Day theatre procedure
About this service
De Quervain's tenosynovitis release is day surgery to release the thickened tendon sheath at the base of the thumb that causes pain with gripping and twisting movements, and it is available in Windhoek at Eastgate Clinic. This condition develops when the tendons on the thumb side of the wrist become irritated and swollen, often from repetitive hand movements, and it can make everyday tasks like lifting or twisting painful. Surgery opens the tight tendon sheath to relieve pressure and pain when conservative treatments have not helped.
The procedure is done in our on-site day theatre under local or regional anaesthesia. Your doctor will assess your wrist and discuss whether surgery is right for you.
What to expect
- An examination of the wrist and thumb to confirm the diagnosis
- The tendon sheath at the base of the thumb is released through a small incision, usually under local or regional anaesthesia
- Done in our on-site day theatre with an anaesthetist and theatre staff, and you go home the same day
- Some swelling and stiffness for a few weeks is normal during recovery
- Your doctor will advise on hand exercises and when to resume normal activities
Who is it for?
You may be advised to have this if you are dealing with:
- Pain at the base of the thumb that worsens with gripping or twisting
- Swelling or tenderness along the thumb side of the wrist
- Difficulty with tasks like lifting a baby, jars, or twisting motions
- Pain that has not improved with splinting, rest, or injections
- A diagnosed case of De Quervain's tenosynovitis needing surgery
Frequently asked questions
What does De Quervain's release surgery involve?
A short cut is made over the thumb side of the wrist and the tight sheath around the thumb tendons is opened so they can glide freely again. It is done in our on-site day theatre, usually under local or regional anaesthesia, and you go home the same day.
Should I try a splint or injection before De Quervain's surgery?
Most people do. A thumb splint, rest from the aggravating movements and a steroid injection settle many cases, and your doctor will check that these have been tried before recommending release.
When can I use my thumb again after De Quervain's release?
Light use is usually possible within days once the bandage allows, with swelling and stiffness settling over a few weeks. Your doctor will show you simple thumb and wrist exercises and advise when to return to lifting, work or sport.
For referring doctors
Eastgate Clinic's day theatre in Windhoek is equipped for De Quervain's tenosynovitis release, with anaesthetist and theatre staff provided on site. Contact us to arrange theatre time for your patient.
Day theatre information for doctorsReady to book your de quervain's tenosynovitis release?
Choose a date and time online and we will confirm your appointment at Eastgate Clinic in Windhoek. Medical aid and private patients welcome.