CONTEMPORARY TREATMENT METHODS FOR DE QUERVAIN’S DISEASE: A SYSTEMATIC REVIEW
DOI:
https://doi.org/10.31435/ijitss.3(51).2026.6639Keywords:
De Quervain’s Disease, Conservative Treatment of De Quervain’s Disease, Corticosteroid Injections, Platelet-Rich Plasma, Surgical TreatmentAbstract
Introduction: De Quervain’s disease (DQD) is a tendinopathy involving the tendons of the abductor pollicis longus and extensor pollicis brevis muscles, leading to pain and limited function of the thumb and wrist. Therapeutic management aims to reduce pain, improve mobility, and restore hand function. The treatment methods used include corticosteroid and platelet-rich plasma (PRP) injections, as well as immobilization using a thumb spica splint. Rehabilitation also plays an important role and includes range-of-motion exercises, strengthening exercises, ultrasound therapy, and soft tissue mobilization. In cases where conservative treatment is ineffective, surgical treatment involving the release of the first extensor compartment may be considered.
Aim of the study: The aim of this study is to review the available literature on contemporary treatment methods for De Quervain’s disease and to present the current state of knowledge regarding their effectiveness. The study discusses the efficacy and safety of individual therapeutic methods, including corticosteroid and platelet-rich plasma injections, the use of orthoses, rehabilitation, and surgical treatment.
Methods and materials: A review of the literature available in the PubMed database was conducted using the following keywords: “De Quervain’s disease”; “De Quervain’s tenosynovitis”; “De Quervain’s tendinopathy”; “Conservative treatment of De Quervain’s disease”; “Corticosteroid injections”; “Platelet-rich plasma”; “Rehabilitation”; “Ultrasound therapy”; “Surgical treatment”.
Conclusion: De Quervain’s disease requires an individualized therapeutic approach, taking into account the severity of symptoms and the patient’s response to the treatment applied. Corticosteroid injections remain an effective first-line treatment, particularly when performed under ultrasound guidance. PRP may represent a safe alternative; however, further research is required. Orthoses and rehabilitation may support the treatment process, particularly in cases of mild symptoms. In patients with persistent symptoms despite conservative treatment, surgical treatment remains an effective option.
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