DEQUERVAINS TENOSYNOVITIS

This is a painful condition where the thumb tendons get inflamed at the pulley at the wrist. There is pain on movements of the thumb at the wrist and tender if you press at the wrist on the thumb side .

Treatment 

Rest, Ibuprofen/Diclofenac gel  or oral painkillers can sometimes ease it

Splint: Thumb splints can rest the tendon and reduce the inflammation, but may not be practiocal.

Cortisone Injections can in most cases give good relief, but has to be done by a specialist. 

Operation can be done by ‘freezing’ the area ( under local anaesthetic) to release the tendon if steroid injections are ineffective or it recurs. Operation is effective, safe and with low complication rate.