Wrist Tendonitis occurring again after DeQuervain's surgery

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Wrist Tendonitis occurring again after DeQuervain's surgery

I'm 26 years old and about 2 1/2 years ago, my right wrist started getting really stiff and started swelling on one side.

Eventually, I had to go see a doctor and was diagnosed with DeQuervain's Tendonitis. I had to wind up having surgery due to nothing else was working.

Well about 4 months ago, my left wrist started doing the same thing...and now BOTH of my wrists are the same. Now my doctor wants me to go have a NCV to rule out Carpal Tunnel Syndrome and I'm really not wanting to.

Any suggestions?

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Joshua Answers:

Sure, I have plenty of suggestions, but some questions first.

1. Describe your Carpal Tunnel symptoms, in detail.

2. What do you do activity wise all day, job or hobby?

3. What -exactly- did they do when they did surgery?

4. What did you try before surgery that didn't work, exactly?

5. Say more about the 'swelling on one side'.

6. Why did you get the DeQuervain's diagnosis as opposed to anything else?

7. How is the side that had surgery now? Symptom free?

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Please reply using the comment link below. Do not submit a new submission to answer/reply, it's too hard for me to find where it's supposed to go.
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Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert
www.TendonitisExpert.com

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Feb 24, 2010
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PART 2 - Additional Info - Wrist Tendonitis occurring again after DeQuervain's surgery
by: Anonymous

I work in a doctor's office doing a number of different tasks...to make it short, I type and write a lot and also do EEG's.

When I started first having problems and was diagnosed with DeQuervain's on my right wrist, it was swelling on the inside of my wrist, but just along the side.

It was stiff, having these weird tingling sensations, and you could literally hear the tendons "creaking" sometimes. I tried wearing a wrist brace, taking prescribed anit-inflammatroy medications, and the last thing the physician tried was a Corticosteroid shot which made my wrist hurt so bad, I couldn't move it for at least two days.

They did surgery to release the tendon sheath so the tendons could slide more smoothly in my right wrist. And no, it is not symptom free now.

Both of my wrists are swelling on the inside of the wrist and both get really stiff as the day goes on and will start throbbing bad enough as to where I do have to take Tylenol or Aleeve to put up with it.

My physician is wanting to do the NCV test to see if it is Carpal Tunnel....he also said that the pain/swelling in the right wrist could be scar tissue from the surgery.

He also put me back on an anti-inflammatory med and told me to take B6 (which is still not helping in either wrist). I just don't want to go have this expensive NCV test done...especially if it's not Carpal Tunnel.

Any suggestions would be much appreciated.

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Feb 24, 2010
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Submitted by: Anonymous

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I work in a doctor's office doing a number of different tasks...to make it short, I type and write a lot and also do EEG's. When I started first having problems and was diagnosed with DeQuervain's on my right wrist, it was swelling on the inside of my wrist, but just along the side. It was stiff, having these weird tingling sensations, and you could literally hear the tendons "creaking" sometimes. I tried wearing a wrist brace, taking prescribed anit-inflammatroy medications, and the last thing the physician tried was a Corticosteroid shot which made my wrist hurt so bad, I couldn't move it for at least two days. They did surgery to release the tendon sheath so the tendons could slide more smoothly in my right wrist. And no, it is not symptom free now. Both of my wrists are swelling on the inside of the wrist and both get really stiff as the day goes on and will start throbbing bad enough as to where I do have to take Tylenol or Aleeve to put up with it. My physician is wanting to do the NCV test to see if it is Carpal Tunnel....he also said that the pain/swelling in the right wrist could be scar tissue from the surgery. He also put me back on an anti-inflammatory med and told me to take B6 (which is still not helping in either wrist). I just don't want to go have this expensive NCV test done...especially if it's not Carpal Tunnel. Any suggestions would be much appreciated.

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Feb 26, 2010
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PART 3 - Wrist Tendonitis occurring again after DeQuervain's surgery
by: The Tendonitis Expert

Joshua Comments:

Hey Anonymous.

