DeQuervain’s Tenosynovitis
What is it?
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This is a condition that affects the tendons on the outer part of the thumb and thumb side of the wrist.
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It is commonly seen in mothers of new babies, either due to hormonal changes and/or repetitively lifting a new baby.
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However, this condition is not exclusive to new mothers and can affect anyone. It can be aggravated by activities that use the hands/wrists such as gardening, lifting, housework or sport.
Typical Symptoms/features:
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Pain over the outside of the thumb or thumb side of the wrist which can be painful to press.
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May have swelling in the area.
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Pain on thumb movements, especially when lifting the thumb into a hitchhiker’s position or when using scissors.
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Pain on resisted thumb movements.
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Pain on gripping and lifting tasks.
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May hear clicking or snapping of the tendon.
Management:
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Activity modification
- When you first start noticing pain, it may help to reduce or modify your activity for a time to allow the pain to settle.
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Ice or heat.
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Pain relief.
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Physiotherapy including range of movement exercises and a graded strengthening programme.
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Using a wrist/thumb splint may be useful.
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Orthopaedic options: In cases with severe and/or prolonged symptoms, options such as corticosteroid injections or a surgical opinion may be warranted.
Do I need imaging?
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Imaging (X-rays or scans) is rarely required to diagnose DeQuervain’s.
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X-rays and scans are most appropriately used after a serious injury.
