De Quervain's Tenosynovitis Physiotherapy in Indirapuram

Why it develops

Two tendons that move the thumb run through a narrow tunnel at the wrist. Repeated thumb and wrist movements, especially lifting with the thumb stretched out and the wrist bent sideways, irritate them. Picking up a baby under the arms with thumbs spread is the textbook example. Heavy phone use, gardening and racquet sports can also bring it on.

Hormonal changes around pregnancy and breastfeeding may add to the risk.

Symptoms

Pain and sometimes swelling at the thumb side of the wrist, worse with gripping, pinching, lifting and moving the thumb. Wringing clothes, opening jars and lifting a kettle are commonly painful. A simple test where the thumb is tucked into a fist and the wrist bent toward the little finger usually reproduces the pain sharply.

Treatment

A thumb spica splint rests the tendons, often worn during aggravating activities and at night. Changing how you lift is equally important. For parents, scooping the baby with the palms up and forearms under the baby takes stress off the thumb.

Once pain settles, gradual strengthening of the thumb and wrist helps prevent recurrence. Ultrasound, laser and taping can help in the early phase. Steroid injections are effective for many people. Surgery is rarely needed.

Exercises often used for De Quervain's Tenosynovitis

These are exercises our physiotherapists commonly include. Which ones suit you, how many and in what order depends on your assessment and stage of recovery.

All elbow, wrist and hand exercises

Frequently asked questions