De Quervain's Tenosynovitis

De Quervain's tenosynovitis is irritation and swelling of the tendons on the thumb side of the wrist. It causes pain near the base of the thumb and is common in new mothers and racquet sport athletes.

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Typical Recovery Time

4-6 weeks

Symptoms

•Pain and swelling at the base of the thumb
•Difficulty pinching or gripping
•Catching or snapping sensation with thumb movement
•Pain worsens with thumb and wrist movement

Common Causes

•Repetitive thumb and wrist movements
•Direct injury to the wrist
•Inflammatory conditions such as rheumatoid arthritis

Treatment Options

1Thumb spica splint

2Ice and NSAIDs

3Activity modification

4Cortisone injections

5Surgical release in refractory cases

When to See a Doctor

If pain is severe, you have significant functional limitation, or conservative treatment fails after 6 weeks.

Frequently Asked Questions

What is De Quervain’s tenosynovitis?

De Quervain’s tenosynovitis is irritation of the tendons on the thumb side of the wrist. It can cause pain with gripping or lifting. It is common in new parents and people who perform repetitive hand motions.

What causes De Quervain’s tenosynovitis?

It is caused by repetitive thumb and wrist movement. Activities like lifting, texting, or gripping can increase stress on the tendons. Overuse leads to irritation and inflammation.

What are the symptoms?

Symptoms include pain on the thumb side of the wrist, especially with movement. Swelling and tenderness may be present. Pain can worsen with gripping or lifting objects.

How is it treated?

Treatment includes rest, splinting, anti-inflammatory medications, and physical therapy. Corticosteroid injections are often very effective. Surgery is rarely needed.

When can I return to activity?

Return depends on symptom improvement. Many people improve within a few weeks. Gradual return helps prevent recurrence.