Tendinopathy - De Quervain tendinitis; de Quervain tenosynovitis
A tendon is thick, bendable tissue that connects muscle to bone. Two tendons run from the back of your thumb down the side of your wrist. De Quervain tendinitis is caused when these tendons are swollen and irritated.
De Quervain tendinitis can be caused by playing sports such as tennis, golf, or rowing. Constantly lifting babies and toddlers can also strain the tendons in the wrist and lead to this condition.
If you have De Quervain tendinitis, you may notice:
De Quervain tendinitis is usually treated with rest, splints, medicine, changes in activity, and exercise. Your doctor may also give you a shot of cortisone to help decrease pain and swelling.
If your tendinitis is chronic, you may need surgery to give the tendon more room to slide without rubbing on the tunnel wall.
Ice your wrist for 20 minutes of every hour while awake. Wrap the ice in cloth. Do not put ice directly on the skin because this can result in frostbite.
For pain, you can use ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), or acetaminophen (Tylenol). You can buy these pain medicines at the store.
Rest your wrist. Keep your wrist from moving for at least 1 week. You can do this with a wrist splint.
Wear a wrist splint during any sports or activities that could put stress on your wrist.
Once you can move your wrist without pain, you can start light stretching to increase strength and movement.
Your provider may recommend physical therapy so that you can return to normal activity as soon as possible.
To increase strength and flexibility, do light stretching exercises. One exercise is squeezing a tennis ball.
Before and after any activity:
The best way for the tendons to heal is to stick to a care plan. The more you rest and do the exercises, the quicker your wrist will heal.
Follow up with your provider if:
Donahoe KW, Fishman FG, Swigart CR. Hand and wrist pain. In: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, eds. Kelly and Firestein's Textbook of Rheumatology. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 53.
O'Neill CJ. de Quervain tenosynovitis. In: Frontera, WR, Silver JK, Rizzo TD Jr, eds. Essentials of Physical Medicine and Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019:chap 28.BACK TO TOP
Review Date: 7/8/2020
Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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