Therapy & Customized
Splinting > Finger,
Hand, Wrist, Forearm & Elbow Conditions > De Quervain’s Tendinitis
De Quervain’s Tendinitis Hand Therapy
De Quervain's (dih-kwer-VAINS) tendinitis is a condition that causes
pain and tenderness at the thumb side of the wrist, at the base of the
thumb and forearm.
This particular pain is aggravated when/with grasping or extending the thumb
(pulling it back like "giving a thumbs up sign and then using the same thumb to point to your chest").
Unfortunately, anyone at any age can develop this painful thumb and wrist condition, and it occurs when the tendons are
- prolonged or repetitive use of the hand
- rapid or forceful
hand use or
- use of the hand or arm in an awkward position
These wrist and thumb tendons becomes
at the wrist, and causing pain and thickening over time.
Common forms of treatment for De
for cortisone by a doctor is common treatment. Persistent and unresolved cases may
require hand surgery. We can refer you to an orthopedic surgeon in our medical network as well as part of our value-added service.
first of all, What is De Quervain’s Tendinitis?
De Quervain's tendinitis is a common condition involving tendons of
Tendons are tough cords or bands of connective tissue that
connects our muscles to bones. The thumb and wrist extensor tendons (Abductor
Pollicus Longus and Extensor Pollicus Brevis) are encased in a tunnel-like "sheath"
at the wrist, which keeps the tendons in place.
Quervain's tendinitis can occur gradually or suddenly, when the tendons
become inflamed or thickened from overload or repetitive use, and have
difficulty sliding through the extensor tunnel.
Risk factors for developing De Quervain's tendinitis include:
- Chronic overuse of the hand
- Excessive use of the thumb from texting and gaming
- Being female (women are 8 to 10 times more likely to develop this condition than men)
- Using the hand or arm in a position that feels awkward
- Participation in sports that stress the hand and wrist, such as golf and tennis
- Age 40 years and above
- Race; members of the black community may be more likely to experience this problem
How Does De Quervain’s Tendinitis Feel like?
A person who has De Quervain's tendinitis may:
- Feel localized tenderness, pain, and, swelling at the wrist near where the thumb is attached to the forearm
- Have difficulty pinching or grasping with the thumb or hand
- Feel pain when moving the wrist from side to side or twisting it
- Experience limited motion and feeling of weakness in the thumb
- Have difficulty flexing the thumb
- Notice a "catching" or "snapping" sensation with movement of the thumb (a less common symptom)
Active use of the hand with activities, such as writing, opening
jars, lifting a child, hammering, sports, and any workplace or home
activity that involves pinching or grasping with the thumb, can provoke
the symptoms of
Note: Other conditions of the wrist and hand can cause symptoms
similar to those stated here. Our senior hand therapists will help to
identify any underlying problems of your joints, tissues, or nerves that
may be causing similar symptoms.
How Is De Quervain’s Tendinitis Diagnosed?
Our senior hand therapists will ask you how and when you first
experienced symptoms, and what it feels like at the present time.
They will perform a physical exam that will include
- feeling for
- measuring the flexibility and range of motion of the thumb
- testing the strength of the thumb muscles and grip
They will also perform a Finkelstein test, which gently
stretches the tendons on the thumb side of the wrist through the
extensor tunnel. Pain during this test is common with De Quervain’s
Our senior hand therapist will also perform other tests to rule out any
underlying conditions that may mimic De Quervain's symptoms.
how our senior hand therapist can help
If our senior hand therapist confirms De Quervain’s Tendinitis from an
evaluation, they will work with you to develop an individualized plan
with you for this condition.
They will review and evaluate how you use your
hand and wrist for functional activity. The review will include your
daily activities, work, and sports activities. They will try to help you identify what activities or positions that you use
that may contribute to the problem. They will also instruct you how to make
changes in your function to help healing and reduce risk of the problem
in the future.
Specific instructions may include
- avoiding repetitive thumb and/or
- avoid flexing the thumb
- avoid moving the hand
toward the pinkie finger as much as possible
forceful hand movements
- avoid any movements or activities that increase
Our senior hand therapist may provide a customized wrist splint to position your wrist and
thumb for rest, and to provide compression to provide pain relief and decrease swelling.
They will also work with you to reduce pain and inflammation.
Ultrasound therapy may be applied to accelerate soft tissue healing and improve pain. This treatment
uses ultrasonic sound waves applied over the involved area to
Iontophoresis is another option to reduce swelling and pain.
Iontophoresis is a type of electrical stimulation that is used to
administer medication to the problem area through your skin.
Cold therapy and heat therapy may be recommended for short term pain relief. Our senior hand therapists will advise you for what is best for your condition.
Exercise is prescribed to improve range of motion and prevent
stiffness. Early on, exercise is restricted to avoid aggravating the
condition. As the condition improves, exercises will be progressed to
improve strength for functional activity, as well as improve active
range of motion of the thumb and wrist.
If your symptoms do not respond to conservative care, we will refer you to an orthopedic doctor who will determine if you need
medication, injection, or surgical care for further recovery.
Back to Top
book an appointment today
(or check your pains / injuries)
Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
See all the conditions our principal physiotherapists treat.
HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
- manage and decrease hand pains
- improve range of motion, strength and dexterity
- increase the function of their hand
following injuries or post-operations
Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
- Cupping TCM
- Auricular Therapy TCM
- Herbal TCM Medicine & Supplementation
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
do Tell Your Family, Friends And Colleagues About Us =)
We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself.
We prefer not to rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.
book an appointment today
(or check your pains / injuries)
Jun 29, 22 08:32 AM
Adele is a registered physiotherapist with over 25 years of experience including treating national athletes as well as recreational athletes having worked in Singapore Sports Council and Singapore Spo…
Feb 03, 22 04:05 AM
Achilles tendon pain is very common among recreational and elite sportspeople. But it is also common among sedentary individuals
Feb 03, 22 12:16 AM
Tendonitis, tendinopathy and tendinosis are all tendon injuries and treated by physiotherapists and hand therapists
Jan 11, 22 02:01 AM
Cervical spondylosis is a general term to describe the degenerative condition in the neck which results in pain and other symptoms
Jan 07, 22 12:28 AM
Tendinopathy (tendon injuries) can develop in any tendon of the body and has many names such as tendinitis and it can be treated with good tendon physiotherapy
Dec 15, 21 01:47 AM
Tendon problems are common in runners and can become a persistent issue if not properly treated.
Dec 14, 21 11:23 PM
Pain and pathology in a tendon, known as tendinopathy, is a common injury in athletes that can be difficult to manage. Physio and hand therapy can help healing
Dec 07, 21 01:31 AM
We use the world’s best tendon recovery programs through cutting edge treatment techniques for all tendon injuries (and tendon injuries differ accordingly)
Nov 28, 21 12:08 AM
Phoenix Rehab Physiotherapy and Hand Therapy at Tampines Singapore
Nov 17, 21 12:30 AM
Mallet finger is an injury to the thin tendon that straightens the end joint of a finger or thumb.