De Quervain Tenosynovitis

Diagnosis

To diagnose de Quervain tenosynovitis, a healthcare professional will examine your hand and wrist to check for pain on the thumb side. The provider may ask you to perform a Finkelstein test, where you bend your thumb across your palm, close your fingers over it, and then move your wrist toward your little finger. If this motion causes pain, it likely indicates de Quervain tenosynovitis. Imaging tests such as X-rays are rarely needed for diagnosis.

Treatment

Treatment for de Quervain tenosynovitis focuses on reducing inflammation, restoring movement in the thumb, and preventing the condition from recurring. With early treatment, symptoms often improve within four to six weeks. If the condition develops during pregnancy, it usually resolves by the end of pregnancy or breastfeeding.

Medications

Pain relievers such as ibuprofen or naproxen sodium can reduce pain and swelling. In some cases, corticosteroid injections into the tendon sheath may be recommended to decrease inflammation. When administered early, these injections are highly effective and may completely resolve symptoms after a single dose.

Therapies

Initial treatment may involve:

• Immobilizing the thumb and wrist with a splint or brace to rest the tendons

• Avoiding repetitive thumb movements and pinching actions

• Applying ice to reduce swelling

• Consulting a physical or occupational therapist to learn wrist and hand exercises that strengthen muscles and reduce irritation

These exercises help restore flexibility, prevent stiffness, and minimize pain.

Surgery or Other Procedures

For severe or persistent cases, outpatient surgery may be recommended. During the procedure, the surgeon releases the tight sheath around the affected tendons, allowing them to move freely. After surgery, patients may work with a physical or occupational therapist to regain strength and adjust their daily activities to prevent recurrence.

Lifestyle and Home Remedies

Self-care strategies can help manage or prevent de Quervain tenosynovitis:

• Avoid repetitive wrist movements

• Use a brace or splint if advised by a healthcare provider

• Continue recommended exercises to maintain mobility

• Identify and avoid activities that trigger pain or swelling

Preparing for Your Appointment

If home care does not relieve your symptoms, make an appointment with a healthcare provider. You may be referred to a specialist such as an orthopedist, rheumatologist, or hand therapist.

Before your appointment:

• Write down key medical information, including current medications and supplements

• Note any repetitive activities, hobbies, or recent wrist injuries

• Prepare questions for your doctor about diagnosis, treatment options, and lifestyle adjustments

What to Expect from Your Doctor

Your doctor may ask questions such as:

• When did your symptoms begin, and have they worsened over time?

• What activities trigger your symptoms?

• Do you engage in repetitive tasks, hobbies, or sports?

• Have you experienced recent wrist injuries?

• What treatments have you tried, and what has helped so far?

These questions help determine the cause of your condition and guide personalized treatment for a faster recovery.