The Hand & Wrist Center
at Modern Orthopedics of New Jersey
Experience Top Orthopedic Care
Book an appointment to meet with a Board Certified Orthopedic Physician.
72 Route 17 North
Paramus, NJ 07652
2025 Hamburg Turnpike
STE C, Wayne, NJ 07470
#207, Parsippany, NJ 07054
Understanding Wrist Tendonitis
There are many different tendons that run over and under the wrist. These tendons allow for our fingers and wrist to bend and straighten. Each tendon has a unique location and function. DeQuervain’s tenosynovitis affects the abductor pollicus longus and extensor pollicus brevis tendons which help control thumb motion. DeQuervain’s tenosynovitis is a common tendon issue in the wrist and can affect patients both young and old. Patients may complain of pain when lifting their newborn, often referred to as “Mommy thumb”, others may notice the pain while doing repetitive lifting at their job or while doing housework, and some may notice the pain while texting or using their phone.
DeQuervain’s tenosynovitis / Wrist TendonitisPatients generally present with pain over the thumb side of the wrist. This area is called the first dorsal compartment of the wrist. This compartment contains the abductor pollicus longus and extensor pollicus brevis tendons. There may be visible swelling directly over this area and it may be tender to touch. Inflammation of the soft tissues surrounding the tendons in this compartment may cause narrowing and pain. Pain will commonly be elicited with any kind of lifting, pinching, or grasping activity in ulnar deviation and with the use of the thumb. Our doctors can usually make a diagnosis on physical examination alone. Once the diagnosis is established they will discuss the different treatment options.
About DeQuervain’s Release
If a patient has attempted conservative management and failed to achieve pain relief, they may be a candidate for a first dorsal compartment release. This procedure can be done under local anesthesia in a hospital or ambulatory surgery center. It involves an incision over the thumb side of the wrist. The first dorsal compartment will be identified and released to open the tunnel and free the tendons. After surgery, a splint may be applied for about one week to rest the wrist.
After one week, the splint is removed and you will begin to regain your motion and strength with a series of hand and wrist exercises often able to be performed at home. Recovery generally only takes two to three weeks, and you can return to most activities as tolerated after your first follow-up appointment.
Peter DeNoble, MD, FAAOS
Hand, Wrist, Shoulder & Elbow Surgeon
Meet Dr. DeNoble
Dr. Peter Denoble, MD, FAAOS specializes in Hand, Wrist, Shoulder, and Elbow Surgery. Dr. DeNoble is the Founder of Modern Orthopedics of NJ and is the Creator and Host of the of the Beyond The Bones Podcast.
David Ratliff, MD, FAAOS
Hand, Wrist, Shoulder & Elbow Surgeon
Meet Dr. Ratliff
Dr. Ratliff specializes in Hand, Wrist, Shoulder, and Elbow Surgery. Learn more about specialties, training and treatment philosphy by visiting Dr. Ratliff's full profile page.
A Different Orthopedic Experience.
We offer a comprehensive range of treatments, ensuring personalized, targeted plans for every patient.
Our multi-disciplinary approach involves various specialties to provide comprehensive care and recovery.
We prioritize patient comfort and satisfaction, creating a supportive environment for optimal healing.
We utilize cutting-edge technology for precise diagnosis and innovative treatment options.
Our team is composed of highly skilled, experienced orthopedic professionals, providing expert care.
Our robust post-treatment support ensures ongoing patient care through recovery and rehabilitation services.