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About 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.
Generally, initial treatment involves immobilization of the wrist and thumb with a soft brace. These thumb spica braces are available in our office or a custom brace may be made by a hand therapist. The brace allows the tendons to rest, helps alleviate pain, and hopefully decreases inflammation in that area. It is also common that a cortisone injection will be offered at your initial appointment. The cortisone is injected directly into the first dorsal compartment and surrounding the affected tendons. Cortisone is a steroid that works to decrease inflammation in that area. Patients will usually feel relief within a couple of days after the injection. If the pain does not respond to the cortisone injection or recurs, then surgical intervention may be indicated.
Surgical treatment for DeQuervain’s tenosynovitis is a straightforward and quick treatment although our doctors will continue to take the utmost care during this procedure. The procedure can be done under local anesthesia in a hospital or ambulatory surgery center. This means that a numbing injection will be given into the area of the wrist where the surgery is done, but otherwise, you will be awake. You will not feel any pain and by avoiding general anesthesia you will not need to spend extra time in the recovery room time once the surgery is over. If you have any concerns about being awake during the procedure you can certainly discuss with your doctor other options.
During the surgery, an incision is made 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, you will follow up in our office and the splint will be removed. At this point, you will begin to regain your motion and strength with a series of hand and wrist exercises. Generally, these exercises can be done on your own at home, although formal physical therapy may also be recommended. Recovery generally takes two to three weeks, and you can return to most activities as tolerated within that time.
DeQuervain’s tenosynovitis can be extremely frustrating and cause serious setbacks and dysfunction for patients. Our goal at Modern Orthopaedics is for you to return to the things you love! This may take time and patience, but we want you to experience a full recovery. We understand that every patient is unique and we will develop your treatment plans accordingly. We want to understand your goals and help you reach them. Please contact our office with any wrist issues and receive superior care from our doctors and staff.
About De Quervain’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.
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We received full construction permits for our Paramus building today!! 🙌🎉 Wheels-up on full-on construction starting next week!
We can’t wait to introduce the finished product! We have an amazing design/architecture/build team that is about to deliver a first-class home for the new orthopedic hub of Bergen County!! 💪🦴😎
Stay tuned here for progress updates!!
@wellsarchitecture @mitradesignsstudio
@vda_designs
Visbeen Construction
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease #totaljointreplacement #totalkneereplacement #totalhipreplacement
#shoulderreplacement
Introducing your ortho team…THE TEAM to trust! We are so grateful to have such a dedicated and hard-working staff. Get to know us…stay tuned for our NEW staff profiles coming soon!
Congratulations to @choiseppi and Matt Kraeutler for graduating from @st.joesortho orthopedic surgery residency program tonight! From all of us at @modernorthonj , it was a pleasure participating in your surgical education over the years. Best of luck as you embark on your sports fellowships and on what we know will be great careers!!
#teaching #orthoresidency
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
Cast Removal - 5 Fun Facts!
1. The cast saw blade doesn’t spin, it vibrates.👍
2. The saw blade is generally safe, and there is a layer of cotton underneath the fiberglass, but the blade can still cut skin if the operator is not skilled! 😳
3. The blade will generate heat - just like when rubbing 2 sticks together, the friction can heat things up quickly! 🔥
4. My heat management technique keeps things cool. 😎 **as you can see in video, I create a superficial cutting line first. Then I move the saw blade along the cutting line in several passes, using an up and down technique and being careful not to keep the vibrating blade in one spot too long.**
5. I always give my patients the option to keep their cast… but very few choose to keep it!!
@peterdenoblemd
#cast #castremoval #fracture #orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
What’s in your water??
I want to make sure our amazing Paramus flagship location will deliver both cutting edge orthopaedic care AND a safe occupational environment for our patients and all-star staff!! This includes ensuring we have the purest possible water coming from all of its faucets! 💦
Today we tested for a variety of contaminants in our water including Arsenic, PFAS, chlorine, chlorine byproducts, and Uranium. 🫙
Big thx to @jennifer.vanbeekum for helping with our testing today, and to @healthyhomeexpert for her guidance over the years on how to create these safe occupational environments!!
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
@peterdenoblemd and @jennifer.vanbeekum watching backhoes dig dirt - it never gets old!
Currently establishing all of our drainage reservoirs. #Paramus #progress
@modernorthointheor
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
@peterdenoblemd & @davidratliffmd
We met 17 years ago, at the beginning of our orthopedic surgery training as co-residents at @montefioreorthoresidency in the Bronx.
Those were some amazing years, jam-packed with…
🥱5 years of daily 6AM rounds at Moses, Weiler, and Jacobi Hospitals
🦴Thousands of orthopedic surgeries
🦴 Hundreds of ER casts placed
🥷🏼Amazing mentors and co-residents who were instrumental in molding our foundational ortho knowledge and skills sets
🥪Late night tuna melts at NCB Hospital
👖 Oh, and apparently all during a time when parachute suit-pants were in vogue!! 🤣
Our paths diverged for a time during our specialty hand-to-shoulder fellowships at St-Luke’s-Roosevelt and University of Pittsburgh respectively and during the early years of our practices.
Now, fast-forward to today, and we are so proud to be practicing together and bringing our combined 35 years of ortho shoulder-to-hand expertise to Modern Orthopaedics of New Jersey! 🔥🔥
💪🖐We treat the most complex conditions of the hand, wrist, shoulder, and elbow, and have locations in Morris County, Passaic County, and (soon to be) Bergen County New Jersey.
Also, please follow us in the OR at @modernorthointheor
#orthopedics #shouldersurgery #shoulderscope #shoulderarthroscopy #handsurgeon #handsurgery #upperextremity #arthroscopy #orthopedicsurgeon #handtherapy #occupationaltherapy #physicianassistant #athletictrainer
Modern Ortho is a part of the NJAJ Boardwalk Seminar 2022!… and we are finally back in person! 🙌
Check us out at Booth #910 in the @harrahsresort exhibit hall. 😊
Also see what we do in the OR- follow us at: @modernorthointheor
@newjerseyjustice
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease #personalinjury #personalinjurylawyer
Only fitting that our new Paramus building has some great bones 🙂
@peterdenoblemd @davidratliffmd @wellsarchitecture @vda_designs
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
Thank you @bmartinsports and all the therapists at @ivyrehab who came out for talks by our docs @peterdenoblemd and @davidratliffmd yesterday on athletic injuries in the shoulder wrist and hand. It’s always fun sharing our experiences over the years in getting kids back to sport! 💪🏀⚾️🤸
Much thanks also to Timothy Roy, PT, Adam Freitag, OTR/L , and Nina Nunez, OTR/L who gave great talks on the rehab of injuries from the shoulder to the hand.
Oh, and we ALWAYS appreciate support from our man @ohgi_bigfish !!
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #physicaltherapy