If you don't need surgery, caring for your condition is much the same as preventing it: Request an Appointment at Mayo Clinic Lifestyle and home remedies A physical therapist or an occupational therapist may meet with you after surgery to teach you new strengthening exercises and help you adjust your daily routine to prevent future problems.
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Your health care provider will talk to you about how to rest, strengthen and rehabilitate your body after surgery. In the procedure, the surgeon inspects the sheath surrounding the involved tendon or tendons and then opens the sheath to release the pressure. Surgery may be recommended for more-serious cases. These exercises can strengthen your muscles, reduce pain and limit tendon irritation. Your therapist can also teach you exercises for your wrist, hand and arm. The therapist may review how you use your wrist and give suggestions on how to relieve stress on your wrists. You may also see a physical therapist or an occupational therapist. Avoiding pinching with the thumb when moving the wrist from side to side.Avoiding repetitive thumb movements as much as possible.Immobilizing the thumb and wrist, keeping them straight with a splint or brace to help rest the tendons.Initial treatment of de Quervain tenosynovitis may include: If treatment begins within the first six months of symptoms, most people recover completely after receiving corticosteroid injections, often after just one injection. Your doctor may also recommend injections of corticosteroid medications into the tendon covering to reduce swelling. These include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). To reduce pain and swelling, your doctor may recommend using pain relievers that you can buy without a prescription. If de Quervain tenosynovitis starts during pregnancy, symptoms are likely to end around the end of either pregnancy or breastfeeding. If you start treatment early, your symptoms should improve within 4 to 6 weeks. Treatment for de Quervain tenosynovitis is aimed at reducing inflammation, preserving movement in the thumb and preventing recurrence. Imaging tests, such as X-rays, generally aren't needed to diagnose de Quervain tenosynovitis.