Skip to content

1st Extensor Compartment Release

Surgery to correct De Quervain’s tenosynovitis is called a 1st Extensor Compartment Release. This involves a small incision over the thumb side of the wrist to access and release the 1st Extensor Compartment that is entrapped the EPB and APL tendons, causing pain and difficulty with movement. This is performed as an outpatient procedure or office procedure, meaning you will be able to go home that day.

Things to know:​

  • You will be discharged with an Ace wrap. Following discharge please ensure that the surgical site is kept clean and dry for 48 hours.
  • After 48 hours you may remove the bandage and shower. While showering, you may use soap and water, but be sure to pat the incision dry. It is important that you do not submerge your surgical incision in water (i.e. no bath tubs, swimming pools, washing dishes, etc.). After patting dry, you can place a band-aid over incision line.
  • It is important to elevate your arm on a couple of pillows to alleviate pain and swelling.
  • You will follow up in our office 10-14 days after surgery, for suture removal.
  • Typically follow up appointments are scheduled in two-week intervals following surgery, so we can monitor your recovery.
  • Some patients may need Occupational Therapy for range of motion and strengthening, which will be evaluated at post op visits.

Postoperative restrictions are as follows:

You should immediately start to use the affected hand after surgery, as much as tolerated, however no lifting > 5lbs.

Our Response to COVID-19

At Alan Chen Surgical Associates we are trying our very best to keep all our patients and staff members safe and healthy during these uncertain times. While we remain open to care for our post-surgical and emergent patients we are going to place limits and guidelines on those entering our office. Based on CDC guidelines, and recommendations, here are our current changes:

  1. We are only going to be open on Monday, Tuesday, and Wednesday.

  2. Only the patient being seen by one of our providers will be allowed in the clinic. We ask all family members to remain home or in their vehicle if they do accompany the patient to our office. If the patient is a minor, only one parent will be allowed to come into the clinic with the child.

  3. When you arrive to our office, please stay in your vehicle. Call our office at 815-729-9527 to alert the office staff you have arrived. We will call you once the provider is ready to see you for your appointment. Again, only the patient will then come into the office. All other persons remain in your vehicle.

  4. Prior to being seen in our office we have put a screening process in place. If you do not pass the screening process, you will be asked to reschedule your appointment. If you have any cold/flu symptoms, have recently traveled, or have a known exposure we ask that you please inform us and reschedule your appointment. If necessary, one of our providers would be happy to discuss any concerns you have over the phone!

Thank you for understanding our new policies. We are trying to limit the number of patients in our office at one time. This is to keep our patients, staff, and community safe and healthy during these times. Please help us try to flatten the curve.

Our Response to COVID-19