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Old 29th December 2009, 14:57   #1
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Default De quervain's Tenosynovitis

Hi All;

I am facing this problem (De Quervain syndrome - Wikipedia, the free encyclopedia) for over 2 years now. DOctors feel that the only treatment possible is a small surgery. I have had two corticosteroid injections which provided temporary relief. The pain comes back and is very severe.

I am not very willing for the surgery so tried out Dr. Sharangpani (Dr. Rajiv Sharangpani). His natureopathy treatment did seem to help a bit but was not successful completely. The pain is back is now even more severe.

Does anyone here has any kind of experience here?

Please help.

Regards,
Ashish

Last edited by Ferrari1976 : 29th December 2009 at 14:58.
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Old 29th December 2009, 18:30   #2
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My wifey had the same problem. Repetitive stress and on top of it I twisted her wrist and the whole thing aggravated. After 8 - 12 months of all sorts of treatment the only solution was surgery.

Surgery was for like 45 minutes max if I remember correctly.

She's alright now.. The pain subsides but some sort of numbness remains at times. Its been 7 yrs now and the only thing that lingers is her capacity to predict weather changes! If it gets a bit cold she can feel the numbness at times.

Read up on the net. The only known solution that seems to work out is surgery.

Her treatment was done in Chennai.
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Old 29th December 2009, 18:39   #3
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I've done the surgery for several of my patients and none have had any problems. Local anaesthetic is injected and the thick fibrous band is released. Smooth gliding movement is ensured. The wrist is rested from heavy work by a small brace for a week. It takes 5-10 mins for the surgery. Go for it. Not worth the suffering.
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Old 29th December 2009, 18:50   #4
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Thanks for the response csentil & wildsdi5530.

I am sure surgery will work, but there still a fear associated with surgery. I do have to say that my doctor is a very good one. I was able to get a Ayurvedic doc reference in Pune. I will try his procedures before option for Surgery. Any ayurvedic doctors on the forum?

@Condor: Thanks for your PM. Coming down to Bangalore, unfortunately, is not feasible. I will surely give it a try if the Ayurveda option also does not work.
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Old 30th December 2009, 01:09   #5
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Quote:
Originally Posted by Ferrari1976 View Post
I am not very willing for the surgery so tried out Dr. Sharangpani (Dr. Rajiv Sharangpani). His natureopathy treatment did seem to help a bit but was not successful completely. The pain is back is now even more severe.
Quote:
Originally Posted by Ferrari1976 View Post
Thanks for the response csentil & wildsdi5530.

I am sure surgery will work, but there still a fear associated with surgery. I do have to say that my doctor is a very good one. I was able to get a Ayurvedic doc reference in Pune. I will try his procedures before option for Surgery. Any ayurvedic doctors on the forum?

@Condor: Thanks for your PM. Coming down to Bangalore, unfortunately, is not feasible. I will surely give it a try if the Ayurveda option also does not work.
Quacks like Ayurvedics and "naturopathists" are just taking your money. Last I heard, these people claimed they could cure AIDS and cancer. But they can't cure a simple joint problem. Get the surgery done asap.
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Old 9th January 2016, 02:20   #6
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Default Re: De quervain's Tenosynovitis

Any luck on this? On youtube I found one video that suggested to try Osteo Bi-Flex triple strength MAS so I ordered & awaiting for it.
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Old 9th January 2016, 05:27   #7
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Default Re: De quervain's Tenosynovitis

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Originally Posted by pranavt View Post
Quacks like Ayurvedics and "naturopathists" are just taking your money. Last I heard, these people claimed they could cure AIDS and cancer. But they can't cure a simple joint problem. Get the surgery done asap.
I observed an old comment denouncing Ayurveda. I find that as an extreme view. In my own family, osteoporosis pain for my father in law completely went away by following ayurvedic medicines. Similarly, my sister in law survived SLE by following Ayurvedic medicines, especially when doctors had given up hope.
I am not sure about this illness but Ayurveda is not quackery but there can be quacks practicing in the name of these practices. They need to be avoided.

