De quervain tenosynovitis

De Quervain’s Tenosynovitis Treatment

Overview:
De Quervain’s Tenosynovitis is a painful condition that affects the tendons on the thumb side of your wrist. It occurs when the tendons around the base of the thumb become irritated or constricted, often due to repetitive motion or overuse of the wrist and thumb. Common among new parents, people who perform repetitive hand or wrist movements, and those with inflammatory arthritis, this condition can significantly impact your daily activities.

At our clinic, we specialize in the diagnosis, management, and rehabilitation of De Quervain’s Tenosynovitis using evidence-based treatment approaches tailored to your lifestyle and severity of symptoms.

Causes and Risk Factors:

De Quervain’s Tenosynovitis is commonly caused by:

• Repetitive grasping or twisting motions

• Overuse of the wrist (e.g., lifting a baby, gaming, typing)

• Injury to the wrist or thumb

• Inflammatory diseases such as rheumatoid arthritis

• Hormonal changes during pregnancy

It affects the tendons in the first dorsal compartment — the abductor pollicis longus and extensor pollicis brevis, which control thumb movement.

Symptoms:

• Pain near the base of the thumb and wrist

• Swelling and tenderness on the thumb side

• Difficulty in gripping or pinching

• Worsening pain with thumb or wrist movement

• A catching or snapping sensation during thumb motion

Diagnosis:

Our healthcare professionals begin with a detailed clinical evaluation and history-taking. The Finkelstein test, where you bend your thumb into your palm and tilt your wrist towards the little finger, is often used to confirm the condition. In some cases, imaging like ultrasound or MRI may be used to rule out other conditions.

Treatment Options:

We offer both conservative and advanced treatments, depending on your symptoms:

1. Conservative Management:

• Rest & Activity Modification: Avoiding repetitive thumb or wrist motion

• Splinting: A thumb spica splint to immobilize the thumb and wrist

• Cold Therapy: Reducing swelling and pain

• Anti-inflammatory Medications: NSAIDs to reduce pain and inflammation

• Physiotherapy: Gentle stretching, range-of-motion, and strengthening exercises tailored to improve function and reduce tendon stress

2. Injections:

• Corticosteroid Injections may be recommended for reducing inflammation and offering long-term relief in more severe or persistent cases.

3. Surgical Intervention:
If conservative measures fail after several months, De Quervain’s release surgery may be advised to relieve tendon pressure by opening the tendon sheath.

Why Choose Us?

• Personalized, one-on-one care plans

• Experienced orthopedic and physiotherapy team

• Holistic approach, including ergonomic training and postural correction

• Emphasis on long-term recovery and prevention

Regain Pain-Free Function

Our goal is to help you restore normal thumb and wrist function, relieve pain, and prevent recurrence. If you're experiencing persistent thumb or wrist pain, contact us today to schedule your evaluation and begin your journey to recovery from De Quervain’s Tenosynovitis.