How is De Quervain's tenosynovitis treated in pregnancy?

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De Quervain's tenosynovitis is a condition that causes pain and inflammation in the tendons around the base of the thumb. It is a common condition, especially among pregnant women. The pain and inflammation can make it difficult to move the thumb and can interfere with everyday activ

There are a number of things that can be done to De Quervain's tenosynovitis home treatment in pregnancy, including:

  • Rest. Avoiding activities that aggravate the pain is important. This may mean splinting the thumb or wearing a wrist brace.
  • Ice. Applying ice to the affected area for 20 minutes at a time, several times a day, can help to reduce inflammation and pain.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs). Over-the-counter NSAIDs, such as ibuprofen and naproxen, can be used to reduce pain and inflammation. However, it is important to talk to your doctor before taking any NSAIDs while pregnant.
  • Corticosteroids. Corticosteroid injections can be used to reduce inflammation and pain. However, corticosteroids should only be used during pregnancy if absolutely necessary, as they can have side effects.
  • Splinting. Splinting the thumb or wearing a wrist brace can help to rest the tendons and reduce pain.
  • Physical therapy. Physical therapy exercises can help to strengthen the tendons and improve range of motion in the thumb.

Surgery is rarely necessary for De Quervain's tenosynovitis. However, if other treatments have not been effective, surgery may be an option.

Treatment during pregnancy

The goals of treating De Quervain's tenosynovitis during pregnancy are to relieve pain and inflammation, and to allow the woman to function normally. Treatment is usually conservative, meaning that non-invasive methods are used first.

Non-invasive treatments

Non-invasive treatments for Mother's Thumb Treatment during pregnancy include:

  • Rest: Avoiding activities that aggravate the pain is important. This may mean splinting the thumb or wearing a wrist brace.
  • Ice: Applying ice to the affected area for 20 minutes at a time, several times a day, can help to reduce inflammation and pain.
  • Physical therapy: Physical therapy exercises can help to strengthen the tendons and improve range of motion in the thumb.

Medications

Medications are generally not used to treat De Quervain's tenosynovitis during pregnancy, unless the pain is severe and other treatments have not been effective. If medications are necessary, over-the-counter NSAIDs are usually the first choice. However, it is important to talk to your doctor before taking any NSAIDs while pregnant.

Surgery

Surgery is rarely necessary for De Quervain's tenosynovitis. However, if other treatments have not been effective, surgery may be an option. Surgery is usually performed after the baby is born.

Prevention

There is no sure way to prevent De Quervain's tenosynovitis, but there are some things that may help, such as:

  • Avoiding activities that aggravate the thumb
  • Strengthening the tendons in the thumb and wrist
  • Using good posture
  • Maintaining a healthy weight

If you are pregnant and experiencing pain and inflammation in the thumb, it is important to see a doctor to get a diagnosis and discuss treatment options.

 
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