DeQuervain’s Tenosynovitis
Have you ever experienced pain in your wrist and thumb, especially when moving or gripping your hand, making simple tasks like holding a mug seem impossible? Then you might be dealing with DeQuervain’s Tenosynovitis. This condition affects the Abductor Pollicis Longus and Extensor Pollicis Brevis tendons on the thumb side of the wrist, causing discomfort and limiting movement. Let’s explore the causes, symptoms, and treatment options for this common but painful condition.
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What Causes DeQuervain’s Tenosynovitis?
While it is widely believed that DeQuervain’s Tenosynovitis is a result of repetitive hand and wrist motions, the exact cause isn’t always clear. Excessive lifting, typing/texting, or overuse in professions such as chef, hairstylist can increase the risk of developing this condition.
DeQuervain’s Tenosynovitis is more prevalent between the ages of 30-50, in women than men, affecting about 0.5% of men and 1.3% of women in the general population. Many women develop DeQuervain’s Tenosynovitis during pregnancy or postpartum due to fluid retention and hormonal shifts.
What are the Symptoms of DeQuervain’s Tenosynovitis?
People with DeQuervain’s Tenosynovitis typically experience:
- Pain and tenderness at the base of the thumb, which may extend into the wrist or forearm.
- Swelling in the wrist and thumb area.
- Difficulty gripping objects or making a fist.
- A “sticking” sensation when moving the thumb.
- Pain that worsens with movement, such as pinching, grasping, or turning the wrist.
How is it Diagnosed?
A Physiotherapist can diagnose DeQuervain’s Tenosynovitis based on physical examination and medical history. One common test is the Finkelstein test, where the patient bends their thumb into the palm and wraps the fingers around it while bending the wrist toward the little finger. If this movement causes pain, it suggests DeQuervain’s Tenosynovitis.
What are the Treatment Options?
Physiotherapy has been shown to be an effective conservative form of treatment for managing DeQuervain’s Tenosynovitis. This includes (but not limited to):
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- Mobilization: Manual therapy performed by a Physiotherapist can improve mobility and flexibility.
- Exercises: Stretching and strengthening exercises guided by a Physiotherapist can improve collagen synthesis and tensile strength of the tendons, preventing recurrences of pain.
- Activity Modification: Avoid activities that worsen symptoms.
- Splinting: A thumb spica brace can help keep the wrist and thumb stable and reduce strain on the tendons.
- Ice Therapy: Applying ice packs can help reduce swelling and pain.
Prevention Tips
To lower the risk of developing DeQuervain’s Tenosynovitis, consider these preventative measures:
- Take breaks from repetitive hand and wrist activities.
- Use ergonomic tools and maintain proper wrist positioning.
- Perform wrist and thumb stretches regularly.
- Avoid excessive force or strain on the thumb and wrist.
Final Thoughts
DeQuervain’s Tenosynovitis can be painful and disruptive, but with the right treatment and lifestyle adjustments, most people experience significant relief. If you’re experiencing persistent wrist and thumb pain, healthcare professionals at The Physio Approach will accurately diagnose your impairment and develop a personalized treatment plan to get you back to optimal health. By taking proactive steps, you can regain pain-free movement and maintain a healthy wrist and hand function.
If you or someone you know is suffering from DeQuervain’s Tenosynovitis or wrist pain, our team at The Physio Approach can help. Our Sports Medicine Physician/Physiatrist can help with the medical management while our Physiotherapists and Massage Therapist can help with pain, improve range of motion, strength and guide you back to living your best life. Contact us today!