De Quervain’s tenosynovitis is a painful condition. It affects the thumb that makes it hard to do simple activities. Such as gripping, lifting, and texting. A splint is specifically thumb spica. This is recommended as a non-surgical treatment option for De Quervain’s tenosynovitis. It is to stabilize and reduce mobilization of the thumb. Here is everything you need to know about splints for De Quervain’s tenosynovitis
What is a thumb spica splint?
Thumb spica splint is an orthopedic wrist splint that allows fingers to move while limiting and restricting thumb movement and providing stability to the wrist. This orthosis is designed to,
- Limit thumb movements,
- Stabilize the wrist,
- Decrease pressure on the tendon sheath,
- and
- enable the inflamed tissues to heal.
A thumb spica splint is usually made of an adjustable strap for the maximum comfort needed while limiting movement of the thumb and wrist.
How can a splint help?
Since thumb and wrist movements can contribute to De Quervain’s tenosynovitis, a splint is recommended to,
- Help reduce pressure on the affected tendons,
- Limit range of motion of the thumb,
- Avoid irritating the tendon sheath,
- and
- allow the healing process while enabling the person to carry on with some activities of daily living.
A splint for De Quervain’s tenosynovitis not only helps with pain management but also prevents the condition from happening. A splint should be worn as advised by a medical professional. Some of the best times to wear the orthosis include,
- While sleeping,
- Doing exercises,
- While wearing it all the time,
- or
- While doing activities that trigger the condition
It is entirely dependent on how serious the condition is and the patient may be advised to wear it while doing specific tasks for a short time. Others may be required to wear it throughout the day, especially in the early stages
How long should the splint be worn?
A person should wear the splint according to the severity of their condition and how fast it is healing. A patient suffering from it should ideally wear a splint for two to six weeks or until the pain subsides.
As soon as the pain starts to reduce, the patient can remove the orthosis. They can go back to their daily routine. It is essential to confirm that the pain is gone before doing regular activities.
Choosing the right splint
A good splint should,
- Hold the thumb and wrist,
- made from a comfortable, breathable material,
- have an adjustable opening,
- allow free movement of the fingers,
- and
- be able to keep the skin from irritating.
Orthotic wrist splints that are too tight can cause tingling and numbness. Those that are too loose can be uncomfortable and fail to offer the required support. You should choose the size you want that offers the needed support without causing discomfort. It is also advisable to go with a larger splint if for extra support.
Other treatment options for De Quervain’s tenosynovitis
A splint for De Quervain’s tenosynovitis is just one of the treatment options available. Other alternative treatment options for De Quervain’s tenosynovitis include rest, physical therapy, ice packs, and medication to reduce inflammation and pain. The doctor may also recommend a series of cortisone injections, especially if the condition does not improve with the aforementioned treatment methods.
Mistakes to avoid while wearing the splint
Some of the mistakes to avoid when wearing a splint for De Quervain’s tenosynovitis include,
- Not putting it on,
- Putting it on too loose,
- Not following the directions of your doctor,
- Failing to make changes to activities,
- Wearing it at the wrong time, and
- Not going to regular medical checkups
When should you see a doctor for De Quervain’s tenosynovitis?
It is essential that you see a doctor for De Quervain’s tenosynovitis if you notice certain signs and symptoms, such as,
- Sharp pain,
- Signs of severe swelling around the wrist,
- Numbness or tingling sensation,
- Loss of movements of the thumb,
- and
- Painful sensations even after several treatments
Seeking medical attention early can help ensure that De Quervain’s tenosynovitis is managed to prevent causing permanent damage to the affected tendons.
A splint for De Quervain’s tenosynovitis is among the best non-surgical treatment options for managing the condition. It works by helping the inflamed tissues to reduce by putting less pressure on the affected tendons and limiting the movements of the thumb and wrist. Wearing a splint for De Quervain’s tenosynovitis together with the doctor’s recommendations can help reduce pain and allow the tissues to heal.
FAQs
What type of splint is best for De Quervain’s tenosynovitis?
The best splint for De Quervain’s tenosynovitis is a thumb spica splint because it holds the thumb and wrist.
Should I wear a splint for De Quervain’s tenosynovitis while sleeping?
Yes, you should also wear a splint for it while sleeping if you are still experiencing pain even while resting.
Will I need surgery if I have De Quervain’s tenosynovitis?
Most cases of it can be managed using a splint, rest, and physical therapy. On the other hand, if these treatment options do not work, the doctor may recommend surgery.