De Quervain’s Disease
The problem is a swelling of the tendon sheath around the tendons passing along the distal radial aspect of the wrist. This sheath runs through a tight tunnel holding the tendon down to bone and this swollen sheath passing through a tight tunnel results in significant pain. For this problem there are three modes of treatment, not treatment, conservative treatment and surgery.
As a last resort, when conservative treatment has failed, surgical decompression of the tendon by opening up the pulley can be performed as an outpatient procedure under local anesthesia with a small incision. This has a good success rate.
Conservative treatment consists of modification of activities, use of a thumb brace and occasional icing and then possible use of anti-inflammatory medications. If the pain still persists despite the above treatment a cortisone injection can be helpful. No more than three cortisone injections are recommended per year in any one location.
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Patient Testimonials
Dear Dr. Marumoto-Thank you for everything you have done for me. Your skills have enabled me to play sports again and have allowed me to regain an improved quality of life.
Although our visits were brief, I was truly inspired by you. I remain to this day in awe of your professional demeanor as well as you extremely impressive skills as a surgeon. Although you may not have known it, you were critical in my selection of a career in medicine. I hope to emulate you in my professional career.
In January, I was accepted into the John A. Burns School of Medicine, and next month I will start on the path that you have already tread, keeping you in mind as a role model and aiming to become as skillful and as knowledgeable as you.
Although words cannot adequately express my gratitude, thank you again for everything you have done for me. Best wishes to your always. Sincerely C.L
Dear Dr. Marumoto: Thank you for your kindness. My knee is much better. M.F.
Dear Dr. Marumoto-Thank you very much for doing my knee surgery. I am feeling much better after the physical therapy sessions. I hope I can continue doing sports soon!
