De Quervain’s Tenosynovitis

What is DeQuervain’s Tenosynovitis?

De Quervain’s Tenosynovitis is the inflammation of the tendons which run from the side of the wrist to the thumb. This condition specifically affects the APL (abductor pollicis longus) and EPB (extensor pollicis brevis) tendons which are kept in place by a synovial tunnel. The inflammation of these tendons constricts the movement of the thumbs leading to decreased mobility and pain.

What causes DeQuervain’s Tenosynovitis?

  • Chronic overuse of the wrist involving lifting (grocery bags) or writing 
  • Pregnancy 
  • Rheumatoid arthritis 
  • Injury

What does DeQuervain’s Tenosynovitis feel like?

  • Pain and swelling near the base of the thumb 
  • Constricted movement 
  • ‘Stop and go’ feeling when moving the thumb

How can DeQuervain’s Tenosynovitis be managed?

  • Treatment

    • TENS
    • Dry needling
    • Acupuncture
    • Rehabilitation exercises
    • Chiropractic adjustments and manipulations 
    • Massage Therapy