Post-Surgery Concerns for De Quervain's Tenosynovitis: What to Expect

Postoperative issues after surgery for mother's hand?

Hello doctor, I recently had surgery for left thumb extensor tendonitis.
It has been two weeks post-operation, and I had my stitches removed on March 20.
However, my thumb, index finger, middle finger, and the back of my hand have been numb all day, and I experience significant pain if I accidentally bump the back of my hand.
Is this a normal phenomenon, or could it be a postoperative complication? Thank you, doctor.

Xiao Yu, 30~39 year old female. Ask Date: 2024/03/22

Dr. Chen Yongxue reply Orthopedics

Postoperative hand numbness and pain usually improve gradually within six months, or you may return to your attending physician for an earlier evaluation.
Thank you.

Reply Date: 2024/03/22

More Info

After undergoing surgery for De Quervain's tenosynovitis, it is common to have concerns about post-operative symptoms and recovery. Your experience of numbness in the thumb, index finger, middle finger, and the back of the hand, along with pain upon contact, can be concerning, but it is not uncommon in the early stages of recovery.

De Quervain's tenosynovitis involves inflammation of the tendons that control thumb movement, and surgery typically aims to relieve this inflammation by releasing the constricted tendons. Post-surgical symptoms can vary widely among patients, but here are some common occurrences and explanations:
1. Numbness and Tingling: After surgery, it is possible to experience numbness or tingling in the fingers and hand. This can be due to swelling or irritation of the nerves in the area where the surgery was performed. The radial nerve, which runs near the surgical site, can sometimes be affected, leading to sensations of numbness or tingling in the thumb and fingers.

2. Pain and Sensitivity: It is also normal to experience pain, especially when the surgical site is touched or bumped. The area may be sensitive as it heals, and the surrounding tissues may still be inflamed. Pain can also be a result of the healing process, as the body repairs itself and re-establishes normal function.

3. Swelling and Bruising: Post-operative swelling is common and can contribute to discomfort and altered sensation. Bruising may also occur, which can take time to resolve.

4. Recovery Timeline: Generally, the initial recovery period after De Quervain's surgery can take several weeks. Most patients start to notice improvement in symptoms within a few weeks, but complete healing may take several months. Physical therapy may be recommended to help regain strength and mobility in the hand.

5. When to Seek Help: While some discomfort is expected, if you experience severe pain, increasing numbness, or any signs of infection (such as redness, warmth, or discharge from the surgical site), it is crucial to contact your healthcare provider. They may want to evaluate your symptoms to rule out complications such as nerve damage or infection.

In summary, while your symptoms of numbness and pain are concerning, they can be part of the normal post-operative recovery process. It is essential to follow up with your surgeon or healthcare provider to discuss your symptoms and ensure that your recovery is on track. They can provide specific guidance based on your individual situation and may recommend physical therapy or other interventions to aid in your recovery. Remember to be patient with your healing process, as it can take time for the nerves and tissues to fully recover after surgery.

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