De Quervain's

De Quervain's
In de Quervain's tenosynovitis, the inflammation constricts the movement of the tendons within the tunnel.
At first, the only sign of trouble may be soreness on the thumb side of the forearm, near the wrist. If the problem isn't treated, pain may spread up the forearm or further down into the wrist and thumb. As the friction increases, the two tendons may actually begin to creak as they move through the constricted tunnel. This noise is called crepitus. If the condition is especially bad, there may be swelling along the tunnel near the edge of the wrist. Grasping objects with the thumb and hand may become increasingly painful.



The main focus of physiotherapy is to reduce or eliminate the cause of irritation of the thumb tendons. Your physiotherapist may check the way you do your work tasks. Suggestions may be given about the use of healthy body alignment and wrist positions, de Quervain's tenosynovitis supports, helpful exercises, and tips on how to prevent future problems.
Thumb-Spica Splint
Your physiotherapist or doctor may want you to wear a special forearm and thumb splint called a thumb-spica splint. This splint keeps the wrist and lower joints of the thumb from moving. The splint allows the APL and EPB  to rest, giving them a chance to begin to heal