Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer trying to squeeze this article in between patients this afternoon. Today I am going to focus on a tendinitis in the wrist known as de Quervain’s Tenosynovitis. This is a very common condition, but most doctors just says you have Wrist Tendinitis or Thumb Tendinitis, but the actual name is de Quervain’s Tenosynovitis also known as Stenosing Tenosynovitis.
The image above gives a great example of what we see with de Quervain’s Tenosynovitis. There is chronic microtrauma to either the tenosynovium or the tendon sheath causing a narrowing of the area surrounding the abductor pollicis longus and extensor pollicis breveis muscles. Pollicis meaning thumb.
These patients come into my office complaining of pain on the thumb side of the wrist with a history of activities that require forceful gripping with bent towards the little finger or repetitive use of the thumb such hitting the space bar all day long typing.
Treatment for this condition is rather simple. Modification of the inciting activity is a must along with ultrasound therapy, Kinesiology Tape to relieve pressure on those muscles, and ibuprofen. If this does not relieve the pain within 2-3 weeks use of a thumb spica may be necessary. If none of these conservative efforts are successful referral for a local steroid injection would be made.
If you are struggling with Wrist Pain or Hand Pain, call my office today (480) 366-4041. We can Help!