DeQuervains Tenosynovitis

De Quervain’s Tenosynovitis, also known as thumb tendinitis, is a painful condition that affects the tendons on the thumb side of the wrist. It occurs when these tendons become irritated or inflamed, making it difficult to grip, lift, or twist objects.

The pain often develops gradually and can be made worse by repetitive movements such as texting, lifting a baby, or using tools. In some cases, swelling and stiffness may also appear at the base of the thumb.

At Rebound Physio in Chester, we provide expert treatment for De Quervain’s Tenosynovitis. Our goal is to relieve pain, reduce inflammation, and restore smooth, comfortable thumb and wrist movement through evidence-based physiotherapy and personalised care.

The thumb and wrist are supported by several tendons that allow smooth movement and grip strength. In De Quervain’s Tenosynovitis, two key tendons are affected the abductor pollicis longus (APL) and the extensor pollicis brevis (EPB). These tendons pass through a narrow tunnel, known as a sheath, on the thumb side of the wrist.

When these tendons are used repeatedly, friction can build up inside the sheath, leading to irritation, swelling, and inflammation. This makes it difficult for the tendons to glide smoothly, resulting in pain and stiffness near the base of the thumb.

The condition is often seen in people who perform repetitive wrist or thumb movements, such as lifting, gripping, or scrolling on phones. It can also occur after a sudden strain or injury. Without proper treatment, inflammation may worsen and restrict normal hand function. Early diagnosis and targeted physiotherapy can help restore mobility and prevent long-term tendon damage.

The symptoms of De Quervain’s Tenosynovitis usually start gradually and worsen with continued use of the wrist and thumb. Pain is typically felt on the thumb side of the wrist, especially when gripping, twisting, or lifting.

Common symptoms include:

• Pain and tenderness near the base of the thumb
• Swelling along the thumb side of the wrist
• Stiffness or a “catching” feeling when moving the thumb
• Difficulty gripping or pinching objects
• Pain that worsens when turning the wrist, such as when opening jars or lifting a kettle
• A creaking or grating sensation when the tendons move
• In severe cases, pain may radiate up the forearm

Symptoms often become more noticeable during activities that involve repetitive thumb movement or lifting. Without treatment, the pain may persist or limit hand function, making it difficult to perform everyday tasks comfortably.

De Quervain’s Tenosynovitis develops when the tendons on the thumb side of the wrist become irritated from overuse or repetitive strain. The constant friction inside the tendon sheath leads to inflammation, swelling, and pain with movement.

Common causes include:

• Repetitive wrist and thumb motions such as lifting, gripping, or twisting
• Frequent use of mobile phones, keyboards, or gaming controllers
• Lifting or carrying a baby, sometimes called “mother’s thumb”
• Strain from sports such as tennis, golf, or rowing
• Sudden injury or direct impact to the wrist

Risk factors include:

• New parents who frequently lift or support infants
• Occupations that involve repetitive wrist movement, such as childcare, hairdressing, or manual work
• Individuals with arthritis or tendon inflammation
• Women between the ages of 30 and 50, who are statistically more affected
• Poor wrist posture during repetitive tasks

Identifying these causes helps guide treatment and prevent recurrence by addressing both tendon irritation and underlying movement habits.

At Rebound Physio in Chester, we offer expert diagnosis and treatment for De Quervain’s Tenosynovitis to relieve pain, restore movement, and prevent recurrence. We begin with a detailed consultation to assess wrist and thumb function, identify contributing factors, and create a tailored treatment plan.

Our treatment options may include:

• Manual Therapy: Gentle hands-on techniques to ease tension, reduce inflammation, and restore mobility in the wrist and thumb.
• Exercise Rehabilitation: A personalised exercise programme to strengthen wrist stabilisers, improve tendon glide, and restore flexibility.
• Splinting or Bracing: Supportive splints to rest the affected tendons and reduce irritation during recovery.
• Shockwave Therapy: A non-invasive treatment that stimulates tendon healing and reduces chronic inflammation for persistent cases.
• Ultrasound-Guided Injections: For severe or long-standing pain, targeted injections can provide relief and allow rehabilitation to progress effectively.
• Activity and Ergonomic Advice: Guidance on wrist positioning, lifting techniques, and modifications for work or childcare tasks to prevent flare-ups.

Our physiotherapists focus on addressing both the symptoms and their root causes. Through a combination of advanced treatment techniques and education, we help patients regain strength, mobility, and confidence in everyday hand and wrist function.

De Quervain’s Tenosynovitis can be painful and frustrating, especially when it limits your ability to lift, type, or use your hands comfortably. At Rebound Physio, our experienced clinicians understand the impact this condition can have on daily life and provide expert care based on evidence and experience.

We combine hands-on physiotherapy with modern treatments such as shockwave therapy and ultrasound-guided procedures to deliver precise, effective results. Each recovery plan is tailored to your needs, whether you are a new parent, athlete, or manual worker.

Our approach focuses not only on pain relief but also on preventing recurrence. We aim to restore strength, movement, and confidence so you can get back to your normal activities without discomfort.

De Quervain’s Tenosynovitis can make simple tasks such as lifting, texting, or writing painful and frustrating, but recovery is completely possible with the right care.

Book your consultation with Rebound Physio in Chester today. Our skilled physiotherapists will assess your wrist and thumb, provide expert treatment, and guide you through recovery so you can regain strength, comfort, and confidence in your daily activities.