In no particular order:

1. All a NCV test is going to tell you is that you have reduced nerve flow.

If you have (you certainly do) tight muscles and connective tissue in the neck, chest/shoulder, forearm, wrist, then the hose of your nerve is getting stepped on to some degree.

What are they going to do if you NCV comes back 'positive'? Surgery?

Professionally, I don't think it's worth the cost/time/effort to get a NCV. You already know you have a problem.

Cutting into your hand/wrist again isn't likely to help. Your tissue has tightened up all over the area, not just where they cut. Surgery isn't going to change the reason it tightened up, and it will make the Pain Causing Dynamic worse, most likely.

2. Yes, incease in symptoms could be from the surgery. As if scar tissue development is a surprise? That's what happens when the body is cut.

A surgeon will want to do a second surgery to 'clean up the scar tissue' from the first one.

3. Ask your doctor exactly what that means if you were to have 'Carpal Tunnel'. How exactly does that explain your symptoms? What exactly would they do for it? Anti-imflammatory drugs, corticosteroid injections, splints, surgery?

Regardless of what one calls it, you have too much structural tightness, and that causes problems.

Suggestions, then more questions:

I suggest that you get Reversing Wrist Tendonitis ebook. It has a complete plan for you, covers all the bases, and saves me a lot of typing. :)

Short of that, start ice dipping as described on the How To Reduce Inflammation page. That will lower pain levels.

Questions:

1. How much B6 are you taking?

2. Are you taking any Magnesium?

3. Is the tendon still 'creaking', on either side?

4. Say more about the 'swelling' on each side. What does that mean/look like?

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Feb 26, 2010
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Submitted by: The Tendonitis Expert

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Joshua Comments: Hey Anonymous. In no particular order: 1. All a NCV test is going to tell you is that you have reduced nerve flow. If you have (you certainly do) tight muscles and connective tissue in the neck, chest/shoulder, forearm, wrist, then the hose of your nerve is getting stepped on to some degree. What are they going to do if you NCV comes back 'positive'? Surgery? Professionally, I don't think it's worth the cost/time/effort to get a NCV. You already know you have a problem. Cutting into your hand/wrist again isn't likely to help. Your tissue has tightened up all over the area, not just where they cut. Surgery isn't going to change the reason it tightened up, and it will make the <a href="http://www.tendonitisexpert.com/pain-causing-dynamic.html">Pain Causing Dynamic</a> worse, most likely. 2. Yes, incease in symptoms could be from the surgery. As if scar tissue development is a surprise? That's what happens when the body is cut. A surgeon will want to do a second surgery to 'clean up the scar tissue' from the first one. 3. Ask your doctor exactly what that means if you were to have 'Carpal Tunnel'. How exactly does that explain your symptoms? What exactly would they do for it? Anti-imflammatory drugs, corticosteroid injections, splints, surgery? Regardless of what one calls it, you have too much structural tightness, and that causes problems. Suggestions, then more questions: I suggest that you get <a href="http://www.tendonitisexpert.com/reversing-wrist-tendonitis.html">Reversing Wrist Tendonitis ebook</a>. It has a complete plan for you, covers all the bases, and saves me a lot of typing. :) Short of that, start ice dipping as described on the <a href="http://www.TendonitisExpert.com/how-to-reduce-inflammation.html">How To Reduce Inflammation</a> page. That will lower pain levels. Questions: 1. How much B6 are you taking? 2. Are you taking any Magnesium? 3. Is the tendon still 'creaking', on either side? 4. Say more about the 'swelling' on each side. What does that mean/look like?

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Mar 07, 2010
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Wrist Tendonitis occurring again afte DeQuervain's Surgery
by: Anonymous

The swelling and pain is on the thumb side of both wrists...no where else, just there.

They haven't been "creaking", but once in a while my wrist will "pop" and I'll have a "cold feeling" in it for a while.

I have small wrists and you can tell when it's really bothering me because believe me, you can really notice the swelling!

I'm supposed to be taking 200 mg of B6 a day, but quit due to I couldn't see where it was helping and it bothered my stomach even I took it with a meal....the same with the anti-inflammatory medication.

