Radial Styloid Tenosynovitis, often referred to as De Quervain’s disease, is a painful condition that affects the tendons along the thumb side of the wrist. At Tran Plastic Surgery, our board-certified surgeon Dr. Tuan Tran specializes in advanced diagnostic and surgical techniques to restore comfort, hand function, and quality of life for patients suffering from this condition.
If you’re experiencing wrist pain that worsens with thumb movement or gripping, expert evaluation is the first step toward relief.
Understanding Radial Styloid Tenosynovitis
What is it?
Radial Styloid Tenosynovitis occurs when the tendons that control thumb movement become inflamed as they pass through a narrow tunnel (sheath) near the wrist. This swelling leads to pain, stiffness, and in some cases, a noticeable “snapping” sensation with thumb movement.
Why it matters
Because we use our thumbs for nearly every daily activity from texting and typing to cooking and lifting, this condition can significantly impact work, hobbies, and overall hand function. Without proper treatment, symptoms often worsen, limiting independence and mobility.
Anatomy in Simple Terms
Two primary tendons (the abductor pollicis longus and extensor pollicis brevis) run along the thumb side of the wrist. They glide through a protective tunnel lined with a lubricating tissue called the synovium.
When the sheath thickens or tendons swell, movement becomes restricted, causing pain and irritation. This is the hallmark of Radial Styloid Tenosynovitis.
Causes and Risk Factors
This condition is most commonly linked to:
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Repetitive hand use (typing, texting, lifting, or sports activities)
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Pregnancy and postpartum changes (often called “mommy thumb”)
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Inflammatory conditions such as rheumatoid arthritis
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Age and gender factors, with middle-aged women being most frequently affected
Symptoms to Watch For
Typical signs include:
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Sharp or aching pain on the thumb side of the wrist (worsens with gripping or twisting motions)
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Swelling near the base of the thumb
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A snapping or catching sensation during thumb movement
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Difficulty grasping objects or performing tasks like opening jars or lifting a child
These symptoms can mimic other hand conditions. For example, tendon pain may sometimes be confused with Scaphoid Fracture of the Wrist or even nail bed pain caused by Onychomycosis (Nail Fungus). This makes professional evaluation critical.
How Diagnosis is Made
During your consultation at Tran Plastic Surgery, Dr. Tran will:
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Review your medical history and daily activities.
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Perform a physical examination including the Finkelstein test, where the thumb is tucked into the palm and the wrist bent toward the little finger. A sharp pain during this maneuver strongly suggests Radial Styloid Tenosynovitis.
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Order imaging tests if necessary, to rule out fractures or arthritis.
Treatment Options at Tran Plastic Surgery
The primary goal is to reduce pain, restore mobility, and prevent recurrence. Treatment is always personalized to your condition and lifestyle.
Non-Surgical Management
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Splinting: Immobilizing the wrist and thumb to allow tendons to rest.
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NSAIDs: Oral or topical anti-inflammatory medication to decrease swelling and pain.
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Activity modification: Avoiding repetitive thumb movements and using ergonomic supports.
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Corticosteroid injection: Directly reduces tendon sheath inflammation. In many cases, this provides long-term relief after just one injection.
Surgical Treatment
If conservative care fails, Dr. Tran may recommend a surgical release procedure.
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The tight sheath around the tendons is carefully opened to relieve pressure and allow smooth gliding.
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This is typically performed as an outpatient procedure under local anesthesia.
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Patients usually regain improved mobility and pain relief within weeks.
Recovery and Rehabilitation
Most patients resume normal activities once pain subsides and strength improves.
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Physical therapy may be recommended to restore flexibility and prevent stiffness.
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Post-surgical patients often experience significant symptom relief and improved hand function.
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Long-term outcome is excellent, with most patients returning to pain-free daily activities.
Why Choose Tran Plastic Surgery?
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Board-Certified Expertise: Dr. Tuan Tran is a trusted plastic and reconstructive surgeon with extensive experience in hand surgery.
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Comprehensive Care: From conservative treatments to advanced microsurgery, we tailor solutions to each patient.
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Patient-Focused Approach: Our Huntington Beach clinic emphasizes comfort, education, and long-term results.
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Specialized Services: In addition to treating Radial Styloid Tenosynovitis, we provide a full range of Hand Surgery services.
Take the First Step Toward Relief
If thumb or wrist pain is interfering with your daily life, don’t wait for symptoms to worsen. At Tran Plastic Surgery in Huntington Beach, we’re here to restore your hand health and confidence.
📞 Call us today at 714-839-8000 or request an appointment online through our Contact Page.
*References:
✍️ OrthoInfo. (2020). Diseases and conditions: De Quervain’s tendinosis. Retrieved from https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis/