De Quervain’s tenosynovitis
De Quervain’s is a common, treatable cause of pain on the thumb side of the wrist. It often appears with new or repetitive hand use, including the lifting that comes with a new baby, and usually settles well.
What it is
Two tendons that move the thumb pass through a snug tunnel on the thumb side of the wrist. When this tunnel and its lining become irritated and swollen, gripping or turning the wrist becomes painful. {{CONFIRM with Holly}}
What you might notice
- Pain on the thumb side of the wrist, worse when gripping, lifting or turning.
- Pain when lifting with the thumb up (for example, lifting a child).
- Swelling or tenderness over the area.
How it is treated
We begin with the gentlest effective measures.
- A splint that rests the thumb and wrist. {{CONFIRM with Holly}}
- A steroid injection, which settles many cases. {{CONFIRM with Holly}}
- A small release of the tight tunnel, when symptoms persist, usually a quick day case. {{CONFIRM with Holly}}
Recovery & what to expect
- A careful assessment and an honest discussion of options.
- A gentle first step, usually a splint or injection.
- A small release if needed, with a quick return to everyday use. {{CONFIRM with Holly}}
- Simple aftercare, with hand therapy where it helps.
Questions patients ask
Will it settle without surgery? Often, yes, splints and injections help many people. A small release is very effective if it persists. {{CONFIRM with Holly}}
I’ve just had a baby, is that why? It commonly appears with the repetitive lifting of a newborn, and frequently settles with treatment. {{CONFIRM with Holly}}