De Quervain’s tenosynovitis, also known as De Quervain’s tendinosis, is a condition that affects the tendons on the thumb side of the wrist sometimes masked or misdiagnosed as non specific wrist pain. . The two tendons involved are the abductor pollicis longus and the extensor pollicis brevis. These tendons run through a tunnel-like sheath, and when the sheath becomes swollen or constricted, it can cause pain and inflammation. This condition is characterized by pain, swelling, and difficulty moving the thumb.

Causes of De Quervain’s tenosynovitis include:

1. Overuse or Repetitive Movements: Activities that involve repetitive hand and wrist movements, such as lifting a baby, using a computer mouse, or playing certain musical instruments, can contribute to the development of De Quervain’s tenosynovitis.

    

2. Inflammatory Conditions: Conditions that involve inflammation, such as rheumatoid arthritis, can increase the risk of developing tenosynovitis.

    

3. Direct Injury: A direct blow to the thumb or wrist can also lead to inflammation of the tendons and the sheath.

How can Melbourne Family Physiotherapy help?

Physiotherapy can play a crucial role in the management of De Quervain’s tenosynovitis. Here are some ways physiotherapy may be beneficial:

1. Rest and Immobilization: Physiotherapists may advise resting the affected hand and avoiding activities that exacerbate symptoms. Immobilization with a splint or brace may be recommended to allow the inflamed tendons to rest.

2. Ice and Heat Therapy: Applying ice or heat can help reduce pain and inflammation. Your physiotherapist can guide you on the appropriate use of these modalities.

3. Range of Motion Exercises: Gentle exercises may be prescribed to maintain or improve the range of motion in the affected thumb and wrist without exacerbating symptoms.

4. Strengthening Exercises: Once the acute phase has passed, specific exercises to strengthen the muscles around the thumb and wrist may be introduced to enhance stability and prevent future recurrences.

5. Manual Therapy: Hands-on techniques, such as massage and joint mobilization, may be used to alleviate pain and improve flexibility.

6. Education and Ergonomics: Physiotherapists can provide education on ergonomic principles and proper body mechanics to prevent re-injury and promote overall hand and wrist health.

It’s important to note that the effectiveness of physiotherapy can vary from person to person, and individualized treatment plans are often developed based on the severity of symptoms and the specific needs of the patient. It’s advisable to consult with a healthcare professional, such as a physiotherapist, for a thorough assessment and personalized treatment plan for De Quervain’s tenosynovitis.

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