Call us Book appointment

Surgery for de Quervain’s disease

Effective solution to wrist and thumb pain

navigation
Book appointment

Does your wrist hurt on the thumb side, especially when gripping or turning your hand?
Place yourself in the hands of our experts at Perfect Clinic who can help you solve your problem.

Information about the procedure

What is de Quervain’s disease?

De Quervain’s disease (also stenosing tendovaginitis) is a painful inflammation of the tendons and tendon sheaths of the thumb in the wrist area. If conservative treatment does not help, surgery offers permanent relief. It is an inflammation of the tendons and their sheaths (tendovaginitis) in the area of the first tendon compartment of the wrist. The tendons of the muscles responsible for abducting and extending the thumb are affected. As a result of the inflammation, the tendon thickens and the tendon canal narrows, causing pain and restricted movement of the thumb and wrist. It most often affects middle-aged women, young mothers or people performing repetitive hand movements.

Schedule your visit to Perfect Clinic

How can this procedure help you?

What problems does it solve and who is it suitable for?

This procedure is performed under:

Analgosedation
Local anaesthesia
General anaesthesia

Targets:

  • Chronic pain in the thumb wrist area that persists for at least 3 months
  • Limited thumb range of motion
  • Inflammatory thickening of the tendon channel
  • Difficulty in normal activities (grasping, lifting a child, working)

Suitable for:

  • Patients with failed conservative treatment (splints, sprays, physiotherapy)
  • Persons with long-term pain when moving the thumb
  • Persons with hand strain (PC work, manual work)

Procedure overview

Treatment procedure

1

Consultation with a doctor

  • Clinical examination, typically Finkelstein’s test – pain when bending the thumb into the palm and tilting the wrist towards the ulnar edge of the hand.
  • Recommendations for a surgical solution
2

Preparation before the procedure

  • Discontinue or adjust the dosage of blood thinners 7 days before the procedure as agreed with the doctor
  • Have a light meal 2–3 hours before the procedure
  • Do not wear jewellery or nail polish in the area
3

Procedure

  • Outpatient procedure lasting about 20–30 minutes
  • The surgeon makes a small incision in the wrist area and releases the narrowed tendon channel
  • The tendon can move freely without friction and pressure
4

After the procedure

  • Hand elevation is recommended
  • Rest and analgesics
  • It is necessary to mobilise the thumb and wrist early to avoid adhesions
5

Follow-up

  • In approximately 7–10 days, depending on individual healing

Do you want to know more?

Place yourself in the hands of experienced professionals – book a consultation at one of our clinics and together we will find the best solution.

Pavel Coufal, Perfect Clinic
Richard Billich, Perfect Clinic

Recovery

Aftercare

Increased restrictions: 1 week of rest after the procedure

Recommendations

  • Resume normal activities in 1–2 weeks
  • For physically demanding work – after 3–4 weeks
  • Early rehabilitation and scar care is important

Contraindications

Possible complications

The treatment is not suitable for people:

  • With acute infection in the hand area
  • With allergy to anaesthetics
  • With severe general disease without compensation

Possible complications are rare and may include:

  • Swelling, haematoma, infection
  • Scarring, tendon adhesions
  • Nerve injury in the wrist area (rare)


It is always important to consult your doctor about your medical condition before treatment.

Other services

For a perfect result

The procedure can be effectively combined with other services available at Perfect Clinic:

Trigger finger surgery
Trigger finger surgery

Effective solution to painful trigger fingers

LED Phototherapy
LED Phototherapy

Skin revitalisation with light energy

Surgery for Dupuytren’s contracture
Surgery for Dupuytren’s contracture

Solution to finger and palm contractions

Price

Every patient is unique – to ensure the highest level of care and precision, each treatment plan at Perfect Clinic is tailored individually based on your personal needs and goals.

Please complete a short consultation form, and our specialists will provide you with a personalised treatment proposal and exact pricing.

Request a personalized quote

Your first step towards beauty and self-confidence

Does your wrist hurt on the thumb side, especially when gripping or turning your hand?

Book a consultation and take the first step on your journey to beauty and self-confidence.

Book appointment

Call us

Plastic surgery
Mon–Fri 7:00 – 19:00
+420 273 038 900
Aesthetic dermatology
Mon–Fri 8:30 – 17:00
+420 225 379 110
Plastic surgery & aesthetic dermatology
Mon–Fri 9:00 – 13:00, Wed 11:00 –19:00 
+420 513 033 763
Plastic surgery & aesthetic dermatology
Mon–Fri 8:00 – 16:00
+420 483 033 383

Book your visit

Upload images

I agree to the processing of personal data *

Send to
This site is protected by reCAPTCHA and Google and the Privacy Policy and Terms of Service apply.