For De Quervain's tenosynovitis, initial management typically includes immobilization with a thumb spica splint and NSAID for how long?

For De Quervain's tenosynovitis, initial management typically includes immobilization with a thumb spica splint and NSAID for how long?

• A. 1-4 weeks
• B. 6-8 weeks
• C. 3-6 months
• D. 12 months

Answer: (B)

De Quervain's tenosynovitis causes irritation of the first dorsal compartment tendons, so the goal is to rest the tendon and reduce inflammation. Immobilizing the thumb in a spica splint plus an NSAID addresses both mechanical irritation and inflammation. The typical duration for this initial approach is about six to eight weeks, long enough for the tendon sheath to quiet down and symptoms to improve while avoiding prolonged immobilization that could lead to stiffness. If symptoms persist after this period, escalate care with options such as a corticosteroid injection or surgical release as indicated. Shorter durations may not fully resolve inflammation, while longer immobilization increases stiffness and functional loss.

De Quervain's tenosynovitis causes irritation of the first dorsal compartment tendons, so the goal is to rest the tendon and reduce inflammation. Immobilizing the thumb in a spica splint plus an NSAID addresses both mechanical irritation and inflammation. The typical duration for this initial approach is about six to eight weeks, long enough for the tendon sheath to quiet down and symptoms to improve while avoiding prolonged immobilization that could lead to stiffness. If symptoms persist after this period, escalate care with options such as a corticosteroid injection or surgical release as indicated. Shorter durations may not fully resolve inflammation, while longer immobilization increases stiffness and functional loss.