No, I'm not on any Magnesium....to tell you the truth I hate taking pills.

I've already decided not to do the NCV (or risk surgery again if the doctor recommends it) and try the icing methods described on your website to see it will help ease the pain and swelling.

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Joshua Comments:

Generally, if you take a good dose of B6 for a while and it doesn't help, then that's not the issue.

Ice dipping and Ice massage, definitely!

And even though you don't like it, get on some Magnesium. Anything but magnesium oxide. If magnesium deficiency is a factor, then you -have- to get sufficient.

And I know you hate the pain more than taking pills. :)

Mar 30, 2010
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Suffering After DeQuervain's surgery
by: Anonymous

i have been suffering with De Quervain's for almost a year now, i have had 3 cortizone injections in my left wrist. i recently had surgery in feb and it has gotten worse than before i got the surgery done.

i work with pt drawing blood, ekg's, blood pressure and my surgeon told me that i could go back to work the day after my surgery... should i have rest my wrist for a couple of days? after the stitches were removed he told me to go back to work with no restrictions.

no physical therapy , nothing.... i cant go to bed at night because it hurts so bad.... what to do next.

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Joshua Comments:

Your doctor told you you could go back to work (doing activities that caused the problem in the first place) the DAY AFTER surgery??!?

That's crazy.

Yes, you probably should have rested for a couple days. I mean, s/he did slice through your skin, layers of connective, possibly tendon, etc.

The nervous system DOES NOT LIKE THAT.

Assuming there are no other problems from the surgery, we can focus on your pain.

I don't know if it's different than pre-surgery, but you absolutely need to dial down the Process of Inflammation that is VERY aggravated right now.

First things first, I would learn How To Reduce Inflammation and start an intensive program of Ice Dipping, 20+ dips/day.

Wouldn't hurt to supplement with Magnesium for Tendonitis too.

Tendonitis is a progressive dynamic of increasing muscle tightness, connective tissue constriction, and inflammation.

Surgery may help temporarily, but won't reverse that process. But you can reverse it with the right self care.

Right now, get your inflammation down so you'll hurt less.

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Mar 30, 2010
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Submitted by: Anonymous

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i have been suffering with De Quervain's for almost a year now, i have had 3 cortizone injections in my left wrist. i recently had surgery in feb and it has gotten worse than before i got the surgery done. i work with pt drawing blood, ekg's, blood pressure and my surgeon told me that i could go back to work the day after my surgery... should i have rest my wrist for a couple of days? after the stitches were removed he told me to go back to work with no restrictions. no physical therapy , nothing.... i cant go to bed at night because it hurts so bad.... what to do next. ---- Joshua Comments: Your doctor told you you could go back to work (doing activities that caused the problem in the first place) the DAY AFTER surgery??!? That's crazy. Yes, you probably should have rested for a couple days. I mean, s/he did slice through your skin, layers of connective, possibly tendon, etc. The nervous system DOES NOT LIKE THAT. Assuming there are no other problems from the surgery, we can focus on your pain. I don't know if it's different than pre-surgery, but you absolutely need to dial down the <a href="http://www.TendonitisExpert.com/process-of-inflammation.html">Process of Inflammation</a> that is VERY aggravated right now. First things first, I would learn <a href="http://www.TendonitisExpert.com/how-to-reduce-inflammation.html">How To Reduce Inflammation</a> and start an intensive program of Ice Dipping, 20+ dips/day. Wouldn't hurt to supplement with <a href="http://www.tendonitisexpert.com/magnesium-for-tendonitis.html">Magnesium for Tendonitis</a> too. <a href="http://www.tendonitisexpert.com/what-is-tendonitis.html">Tendonitis</a> is a progressive dynamic of increasing muscle tightness, connective tissue constriction, and inflammation. Surgery may help temporarily, but won't reverse that process. But you can reverse it with the right self care. Right now, get your inflammation down so you'll hurt less.

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Wrist Tendonitis occurring again after DeQuervain's surgery

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