Which is better for DeQuervain’s: Splinting or Injection?

Rapid Review 

Cavaleri, R., Schabrun, S. M., Te, M., & Chipchase, L. S. (2016). Hand therapy versus corticosteroid injections in de Quervain’s disease treatment: A systematic review and meta-analysis. Journal of hand therapy: official journal of the American Society of Hand Therapists29(1), 3–11. https://doi.org/10.1016/j.jht.2015.10.004

The Skinny: DeQuervain’s Tenosynovitis is a stenosing tenosynovial inflammation affecting the abductor pollicis longus and the extensor pollicis brevis in the 1st dorsal compartment. The treatment varies from conservative the surgical, and this review focuses on conservative treatment.

DeQuervain's

The authors performed a systematic review to compare the effectiveness of steroid injections with 1.) hand therapy splinting alone, 2.) hand therapy splinting with steroid injections, and 3.) steroid alone in treating DeQuervain’s.  

In the Weeds: A total of 6 articles were included in the review, which included 334 patients. The mean age of patients was between 27 and 44 years. Three studies compared steroid injections with splinting, and three compared splinting with injections alone. No studies were included that looked at other forms of therapy such as physical agent modalities, exercise, and manual therapy. The time the splint was worn was not specified in the studies. 

Bringing It Home: Both groups, including the corticosteroid injection and splinting group, improved overall function and decreased pain. More patients were treated successfully when combined splinting and steroid injection were used together.  

Rating: 4/5 The study’s limitations include the lack of specification on the type of splint used and the specific regime. The outcomes measures did not look at the quality of life; instead, they focused on treatment success rate and pain relief. Research into different treatment regimes is needed to make sound recommendations for splinting duration.

1 Comment

  1. Armand Ali on August 15, 2022 at 1:21 pm

    Great way of spreading many studies into a short outcome.

Leave a Comment





More To Read

Hand Therapy:Integra Dermal regeneration For Patients with Burns, Scars, or Wound Reconstruction

July 26, 2020

By: Taylor Volentine Date: 6/6/2020 Is it possible for shark and cow cartilage to improve the healing process for patients with burns, scars, or reconstruction of wounds? It sure is! A solution to the problem is Integra Dermal Regeneration Template.  What is Integra Dermal Regeneration? The skin is made of two layers consisting of the…

Read More

Factors that influence orthosis adherence in patients with acute traumatic tendon injuries to the hand

September 12, 2021

Savaş, S., & Aydoğan, Ç. (2020). Factors affecting orthosis adherence after acute traumatic hand tendon repairs: A prospective cohort study. Journal of Hand Therapy, S0894113020301848. https://doi.org/10.1016/j.jht.2020.10.005 World Health Organization. (2003). Adherence to long-term therapies: evidence for action. World Health Organization. The Skinny Adherence to orthosis wear is vital for protecting healing tendons after a traumatic tendon…

Read More

Mirror Therapy

December 6, 2020

Mirror therapy has many implications for therapy and can be used to treat many diagnoses that commonly involve the upper extremity. These include some of the Neuro Conditions we highlighted last week including, Stroke and Focal Hand Dystonia. Btw, you can download a mirror therapy exercises pdf here for free. How long should the patient…

Read More
Envelope_1

Sign-up to Get Updates Straight to Your Inbox!

Sign up with us and we will send you regular blog posts on everything hand therapy, notices every time we upload new videos and tutorials, along with handout, protocols, and other useful information.