DeQuervain’s Tenosynovitis
What is it?
This is a condition that affects the tendons on the outer part of the thumb and thumb side of the wrist.
It is commonly seen in mothers of new babies, either due to hormonal changes and/or repetitively lifting a new baby.
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
- Pain over the outside of the thumb or thumb side of the wrist which can be painful to press
- May have swelling in the area.
- Pain on thumb movements, especially when lifting the thumb into a hitchhiker’s position or when using scissors
- Pain on resisted thumb movements.
- Pain on gripping and lifting tasks
- May hear clicking or snapping of the tendon
Management
- 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
- Ice or heat
- Pain relief
- Physiotherapy including range of movement exercises and a graded strengthening programme
- Using a wrist/thumb splint may be useful
- 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?
Imaging (X-rays or scans) are rarely required to diagnose DeQuervain’s.
X-rays and scans are most appropriately used after a serious injury.
