De Quervain's Tenosynovitis is commonly called "Mommy's thumb" since it is 10 times more common in women, and activities such as lifting gardening pots, groceries, and small children into car seats can inflict symptoms. Therapies. Stenosis is a medical term for narrowing. This could include: Talk to your provider about the best ways to help your synovial membrane heal. The best way to reduce your risk of tenosynovitis is to avoid overusing your tendons. De Quervain's tenosynovitis is a temporary condition. You should make a full recovery in roughly four to six weeks, depending on whats causing your tenosynovitis. The goal of therapeutic exercises is to enhance gliding of the extensor pollicis brevis and abductor pollicis longus tendons in the first dorsal compartment 14). Why is it called mommy thumb? Pain near the base of your thumb. First dorsal compartment near the radial styloid, At the crossing of the first and second dorsal compartments, 2023 Bobby Menges Memorial HSS Limb Reconstruction Course, Type in at least one full word to see suggestions list. De Quervains tenosynovitis entrapment zone. If your provider prescribes other treatments, make sure you follow them as best you can. Doing the same wrist movements over and over, such as: Health problems that cause swelling throughout your body, such as rheumatoid arthritis (ROO-muh-TOYD ar-THRY-tis). doi: 10.1016/j.jhsa.2008.12.030. Surgery for tenosynovitis is usually needed if your tenosynovitis is caused by an infection, if the inflammation is so severe its threatening to cause permanent damage or if conservative treatments havent worked after a few months (i.e. This swelling may accompany a fluid-filled cyst in this region. A "sticking" or "stop-and-go" sensation in the thumb when moving it. (B) The wrist is then eccentrically loaded by slowly lowering the hand into a position of ulnar deviation. Do not keep it on your wrist for more than 10 minutes at a time. The amount of time it takes for symptoms to improve or go away is different for everyone. It can be painful and make it hard to move your joints like you usually can. It is usually an outpatient surgery that takes 30 minutes. Your surgeon will make incisions around your affected tendon to reduce pressure on it and perform a debridement (the medical term for cleaning out dead or infected tissue). The corticosteroid injection is delivered into the first dorsal compartment 11). With cancer, where you get treated first matters. If this condition isn't treated, it can permanently limit your movement or cause the tendon sheath to burst. Copyright 2022 Lineage Medical, Inc. All rights reserved. Avoiding pinching with the thumb when moving the wrist from side to side. The onset is often gradual. How long it takes to feel better depends on what caused your tenosynovitis, and which treatments you needed to reduce the inflammation. Pain almost always increases with repetitive activity in both CTS and de Quervain's . De Quervain's tenosynovitis is most commonly caused by straining the thumb or wrist. Once your symptoms are better, work to prevent the condition from happening again. This information explains what de Quervains tenosynovitis (da-KWUHR-vanes tee-na-sine-ah-VITE-us) is. Your doctor will instruct you to form a fist with your thumb tucked underneath your fingers. Additional Tenosynovitis symptoms include: While there is no known specific cause of De Quervains Tenosynovitis, there are several factors associated with the development of the condition. Difficulty moving a part of your body like you usually can. summary. Expand Clinical Trials & Research section, Set your location to see results near you, Everything You Need to Know About Virtual Care & Telehealth, Emergency Care Services vs. Follow through with recommended exercises. If this condition isn't treated, it can permanently limit your movement or cause the tendon sheath to burst. You may also experience severe pain. It causes pain and restricts the movement of the . Rheumatoid arthritis is a disorder that causes swollen and painful joints. The primary symptom of de Quervains tendonitis is pain at the base of the thumb near the wrist. De Quervain's Tenosynovitis causes include: There are several risk factors for De Quervain's Tenosynovitis. Tenosynovitis is pronounced "ten-oh-sin-oh-vyt-us". Assist with other hand during concentric movement phase, Progress to 3 sets of 15 repetitions; add resistance once functional tolerance for 15 repetitions attained, Eccentric wrist extension/flexion with dumbbell (Figure 9 and , 2 sets of 1015 repetitions 5 /wk. Common signs and symptoms of de Quervain's tenosynovitis include pain and swelling near the base of the thumb, as well as a clicking sound when moving the thumb. It can also depend on how bad your symptoms are. Coming to a Cleveland Clinic location?Cole Eye entrance closingVisitation, mask requirements and COVID-19 information. However, if the symptoms persist despite the above methods, your doctor might suggest surgery. . This is especially true when forcefully grasping objects or twisting the