Tenosynovitis:
Trigger finger &
de Quervains

Tenosynovitis:
Trigger finger &
de Quervains

Does your finger or thumb get stuck in a flexed position so that you have to forcibly extend it (with a click and a jab of pain)? This is Trigger finger.
Does your wrist hurt when you move your thumb? This may be De Quervain’s tenosynovitis.
Both conditions can be relieved, and often fixed long term, with a cortisone injection. If they recur then a minor surgical operation under local anaesthetic can provide the definitive fix.

Post-Operative Care

Risks

It is rare for the symptoms of carpal tunnel syndrome not to resolve completely – other than residual numbness if the condition has been allowed to progress too far. Severe cases may have paralysis of the muscles at the base of the thumb so that you can no longer lift it out of the plane of the palm.

In severe cases this paralysis may not recover. Very rarely a tender point (neuroma) develops in the scar at the base of the palm This can usually be fixed by excision of the scar at the tender point. The risk of nerve injury is exceedingly small.

Coming from
out of town?

Ideally a consultation should be face to face but is certainly possible to arrange a telephone consultation. If you can email the photos first so much the better. If it is clear what procedure is required then the in-person consultation can be the day before or the morning of the surgery.