De Quervains syndrome describes pain and inflammation felt at the tendons that sit at the base of your thumb. They can become inflamed from repetitive use and is a form of repetitive strain injury.


Activities that may lead to De Quervains Tenosynovitis

  • Picking up a newborn or toddler without a fixed wrist
  • Repetitive thumb use or wrist movement
  • Typing


Signs and symptoms of De quervains Tenosynovitis

  • Pain at the base of the thumb usually with movement or lifting
  • Swelling at the base of your thumb
  • Pain may be experienced at night


What does the science say?

  • Use of braces can help immobilise the thumb and reduce pain
  • Cortisone injection can be quite helpful if not responsive to conservative management
  • Surgical release is rarely required


How can Physiotherapy help?

Your Physiotherapist will be able to:

  • Help you identify aggravating activities
  • Help you identify positions of comfort
  • Provide manual therapy to reduce pain and overactivity in muscles
  • Guide you through tendon gliding exercises and provide strapping or a brace