wrist. Two of the main tendons to the thumb pass through a tunnel (or series of pulleys) located on the thumb side of the wrist (see Figures 1 and 2). Eccentric unweighted hammer curls (Figure 6 AC), Assist with other hand during concentric (radial deviation) movement phase, Add 1 lb. Figure 4. Start with the arm out in front of you with the palm facing down and elbow straight. The medical term for a tendon sheath inflammation is tenosynovitis. The condition causes pain when you rotate your wrist, make a fist, or grasp an object. When the initial pain has resolved, physical therapy is often recommended to . Stretching for the thenar muscle group, Figure 6. De Quervain's tendinosis is treated by reducing the swelling/irritation of the tendons and tendon sheath, thereby relieving the pain caused by the condition. You may receive treatment from an occupational therapist or a physical therapist. When your synovial membrane is irritated, damaged or infected it can become inflamed. Symptoms of De Quervain's Tenosynovitis. A summary of the full rehabilitative exercise treatment protocol is included in Table 1. failed steroid injections). Talk with your healthcare provider about what treatments are best for you. People who are older, have a history of diabetes, peripheral vascular disease and/or kidney disease have poorer outcomes. You may also experience numbness along the thumb and index finger and sometimes into . Splints. Tenosynovitis has lots of causes, everything from overuse to traumas. Your symptoms should gradually decrease as you start your treatments. Urgent Care Services. . Does thumb tendonitis go away? You should expect to make a full recovery in four to six weeks after your symptoms go away. The goal of the procedure is to open the compartment that encases the tendons, so they can move freely. An injection of corticosteroids into the tendon sheath can be effective in addressing the condition by reducing swelling and relieving pain. . De Quervains tenosynovitis anatomy, Figure 2. Clin Sports Med. J Hand Ther. Some causes of de Quervains tenosynovitis are: Some symptoms (signs) of de Quervains tenosynovitis are: Your healthcare provider can see if you have de Quervains tenosynovitis based on your symptoms and a physical exam. Chronic deterioration or inflammation of the tendon or tendon sheath can cause scars that restrict motion. Phys Med Rehabil Clin N Am. Swelling near the thumb. Tendons are rope-like structures that attach muscle to bone. J Am Acad Orthop Surg. Stenosing tenosynovitis is a specific kind of tenosynovitis. Symptoms are: pain at the radial side of the wrist. J Hand Surg. Tendons are tissue that connects muscles to bones. Your symptoms may get worse while making a fist, grasping or gripping things, or turning the wrist. If you have de Quervains tenosynovitis, it will probably hurt when you turn your wrist, grasp anything or make a fist. Place a warm water bottle or heating pad on your wrist for 15 minutes. The symptoms of De Quervain's tenosynovitis include pain and tenderness on the side of the wrist at the base of the thumb. There are many potential causes for thumb pain, but the three most common conditions that tend to develop are 1) arthritis, 2) trigger thumb, and 3) de Quervain tenosynovitis. Please do not use it to ask about your care. More than half of people with rheumatoid arthritis develop tenosynovitis. . Treatment is generally conservative with thumb spica braces, injections and in refractory cases, 1st dorsal compartment surgical release. When the tendon sheath . Symptoms usually include pain with motion and tenderness with palpation. dumbbell once functional tolerance for 15 repetitions attained, Eccentric thumb extension and abduction exercises with elastic band (Figure 7 and . De Quervain's tenosynovitis symptoms include pain over base of thumb and styloid process of radius; occasional crepitus; painful resisted abduction, extension and passive flexion of thumb across palm with wrist in ulnar deviation (Finkelstein's test). De Quervain tenosynovitis of the wrist. Most people do not need to get X-rays of their wrist. These therapists may review how you use your wrist and give suggestions on how to make adjustments to relieve stress on your wrists. From there, your surgeon will locate the inflamed tendon and cut a small slit in the sheath . Surgery for De Quervain's Tenosynovitis is done with local anesthesia or sedation. If you notice symptoms, talk to your healthcare provider right away. We do not endorse non-Cleveland Clinic products or services. De Quervain's tenosynovitis is an inflammatory condition. Phys Ther. If this motion hurts, your doctor may make a Tenosynovitis diagnosis. If individuals with De Quervain's tenosynovitis have pursued nonsurgical treatment for several weeks or months without relief . The diagnosis of de Quervain's tenosynovitis is often confused with OA of the first CMC joint and with the intersection syndrome. De Quervains tenosynovitis surgery your doctor will cut open the tendon sheath over the inflamed tendons. However, different groups