De Quervains Tenosynovitis – What is it?

This condition affects the tendons of the thumb. Tendons are responsible for connecting muscles to bones. Two particular tendons run side by side along the inside of the wrist and pass through a tunnel near the bottom of the thumb. The inside of this tunnel has a lubricant known has synovial fluid which allows easy passage of these tendons during thumb movement. In De Quervains Tenosynovitis, repetitive movements of the thumb have caused inflammation in this area, thereby constricting the movement of the tendons within the tunnel and causing pain with any thumb movements.

De Quervains Tenosynovitis – How do I know if I have it?

Initially, the only sign will be a dull pain near the base of the thumb and up the forearm. However, if the condition isn’t treated and inflammation remains, as the tendons move, there may be an audible squeaking noise which can be heard with all thumb movements. Worsening symptoms are indicated by worsening pain with basic thumb movements.

De Quervains Tenosynovitis – How can Physiotherapy help me?

Initial physio treatment involves rest, ice, compression and support of the irritated area with a ‘thumb-spica’ splint. This is accompanied by anti inflammatory modalities and gentle but specific stretching and range of motion exercises.

De Quervains Tenosynovitis – How long until I am better?

Depending on the severity and how long you have been dealing with this condition, as a general guide, this condition will resolve in 4 – 6 weeks.If this condition is left untreated over an extended period of time then often cortisione(anti-inflammatory steriod injections)may be required.