Himanshu
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Old 9th January 2016, 09:40   #8
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Default Re: De quervain's Tenosynovitis

Quote:
Originally Posted by kumar7 View Post
Any luck on this? On youtube I found one video that suggested to try Osteo Bi-Flex triple strength MAS so I ordered & awaiting for it.
I was diagnosed with de quervian's about 6 months ago and the scan showed thickening in one of the tunnels. My ortho told me that surgery was the last option and suggested a conservative treatment before that. I was told to use a Thumb Spic Splint to restrict my thumb movement (which caused the most pain), and 2 oils to be applied on the affected area. I followed the treatment deligently and now I'm pain free. I still use the splint while riding and driving, but that is as a precautionary method.

My treatment:

De quervain's Tenosynovitis-20160109_090617.jpg
De quervain's Tenosynovitis-20160109_090623.jpg
De quervain's Tenosynovitis-20160109_090626.jpg
De quervain's Tenosynovitis-20160109_090631.jpg

Thumb Spic Splint - it has a stiff aluminium rod that restricts thumb movement

De quervain's Tenosynovitis-20160109_090459.jpg

Oil to applied twice daily.

De quervain's Tenosynovitis-20160109_090527.jpg
Oil to be applied once a day. Then the hand has to be dipped in hot water and excersised. This is for loosening the tendons.


An uncle was also diagnosed with it. His treatment was simpler. He applied coconut oil on the wrist and massaged it with the other hand - rolled his fingers around the wrist in continuous circular motions. Slight pressure was applied while massaging. He is also pain free now.
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Old 9th January 2016, 10:08   #9
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Default Re: De quervain's Tenosynovitis

As an Orthopaedic surgeon, I can assure you that surgery is not to be feared and can cure your problem once and for all. The pain comes during movements of the thumb or rotational movements of the forearm, and a splint that restricts the thumb movement and thus relieves the pain is not the real answer, but just an aid. The surgery can be done as a day case under local anaesthesia and hardly takes 15 minutes. Go for it and get a permanent relief, rather than wasting your time and money. Remember that it is purely a mechanical problem, restricting the smooth gliding of the tendons in the compartment and unless that mechanical impediment is cleared , no drug or medicine is going to help you. Simple logic!
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Old 9th January 2016, 10:36   #10
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Default Re: De quervain's Tenosynovitis

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Remember that it is purely a mechanical problem, restricting the smooth gliding of the tendons in the compartment and unless that mechanical impediment is cleared, no drug or medicine is going to help you. Simple logic!
You are correct. And I would have gone for the surgery if this treatment hadn't worked for me.

But in my case, the splint prevented further aggravation; the medicine and the exercises cleared the impediments. I have no pain and I have regained full movement of my wrist. My ortho specialists were Dr. Kiran Acharya and Dr. Anil Bhat from KMC, Manipal, and my mother who is a Family Physician.
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Old 9th January 2016, 11:43   #11
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Default Re: De quervain's Tenosynovitis

Surgery is the last resort for a tenosynovitis/ tendinopathy. Over 90% of cases can be managed conservatively with a few requiring corticosteroid injection. A very small percentage require surgery, nevertheless it does get rid of the problem.


Quote:
Originally Posted by samaspire View Post
You are correct. And I would have gone for the surgery if this treatment hadn't worked for me.

But in my case, the splint prevented further aggravation; the medicine and the exercises cleared the impediments. I have no pain and I have regained full movement of my wrist. My ortho specialists were Dr. Kiran Acharya and Dr. Anil Bhat from KMC, Manipal, and my mother who is a Family Physician.

You were in great hands I would say, knowing both of them personally. They're great doctors and nice people.
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Old 10th January 2016, 08:23   #12
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Default Re: De quervain's Tenosynovitis

I should have updated this thread earlier. My case was like a hindi film climax. On the night before the surgery, I founf this youtube video:


These exercises cured my left hand immediately and then the right had was cured within a couple of weeks.

Current state: Absolutely pain free with no indication of any problems in both my wrists.
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Old 29th February 2016, 03:59   #13
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Default Re: De quervain's Tenosynovitis

I tried Osteo Bi-Flex triple strength MAS pills but that didnt helped. I tried Sandhi Sudha oil and within 2 weeks almost 75% I am feeling better. So for benefit of all, try this & I am not promoting this product. For last 4 -5 months I gone through deep pain so if anyone else is still having this issue then try it.
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