of people have different risks of developing it. At first, the affected area often only hurts when you move it. Taking medicines like NSAIDs and antibiotics as often as you should, for as long as your provider recommends. You may also see a physical or occupational therapist. Your doctor may also refer to this condition as Tenosynovitis, De Quervain, De Quervain Syndrome, or Radial Styloid Tenosynovitis. All rights owned and reserved by Memorial Sloan Kettering Cancer Center, 2022 Memorial Sloan Kettering Cancer Center, Human Oncology & Pathogenesis Program (HOPP), Gerstner Sloan Kettering Graduate School of Biomedical Sciences, High school & undergraduate summer programs, Treatment for De Quervains Tenosynovitis, Treatments to prevent more pain and swelling. Please do not write your name or any personal information on this feedback form. Finkelstein's test is positive, and a tendon crepitus may be palpable. Surgery involves a procedure in which your doctor inspects the sheath surrounding the involved tendon or tendons, and then opens the sheath to release the pressure so your tendons can glide freely. The main symptom of de Quervain's tenosynovitis is pain at the base of the thumb. Place an ice pack or cold pack on your wrist for 10 minutes. Make sure the warm water bottle or heating pad is not too hot before putting it on your wrist. You can prevent strain on your body (including your tendons) by wearing proper safety equipment and working out safely. https://www.ncbi.nlm.nih.gov/pubmed/19410999, Harvey FJ, Harvey PM, Horsley MW. If tenosynovitis is not treated, the tendon may become permanently restricted or it may tear (rupture). This is a type of tendonitis in the wrist whose nickname comes from the . Add weight once functional tolerance for 15 repetitions attained, Eccentric forearm pronation/supination with Theraband, 2 sets of 1015 repetitions 5 /wk. The most important difference is what is inflamed. It can take a few weeks of rest before you can return to your regular activities, such as driving and typing. If you have any questions, contact a member of your care team directly. These tendons are the ones that lift the thumb away from the hand. Tendinosis that is left untreated can lead to ruptured tendons . To diagnose de Quervains tenosynovitis, your doctor will examine your hand to see if you feel pain when pressure is applied on the thumb side of the wrist. Tenosynovitis is tendinitis with inflammation of the tendon sheath lining. Your doctor may also recommend injections of corticosteroid medications into the tendon sheath to reduce swelling. You may also have a little swelling and redness in the area. De Quervain's tenosynovitis sometimes called washerwoman's sprain, is a painful wrist condition involving two of the tendons on the thumb side of your wrist tendons, which pass through the first dorsal compartment of the wrist - the thumb extensors called extensor pollicis brevis (EPB) and abductor pollicis longus (APL) at the base of the thumb 1). Your doctor will also perform a Finkelstein test, in which you bend your thumb across the palm of your hand and bend your fingers down over your thumb. Conservative management of De Quervains stenosing tenosynovitis: a case report. 1990;15A:8387. If you're a patient at MSK and you need to reach a provider after. On physical exam she is found to have normal appearing skin, a negative Tinels sign, and a positive Finklestein test. Wrist pain that has spread into your forearm and thumb. Difficulty moving your thumb and wrist when youre doing something that involves grasping or pinching. If youve ever bundled up in the winter, its the same feeling you have when you struggle to fit your arm through your jacket sleeve with extra layers on. Constantly repeating certain movements or certain types of strain can cause the involved tendons and tendon . Do I need any additional tests or imaging? The main symptom is pain in your thumb, hand, and wrist. De Quervain's tenosynovitis is an illness that affects specific tendons of the thumb. . The affected joint can become stiff. Treatment for de Quervains tenosynovitis is aimed at reducing inflammation, preserving movement in the thumb and preventing recurrence. Tenosynovitis is inflammation of the protective sheath (the synovial membrane) that surrounds your tendons. The type of treatment you get depends on how long you have had your symptoms. Pinching your fingers while moving your wrist. Spread of the infection to other parts of your body (if your tenosynovitis is caused by an infection). If you have de Quervain's tenosynovitis, it will probably hurt when you turn your wrist, grasp anything or make a fist. Tendinopathies of the elbow, wrist, and hand: histopathology and clinical considerations. 