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BREAST AND BODY CLINIC - DEDICATED
FOCUS IN De Quervain's Tenosynovitis

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About De Quervain's Tenosynovitis

De Quervain’s Tenosynovitis is a condition that results from inflammation of the tendons at the base of the thumb. These tendons run through a relatively rigid tunnel in the distal part of the forearm. Inflammation of the tissues surrounding the tendons in the tunnel results in De Quervain’s Tenosynovitis.

Signs and symptoms of De Quervain's Tenosynovitis

  • Pain and tenderness at the base of the thumb and/or on the side of the wrist closest to the thumb
  • Swelling on the thumb-side of the wrist
  • Difficulty moving your thumb and wrist when you’re doing something that involves grasping or pinching
  • A “catching” or “snapping” feeling when you move your thumb.

If the condition goes too long without treatment, the pain may spread further into your thumb, back into your forearm or both. Pinching, grasping and other movements of your thumb and wrist aggravate the pain.

Basal Cell Cancers

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Preparing For Your De Quervain's Tenosynovitis Surgery

Before you have your surgery, there are a few preparation tips that we recommend. These will help you through your recovery. So, you understand exactly what surgery is planned, along with the risks, benefits, and other options. It is important to follow your surgeon’s pre and post-op advice as this is specific to you. Make sure your doctor and the hospital have a copy of your advance directive. If you don’t have one, you may want to prepare one. It lets others know your health care wishes. It’s a good thing to have before any type of surgery or procedure.

Post Operative Activities

  • Patients will need to keep the incision site clean and dry until the physician removes the stitches 1 to 2 weeks after the procedure.
  • Using ice therapy every 1 to 2 hours during daytime for the first 3 days. Sessions should last no more than 10 to 15 minutes.
  • Avoiding use of the hand or wrist for activities that could strain the surgical site for 1 to 2 weeks, including lifting anything heavier than 1 kilogram, typing, doing household chores, or cooking.

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WHAT OUR PATIENTS SAY

I had three procedures done with Mr Siddiqui, lip lift, breast implants and labiaplasty. I did a lot of research into surgeons and Mr Siddiqui stood out to me online he has a great profile and amazing reviews. My first consultation went really well, I was completely at ease, Mr Siddiqui explained everything thoroughly. A few weeks later I was in hospital having my procedures done, I was very well looked after and everything went smoothly. The aftercare was great. Between appointments Mr Siddiqui was only a WhatsApp or text message away, he was in touch everyday to begin and if I had any concerns he always replied quickly. I’m 6 weeks on from my procedures now and I am healing well and feeling great. I am very happy with my results. I can’t recommend Mr Siddiqui enough.

Lip Lift, Breast Augmentation (Breast Implants)

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Dr Siddiqui is the best surgeon I’ve ever had, I’ve had surgeons in the past and he is very professional and supportive. He listens to you, and he gives you the exact result you are after if not better than expected , he also gives advice and tells you if something wouldn’t look right. I am very very happy with my results and I will be using Dr Siddiqui for any future needs. Dr Siddiqui’s after care is none questionable, he checks on you daily, he is always there if you need to ask him questions and he is hard working and patient. I cannot think of anything constructive other than positive, thank you for giving me the best results and being the best surgeon!!

Breast Augmentation (Enlargement), Breast Implant Removal

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Mr Siddiqui was very personable and very clear as to what would happen, what my options were. He had time for questions and he therefore made the whole experience as easy as possible. His surgical work was faultless and he performed my labiaplasty, surrounded by a great team, in a great hospital. I would highly recommend his services to anyone thinking of this surgery. First class assistance from Barbara doing all the arrangements. I felt completely safe from start to finish and the surgery was a success. I am so pleased I chose Mr Siddiqui, I just wish I’d done it sooner.

Labiaplasty

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

I had a Breast Reduction with Mr Siddiqui on the 6th May 2022. My breasts were extremely heavy and low. I ended having 2.5kgs removed in total. Right from the 1st consultation, I felt I was listened too, and my questions were answered thoroughly. I was treated with respect and dignity by Mr Siddiqui and all the nursing staff, and nothing was ever too much trouble. Every single aspect of my care and surgery has been excellent. I am Very Happy with my results so far. Mr Siddiqui is a Professional who takes pride in his work. He can be trusted. Would I recommend him? 100% Yes absolutely! Thank-you Mr Siddiqui You have changed my quality of life. I feel so much more confident. I am looking forward to being able to buy underwear/swim wear and clothes off the peg. Now that feels fantastic. But the best thing of all is: I can now look in the mirror and like what I see.

Breast Reduction

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Mr Siddiqui was very informative in my initial consultation. He took time to explain the procedures and answer my questions. I never felt rushed or pressured at all. He was open and honest with what to expect and the results I wanted to achieve. I am three months post Tummy Tuck, muscle repair and Liposuction, I am so pleased with my results. I can’t believe it’s me! My after care has been great, I’ve had full support and even daily contact when initially post op. I would do it again tomorrow. I have seen this said by others but it’s true, I should of done it sooner!

