Your recovery pathway includes:
Consultation
With a specialist hand and wrist surgeon who will review your condition.
Splinting & Therapy
Initial treatment often includes physiotherapist-led support.
Surgery (if required)
De Quervain’s tenosynovitis release is performed as a day case. A small cut is made at the site of operation to allow tendon gliding.
Aftercare
Keep your hand elevated and follow guidance for movement and hygiene.
Healing
Most patients are able to go home the same day and resume light use of their hand within a week. A scar may be sore temporarily.
Our goal is full decompression and function restoration, ensuring long-term freedom from pain.
Why Choose the Institute of Medical Physics for De Quervain’s Tenosynovitis Treatment in London?
We specialise in precise, targeted treatment known as De Quervain’s tenosynovitis release.
Evidence-Based Care
Our treatments follow the latest guidelines for managing tendinitis and tendon sheath disorders.
Surgical and Non-Surgical Options
We offer both conservative therapy and surgery for De Quervain’s, depending on your needs.
Rapid Functional Restoration
Whether it’s hand therapy or decompression, we prioritise recovery with minimal disruption.
Trusted London Facility
Conveniently located and supported by expert diagnostic and rehabilitation staff.
Transparent Pricing for De Quervain’s Tenosynovitis Treatment
We provide a complete breakdown of treatment costs, including non-surgical and surgical options:
- Consultation: Includes assessment and imaging.
- Therapy: Sessions start at £150 with multi-session packages.
- Surgery for De Quervain’s: Pricing includes follow-ups and day-of-your-surgery care.
We offer clarity, support, and excellent outcomes at each stage of your treatment journey.
About the Institute of Medical Physics
The Institute of Medical Physics is a musculoskeletal and neurological care centre based in King’s Cross, London. Founded by Dr. Emanuel Paleco, our clinic focuses on the assessment and treatment of tendon-related and nerve compression conditions using non-surgical and surgical approaches.
We support patients with conditions such as De Quervain’s tenosynovitis, carpal tunnel syndrome, and repetitive strain injuries. Every treatment pathway is built on clinical evaluation, structured therapy, and functional recovery goals—delivered by a collaborative team of physiotherapists, specialists, and consultants.
Lead
Imaging
Compliance
Service & Training
Scientist
Research Director
Operations
Frequently Asked Questions
Is De Quervain’s tenosynovitis the same as tendinitis?
What does the surgery involve?
Is the procedure painful?
Will I need physiotherapy afterward?
Can this condition recur?
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