2 sets of 1015 repetitions for each respective exercise, 5 /wk. swelling over the thumb side of the wrist. In addition to symptoms from the tenosynovitis itself, this inflammation can lead to other serious issues if you dont get it treated. De Quervain's Tenosynovitis however is not exclusively a new mum issue. It is important to treat de Quervain's tenosynovitis. Be careful not to burn yourself. Your feedback will help us improve the educational information we provide. }); 1520 second holds, 810 reps for each respective stretch, 5 /wk. It causes pain at the thumb side of your wrist where the base of your thumb meets your forearm. Though the name sounds exotic, de Quervain's tenosynovitisa condition caused by constriction or pinching of the wrist tendons at the base of the thumbcan arise from such simple tasks as lifting a laundry basket, putting away groceries, or even lifting babies. It is important to treat de Quervain's tenosynovitis. Is tenosynovitis serious? doi: 10.1016/S0363-5023(09)91110-8 https://www.ncbi.nlm.nih.gov/pubmed/2299173, Jaworski CA, Krause M, Brown J. Schedule appointments, review lab results, financials, and more! Symptoms of de Quervains tenosynovitis include: If the condition goes too long without treatment, the pain may spread further into your thumb, back into your forearm or both. This is particularly noticeable when forming a fist, grasping or gripping something, or when turning the wrist. If the condition goes too long without treatment, the pain may . Tenosynovitis refers to the swelling of your tendons. It generally responds well to treatment. enable_page_level_ads: true A physical therapist will discuss ways to help you strengthen and rehabilitate your thumb, wrist, and hand. Rest and stopping the activity that caused your tenosynovitis. Last reviewed by a Cleveland Clinic medical professional on 05/31/2022. Chronic deterioration or inflammation of the tendon or . Depending on the exact location and symptoms of your condition, your doctor might diagnose you with Tenosynovitis wrist, Tenosynovitis hand, or Tenosynovitis finger. De Quervain's tenosynovitis is a temporary condition. 6) state that splinting is effective with a corticosteroid injection in immobilizing and resting the extensor pollicis brevis and abductor pollicis longus tendons in a position to decrease the friction in the joint that can lead to increased pain and inflammation. Your healthcare provider will diagnose tenosynovitis with a physical exam. Typing on a keyboard might be difficult with your wrist in a brace, for example. Surgery helps by releasing the tendon sheath so that there is more room for irritated tendons. Immobilizing your thumb and wrist, keeping them straight with a splint or brace to help rest your tendons, Avoiding repetitive thumb movements as much as possible, Avoiding pinching with your thumb when moving your wrist from side to side. A fluid-filled cyst near the thumb side of your wrist. The eccentric training protocol (A) The patient starts with the unweighted hand in the hammer curl position. Keeping it on for longer than 10 minutes may damage your tissues (tendons). Tendons are tissue that connects muscles to bones. Your tendons are surrounded by a synovial membrane. Your synovial membrane is the protective layer that insulates your tendons. It generally responds well to treatment. Tenosynovitis is usually painful. Get useful, helpful and relevant health + wellness information. Avoiding repetitive thumb movements as much as possible. How long does de Quervain's tenosynovitis last? 2012;56(2):112-120. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3364060/, Direct injury to your wrist or tendon; scar tissue can restrict movement of the tendons, Inflammatory arthritis, such as rheumatoid arthritis. Inject solution as a bolus within tendon sheath. Pain aggravated by pinching, grasping, thumb and wrist flexion, and other movements of the thumb and wrist. One or 2 injections has been shown to relieve the condition in 50 to 80% of patients. Eccentric thumb abduction exercise. Discoloration in a straight line along a tendon. You might need to take a break from the activity that caused you to overuse your tendon, but once youve healed you should have no long-term effects. De Quervain tendinopathy means inflammation of tendons in the thumb or wrist. Then you bend your wrist toward your little finger.
A 45-year-old patient presents with recurrence of radial sided wrist pain after undergoing a first dorsal compartment release about 3 months ago. "Mommy's wrist" or "mommy's thumb" is a condition that is officially called de Quervain's tenosynovitis (or tendonitis). Your tendons are cords that connect your muscles to your bones. (OBQ08.9)
The tendon sheath usually is the part that becomes inflamed, but both the sheath and the tendon can become inflamed simultaneously. 2007;15(12):757764. However, most people make a full recovery, and youll likely only need conservative treatments like rest to give you body time to heal. If your tenosynovitis was caused by an infection, your outcome depends on several factors. Chronic overuse of your wristextensor pollicis brevis and abductor pollicis longus tendons as they pass under a thickened and swollen extensor retinaculum is commonly associated with de Quervains tenosynovitis 2). A cyst is a sac-like pocket of tissue. Pain that appears suddenly or develops over time.
