Agape Physio can treat...

De Quervain’s Tenosynovitis

De Quervain’s tenosynovitis is inflammation of the tendons in the thumb, causing pain and swelling. Learn about its symptoms and effective treatments, including splinting and therapy.

About this condition

De Quervain’s tenosynovitis is a condition that affects the tendons on the thumb side of your wrist. These tendons, called the abductor pollicis longus and extensor pollicis brevis, help you move your thumb away from your hand. When these tendons become swollen or irritated, it can cause pain and discomfort in the wrist and thumb.

What you may be feeling

Symptoms of De Quervain’s tenosynovitis may include:

Pain and tenderness: Patients often experience pain and tenderness at the base of the thumb, which may extend into the wrist or up the forearm.
Swelling: Swelling may be present over the thumb side of the wrist, making it difficult to move the thumb and wrist freely.
Difficulty gripping or pinching: Activities that involve gripping, grasping, or pinching motions, such as holding a utensil, turning a doorknob, or lifting objects, may be painful or difficult to perform.
Catching or snapping sensation: Some individuals may experience a catching or snapping sensation when moving the thumb, particularly during certain movements.

How we can help you

Immobilisation

Initially, a physiotherapist may recommend immobilising the thumb and wrist with a splint or brace to rest the affected tendons and reduce inflammation.

Manual therapy

Hands-on techniques such as massage, soft tissue mobilisation, and joint mobilisations can help reduce swelling, improve tendon gliding, and alleviate pain.

Range of motion exercises

Gentle stretching and range of motion exercises can help improve flexibility and mobility in the thumb and wrist, reducing stiffness and promoting healing.

Strengthening exercises

Specific exercises targeting the muscles of the thumb and forearm can help improve strength and stability, supporting the affected tendons and reducing strain during daily activities.

Activity modification

Physiotherapists can provide guidance on modifying activities and ergonomics to reduce strain on the thumb and wrist, allowing for optimal healing and recovery.

Modalities

Therapeutic modalities such as ultrasound, heat therapy, and electrical stimulation may be used to reduce pain and inflammation in the affected area.

So, what next?

By addressing pain, inflammation, and functional limitations associated with De Quervain’s tenosynovitis, physiotherapy can help individuals regain mobility, strength, and function in the thumb and wrist, enabling them to resume their daily activities with less discomfort and improved quality of life.

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