De Quervain’s Tenosynovitis
De Quervain’s Tenosynovitis
This is an inflammatory condition affecting the tendons that run along the thumb side of the wrist and attach to the base of the thumb. Because the inflammation swelling occurs, and the tendons are constricted by the sheath that they run through.
The pain is particularly noticeable when you are moving the thumb, making a fist, grabbing something, bending the wrist and lifting with thumbs pointing upwards (lifting a child).
The causes are usually overuse of the thumb and wrist, it is also associated with pregnancy and breastfeeding.
People with rheumatoid arthritis may be more susceptible to this condition.
Signs and symptoms:
- Sudden or gradual pain over the thumb side of the wrist, that can travel up the forearm. Usually, the pain is movement related.
- You may see swelling over the thumb side of the wrist which may accompany a fluid-filled cyst in the region.
- Snapping or catching sensation when moving the thumb.
- Decreased range of motion of the thumb and wrist.
How We Can Help
Left untreated, De Quervain’s can lead to chronic pain and weakness of your grip, that is why it’s important to start your therapy as soon as possible, as there are proven nonsurgical techniques that can accelerate recovery, like physiotherapy.
At our clinic, after the initial assessment to rule out other possible conditions, our experienced physiotherapists will tailor your treatment to your specific needs. A Chartered Physiotherapist has an extensive tool-box of methods to utilise such as hands-on techniques (manual therapy), ultrasound, acupuncture (needle, laser or electric) and strapping/taping.
Alongside the above treatments, a progressive strengthening/stretching program will be prescribed to help improve strength and reduce muscle tightness. The above factors are crucial to every patient’s recovery and in avoiding recurrence of your condition.