WHAT IS IT? DE QUERVAIN’S TENOSYNOVITIS

  • Inflammation and thickening of the synovial sheath of tendons of the wrist and thumb.  

  • Surrounding the muscles that extend and abduct thumb is a synovial sheath which can become inflamed.  At the lower end of the radius these tendons pass through a tunnel of bone and ligaments.

  • Also referred to as Hoffman’s disease.
     

Signs and symptoms

  • Pain on the radial side of the wrist

  • Swelling

  • Crepitus

  • Aggravated by the movements of thumb extension and thumb abduction

​WHAT CAUSES IT?
  • Overuse (work or sport)

  • Radial side dominated sports such as rowing, kayaking, and racquet sports

 

PROGNOSIS
  • Cortisone and anaesthetic injection may be useful.

  • If conservative management fails surgery to release the tendons may be required.

 

HOW PHYSIO HELPS?
  • Assess if your condition is de Quervain’s by conducting the Finkelstein’s test

  • Organise a splint to immobilise the thumb and reduce aggravation of the tendons

  • Use manual treatment including deep transverse frictions with the tendon on stretch to release any adhesions

  • Use electrical therapies such as ultrasound and interferential

  • Prescribe stretches and strengthening specific to your problem

  • Review possible stressors, and organise ergonomic aids such as a built-up pen grip to offload the tendons

 

 

 

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OPENING HOURS

Monday-Friday: 8:00am - 8:00pm

​Saturday: 8:00am - 12:00pm

Sunday: By Appointment​

 

ADDRESS

Sammy Margo Physiotherapy

444 Finchley Road

London

NW2 2HY

Email: physiophysio@hotmail.com

Tel: ​020 7435 4910​​​
Fax: 020 7435 0461

Web: sammymargophysiotherapy.com

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Disclaimer: Information made available by AskPhysio (Sammy Margo Physiotherapy) is provided for guidance only and should not be considered as medical recommendations or advice.  AskPhysio is not responsible for errors or omissions in the information. Please consider what the best options for your healthcare are, based on the urgency of your condition and nature of your condition. Please consult a GP or Healthcare Specialist to discuss any specific concerns that exist prior to using the information provided.