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Since the pain of de Quervain’s is tendinopathic, physical and occupational therapy that includes nonsteroidal agents, cryotherapy, and topical corticosteroids mediated with ultrasound and iontophoresis are often helpful in managing the symptoms.
Splinting remains a first-line conservative treatment. Depending on the severity and longevity of the symptoms, splinting choices may be soft flexible splints for mild or occasional symptoms, moderately restrictive splints for more severe and persistent symptoms and firm supports that restrict motion for more severe, long-standing pain.
The 3pp Ez FIT Thumb Spica Splint has a full length aluminum stay that can be custom contoured to position the thumb and wrist. Open palm design leaves the ulnar border of the hand free for excellent function and patient compliance.
It is important to follow patients after a splint is issued. If symptoms do not improve with a full time splint wear regime, patients should be referred for treatment or a surgical release.
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