Abdominoplasty (Tummy Tuck), Gynaecomastia, Excess Skin Removal

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Having wanted a full tummy tuck for over 10yrs I decided to take the plunge. After speaking to a couple of surgeons I settled with Dr Siddiqui, on our first meeting I was put at ease with a full explanation of what would happen. I am Having wanted a full tummy tuck for over 10yrs I decided to take the plunge. After speaking to a couple of surgeons I settled with Dr Siddiqui, on our first meeting I was put at ease with a full explanation of what would happen. I am now 2wks post op from my tuck and liposuction and I can’t believe the results already and how little pain I’ve had. My expectations have been exceeded. Dr Siddiqui has contacted me regular to ensure that I am ok. I would highly recommend Dr Siddiqui and would not hesitate to use him for any future surgery. A fantastic surgeon. I honestly can’t wait to get my bikini on. to use him for any future surgery. A fantastic surgeon. I honestly can’t wait to get my bikini on. 2wks post op from the tuck and liposuction and I can’t believe the results already and how little pain I’ve had. My expectations have been exceeded. Dr Siddiqui has contacted me regular to ensure that I am ok. I would highly recommend Dr Siddiqui and would not hesitate to use him for any future surgery. A fantastic surgeon. I honestly can’t wait to get my bikini on. to use him for any future surgery. A fantastic surgeon. I honestly can’t wait to get my bikini on.

Abdominoplasty (Tummy Tuck), Liposuction

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

So glad I chose Dr Siddiqui, after searching for a qualified surgeon he stood out from the rest! He sounded perfect for my breast reduction. When I went for my consultation he made me feel at ease and explained everything very clearly. He was so nice and suggested a size that would suit my frame. His secretary Rachel, clinic team and staff were also very nice! Surgery went really well. Dr Siddiqui gave me his mobile number to text or call if I needed anything. The morning after surgery he messaged me to see how I was, which I thought was lovely. My recovery was really good, I was back at work a week later. I am very pleased with the result, just love my new size. Dr Siddiqui is an excellent surgeon and I highly recommend him.

Breast Reduction

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Mr Siddiqui was great throughout my entire process. Consultation was thorough and covered every question or worry that I had. Despite being scared on the day, Mr Siddiqui and other staff helped me feel comfortable going through with surgery and since then the aftercare has been great. Any concerns I’ve had were discussed with me and resolved, regular check-ups since surgery and lifelong aftercare is amazing! Would definitely recommend

Labiaplasty

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

I highly recommend Mr Siddiqui to anyone who is considering a cosmetic procedure. Thanks to the extremely positive reviews provided by his past and present patients, it was very easy to choose him. From initial contact with his secretary and two meetings with Mr Siddiqui prior to my procedure and the aftercare I received, I could not have wished for a more professional, caring, and high-quality medical experience. This review adds to countless other 5-star reviews for Mr Siddiqui and hopefully will allay any concerns about undergoing a cosmetic procedure under him. I would also advise reading many of Mr Siddiqui’s superb reviews. They are testimony to his friendly and approachable character and professionalism. Thank you so much Mr Siddiqui. I am absolutely delighted with the outcome of my procedure.

Breast Surgery

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Absolutely over the moon with my results, consultations and aftercare provided by Dr Siddiqui. Responds to all of my queries or concerns and easy to book appointments. I felt very comfortable immediately the first time I met with Dr Siddiqui and was able to open up about insecurities that were extremely personal. He has a very friendly and calming nature and is always informative and honest. The confidence he has helped me gain after my procedure is something I never thought I’d feel and I’m so grateful and glad I took the step to meeting and going forward with my procedure.

Labiaplasty

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Frequently Asked questions

Due to inflammation, movements of the thumb and the wrist become painful. The ability to grip strongly, to open bottles or jars and to use tools such as a hammer are significantly affected. There can be a visible swelling in the lower part of the forearm and sometimes a crackling sensation can be felt underneath the skin when the thumb is moved.

Early symptoms may respond to rest, splintage, activity modification, anti inflammatory medication or an injection of steroid into the tunnel through which the tendons pass to reduce the inflammation. If the symptoms persist after two steroid injections four weeks apart and if other conservative measures have not been affective then surgery has to be considered for relief of pain and return of function.

Surgery for De Quervain’s Tenosynovitis can be carried out under local anaesthetic or occasionally under brachial block anaesthesia (the arm is numbed with an injection) or general anaesthetic. It involves a small incision over the painful area after it has been numbed and the tight tunnel around the affected tendons is released.

Just like any other operation release of De Quervain’s Tenosynovitis can result in problems such as bleeding, infection or delayed healing of the wound although these are very uncommon.

Most patients regain reasonable mobility between two and four weeks after the surgery but it takes longer to regain grip strength and power in the hand.

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