What is De Quervain’s Release?
De Quervain’s tenosynovitis occurs when the tendons on the thumb side of the wrist become irritated and inflamed. Swelling within the tendon sheath can limit the tendons’ ability to glide smoothly, causing pain with thumb and wrist movement.
De Quervain’s release is a surgical procedure that creates more space for the affected tendons. During the procedure, the tendon sheath surrounding the inflamed tendons is released, relieving pressure and allowing the tendons to move more freely. The goal of surgery is to reduce pain, restore more comfortable movement, and improve wrist and thumb function.
De Quervain’s Release Procedure
De Quervain’s release may be performed in the office using local anesthesia or in the operating room with sedation.
During the procedure, the surgeon carefully releases the tendon sheath to create more room for the inflamed tendons to glide. Once the release is complete, the incision is closed using absorbable sutures and skin glue.
Your surgeon will review the procedure, answer your questions, and discuss what to expect before surgery.
Nonsurgical Treatment for De Quervain’s Tenosynovitis
Nonsurgical treatment is generally considered before surgery. Treatment may focus on reducing irritation and inflammation around the affected tendons. Options may include:
- Rest and activity modification
- Bracing
- Steroid injections
De Quervain’s release is considered when symptoms continue despite nonsurgical treatment or when pain interferes with normal use of the wrist and thumb.
Is De Quervain’s Release Right for You?
De Quervain’s release may be appropriate when persistent pain makes it difficult to comfortably move or use the wrist and thumb. You may be considered for surgery when:
- Symptoms have not improved with nonsurgical care
- Pain interferes with normal wrist or thumb movement
- Everyday hand activities have become uncomfortable or difficult
Your provider will make a recommendation based on your symptoms, physical examination, and response to previous treatment.
Frequently Asked Questions
Is De Quervain’s release performed in the operating room?
The procedure may be performed in the office under local anesthesia or in the operating room with sedation. Your surgeon will discuss the appropriate setting for your procedure.
What happens during De Quervain’s release?
The surgeon releases the tendon sheath surrounding the inflamed tendons on the thumb side of the wrist. This creates more space for the tendons to glide freely and reduces pressure within the tendon sheath.
What should I expect after surgery?
After surgery, patients leave with the hand held at or above heart level. The hand should be elevated for 2 days after surgery. Rest, ice, elevation, and NSAIDs may help manage soreness and swelling.
The wound will usually heal in 1–2 weeks. Surgery does not immediately improve soreness and inflammation. By taking pressure off the tendons, surgery gives the tendons a chance to recover.
What are the risks of De Quervain’s release?
As with any surgical procedure, potential risks may include:
- Incomplete release
- Infection
- Damage to nerves or blood vessels
- Scar tissue formation
- No improvement in symptoms
Your surgeon will discuss the potential risks and benefits of the procedure with you before surgery.
Why Eugene Patients Trust Slocum for De Quervain’s Release
For more than 80 years, Slocum Orthopedics has helped keep the Eugene–Springfield community moving.
Our hand and wrist specialists provide comprehensive care for common and complex conditions affecting the fingers, hand, wrist, and upper extremity, supported by on-site imaging, therapy, and orthopedic surgical care.
