De Quervains

Primary care management:

• NSAIDS
• Complete rest +/- splint prior to trial of steroid injection
• Steroid injection – trial of up to 2 injections is recommended if patient gets benefit from the first injection or wishes to postpone / avoid surgery

When to refer for surgical decompression:

• Failed to respond to conservative measures including steroid injection

and

• Patient willing to have an operation

References:

http://policies.kernowccg.nhs.uk/DocumentsLibrary/KernowCCG/IndividualFundingRequests/Policies/MusculoskeletalCorticosteroidInjec

http://www.arthritisresearchuk.org/health-professionals-and-students/reports/hands-on/hands-on-spring-2013.aspx

http://www.bssh.ac.uk/patients/conditions/19/de_quervains_syndrome

 

 

Date reviewed                     13/08/2024

Next review due                  13/08/2026

Sifter name                          Dr Rebecca Hopkins

Contributors                         Meirion Grimshaw, Dr Rebecca Hopkins

 

Version 1.4