De Quervains
Referrals for USS guided steroid injections to RCHT Clinical Imaging have restarted. Please note there is limited capacity so referrals should be reserved for patients with significant disabling and persistent symptoms. Please click here for full details
Covid-19 Update: Corticosteroid Injections During The Coronavirus Pandemic
Please ensure and document that a discussion has happened that the patient is aware corticosteroid injections pose a possible and quantifiably unknown increased risk of, and complications from, Covid and the possible risk of reduced Covid vaccine efficacy prior to performing. Secondary care referrals for steroid injection, including image guided injections, require the patient to be counselled and risk assessed prior to referral and this documented in the referral. Please see guidance available here for detailed information.
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://www.bssh.ac.uk/patients/conditions/19/de_quervains_syndrome
Date reviewed 10/12/2021
Next review due 10/12/2022
Sifter name Dr Rebecca Hopkins
Contributors Meirion Grimshaw, Dr Rebecca Hopkins
Version 1.4