De Quervain Tenosynovitis

De Quervain’s tenosynovitis is an overuse pathological condition of the wrist. Sometimes,
also called game’s thumb or mother’s thumb which involves thickening of the extensor retinaculum, which covers the first dorsal compartment.

Mainly it impacts the abductor pollicis longus (APL) and the extensor pollicis brevis (EPB)
tendons, which pass through the first dorsal compartment of the wrist.

The cause of this condition is thought to be due to repetitive and continued strain of the
APL and EPB tendons as they pass under a thickened and swollen extensor retinaculum.

Causes :

  1. A direct hit to the thumb
  2. OveruseInflammatory conditions like rheumatoid arthritis
  3. Repetitive workplace tasks like repetitive wrist bending, twisting movements or driving of screws.

Signs and Symptoms :

  • Pain and inflammation in the region of the radial styloid.
  • Pain in movement while doing ulnar deviation with a clenched fist.
  • Specific activities that may incite complaints include wringing a washcloth, gripping a golf club, lifting a child, or hammering a nail. Inflammation is increased with continued performance of these or similar functional activities.

Management at AktivHealth :

Here, in AktivHealth,  our team of an expert physiotherapist and rehabilitation doctors will assess your problem and guide you towards the right treatment which may include :

  1. Invasive/surgical intervention
  2. Conservative intervention including both passive therapy (Myofascial release, mobilization, dry needling, kinesiotherapy, etc) and active therapy (Medical training therapy, strengthening, eccentric training, etc)