Hi I have de quervian's tenosynovitis on my right hand. It's fine the whole day but it hurts in the night if I don't put on the wrist splint. Is this how it will have to be for the whole life? I have gone to a foctor who gave me some pain killers for a week and suggested complete rest of the hand for a week or so. That is not an option for me. Is there a way out of this other than a surgery?

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. De quervain's tenosynovitis is inflammation of sheath of 1st extensor tendons due to which there is pain at the level of styloid process. The treatment depends upon the symptoms you are having, normally ice packs for local application, thumb spica splint for 3-4 weeks not only at night but all throughout, anti-inflammatory medication as per your suitability, local analgesic spray for application but no massage, ultrasonics and laser as physical therapy modalities are useful in many cases. But if it does not get better, then release is better, it is actually a daycare procedure which take about 8-10 minutes to do in ot under local anesthesia, so it is very safe procedure. Do not hesitate to contact me if you need any further assistance.  

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