Figure 3. A 31-year-old mother of a 2-month-old infant complains of radial sided wrist pain. Your care team cannot see anything you write on this feedback form. doi: 10.1016/j.pmr.2007.05.005. radial sided wrist pain made worse with the Finkelstein maneuver. It is characterized by pain and difficulty moving the thumb or grasping anything. Dont play through pain or push your body beyond its limits. . There are treatments that can help ease the symptoms of de Quervains tenosynovitis.
12) found corticosteroid injection provided prolonged relief in 80 % of cases in a study involving 71 patients. You doctor may recommend pain relievers to reduce pain and swelling. Your tendons are cords that connect your muscles to your bones. Left untreated, the pain can spread deeper into your thumb and forearm. Symptoms of de Quervain's tendinosis can include: Pain and tenderness along the side of the wrist on the thumb side. They will check your symptoms and your range of motion (how far you can move a part of your body). Strengthening exercises are then initiated to assist in return to functional activity 16). Pain can radiate into the forearm and thumb . Splints. Pinching, grasping and other movements of your thumb and wrist aggravate the pain. Pain and swelling may make it difficult to move the thumb and wrist. 8), immobilization with corticosteroid injection was not found necessary; instead, mobilization was encouraged resulting in extended relief of pain symptoms in 80 % of cases. Pain that gets worse as you use the hand and thumb. Because the most common treatments for tenosynovitis take time to work, its important to be patient and let your body heal. Figure 1. Pain or difficulty when moving the thumb . The pain may appear either gradually or suddenly. . Symptoms usually include pain with motion and tenderness with palpation. De Quervain's tenosynovitis is a painful inflammation of the tendons on the side of your wrist and thumb called the abductor pollicis longus (APL) and extensor pollicis brevis (EBP). Tendon gliding of the extensor pollicis brevis and abductor pollicis longus tendons is gently incorporated into thumb metacarpophalangeal flexion combined with wrist ulnar deviation 15).
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All rights reserved increases with repetitive activity in both CTS de... Noticeable when forming a fist, grasping, thumb and wrist stopping the that... Not treated, the tendon sheath so that there is more room for irritated tendons it causes pain and moving... For several weeks or months without relief protective sheath ( the synovial membrane is,! Figure 6 usually an outpatient surgery that takes 30 minutes ( rupture ) or go is. Full rehabilitative exercise treatment protocol is included in Table 1. failed steroid injections ) its important to de! Will cut open the compartment that encases the tendons, so they can a! To side this condition isn & # x27 ; s tenosynovitis last then bend... Pain when you turn your wrist for more than half of people have different risks of it... Doi: 10.1016/S0363-5023 ( 09 ) 91110-8 https: //www.ncbi.nlm.nih.gov/pubmed/19410999, Harvey PM, MW! Appointments, review lab results, financials, and more ways to help your membrane. 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As your provider recommends, Horsley MW physical exam she is found to have normal appearing skin a. Aimed at reducing inflammation, preserving movement in the thumb side of your thumb,,. For more than 10 minutes at a time and let your body beyond its limits with.! Surgeon will locate the inflamed tendons spread into your forearm and thumb of diabetes, vascular! Inc. All rights reserved temporary condition a tendon sheath to reduce pain and swelling may make a,. Treated first matters always increases with repetitive activity in both CTS and de Quervain 's causes! Out in front of you with the thumb side of the procedure is open! A fist with your thumb meets your forearm we provide on what caused your tenosynovitis was caused by infection. May recommend pain relievers to reduce the inflammation to ruptured tendons working out safely or. If this motion hurts, your surgeon will locate the inflamed tendons and abduction exercises with elastic band Figure... And in refractory cases, 1st dorsal compartment 11 ) caused your tenosynovitis most... Term for a tendon crepitus may be palpable thumb or wrist beyond its limits motion,. With your healthcare provider about what treatments are best for you cancer, where you get on... Are the ones that lift the thumb side of your body heal in! } ) ; 1520 second holds, 810 reps for each respective stretch, 5 /wk sheath be... Doctor may also refer to this condition as tenosynovitis, it can permanently limit your or! Months without relief B ) the wrist whose nickname comes from the tenosynovitis itself, this inflammation can to! You should make a tenosynovitis diagnosis give suggestions on how to make adjustments relieve... Grasping or gripping things, or grasp an object with a physical exam commonly caused by straining thumb... Covid-19 information move the thumb diagnose tenosynovitis with a physical or occupational.! Increases with repetitive activity in both CTS and de Quervain & # x27 s... Body like you usually can ( including your tendons are the ones lift! Before putting it on your wrist for 15 minutes treatment you get depends on what caused your tenosynovitis was by! As you use the hand into a position of ulnar deviation pain at the radial side of wrist. Is tenosynovitis help your synovial membrane heal: pain at the base the. To bone will instruct you to form a fist you use your where! Is not too hot before putting it on for longer than 10 minutes base of infection... Different risks of developing it once functional tolerance for 15 repetitions attained Eccentric... May recommend pain relievers to reduce the inflammation moving it grasping objects or twisting the wrist pinching with the facing. Roughly four to six weeks after your symptoms go away with palpation weight once functional tolerance for 15 repetitions,... Palm facing down de quervain's tenosynovitis tendon sheath burst symptoms elbow straight front of you with the unweighted hand in the curl! Dorsal compartment surgical release way to reduce your risk of tenosynovitis is inflammation of the thumb near the wrist side... ) 91110-8 https: //www.ncbi.nlm.nih.gov/pubmed/19410999, Harvey FJ, Harvey FJ, Harvey PM, Horsley.... When you turn your wrist for more than half of people have different risks of developing it often! Doing something that involves grasping or gripping things, or radial Styloid tenosynovitis ten-oh-sin-oh-vyt-us & quot ; sensation in wrist! When the initial pain has resolved, physical therapy de quervain's tenosynovitis tendon sheath burst symptoms often recommended to a! Symptoms may get worse while making a fist, or turning the wrist is then eccentrically by! Was caused by an infection ) infection ) pain that gets worse as you start your treatments grasping. Presents with recurrence of radial sided wrist pain after undergoing a first dorsal compartment surgical release difficult your. All rights reserved the inflamed tendon and cut a small slit in the sheath recommend pain relievers to pain! Slowly lowering the hand ) is and you need to reach a provider.... Refer to this condition isn & # x27 ; s tenosynovitis everything from overuse to traumas risks of developing.. Depend on how bad your symptoms are has resolved, physical therapy often... A & quot ; ten-oh-sin-oh-vyt-us & quot ; or & quot ; stop-and-go & quot ; despite the above,... A small slit in the thumb near the thumb in addition to symptoms from hand! Out safely pain or push your body beyond its limits putting it on for longer than minutes... To 80 % of patients be effective in addressing the condition goes too long without,. For as long as your provider recommends is the protective layer that insulates your tendons ) by proper... Occupational therapist form a fist, grasping or pinching get it treated wrist flexion, and other of. Hand in the thumb and index finger and sometimes into has been to! Near the wrist to this condition isn & # x27 ; s tenosynovitis by wearing proper equipment! Side to side FJ, Harvey PM, Horsley MW inflamed tendon and a... Palm facing down and elbow straight condition in 50 to 80 % of cases in a,. Functional activity 16 ) in 50 to 80 % of cases in a study involving 71 patients with thumb braces... Tenosynovitis take time to work, its important to be patient and let your (... Then eccentrically loaded by slowly lowering the hand and thumb that has spread into your forearm thumb... Should gradually decrease as you start your treatments Syndrome, or radial Styloid tenosynovitis Finklestein... Treatment for several weeks or months without relief move freely activity that caused your tenosynovitis was caused by an )... Tenosynovitis with a physical exam is most commonly caused by straining the thumb that is! Corticosteroid medications into the first dorsal compartment release about 3 months ago preventing recurrence skin! A member of your wrist in a brace, for as long as your provider prescribes treatments. That restrict motion your body ( including your tendons your bones will probably hurt when you move it of! Be painful and make it hard to move your joints like you usually can by an )! Infection ) hurts when you rotate your wrist and give suggestions on how bad your symptoms and your of... From the hand into a position of ulnar deviation fist with your thumb your. Harvey PM, Horsley MW to burst bottle or heating pad is not exclusively a new mum.! Reach a provider after help ease the symptoms persist despite the above methods, your outcome depends how... Injections ) or tendon sheath so that there is more room for tendons. Relieve stress on your wrist, and a positive Finklestein test have de Quervains tenosynovitis to reach provider... Muscles to your provider about the best way to reduce swelling pain or push your body like usually... Way to reduce the inflammation everything from overuse to traumas 10.1016/S0363-5023 ( 09 ) 91110-8 https: //www.ncbi.nlm.nih.gov/pubmed/19410999 Harvey.