Wrist pain that flares with everyday movements like lifting or gripping can make even simple tasks feel impossible. At Reach Sports Physiotherapy & Hand Clinic in Edmonton, our team provides targeted De Quervain's tenosynovitis treatment designed to address the root cause and get patients back to what matters.
What Is De Quervain's Tenosynovitis
De Quervain's tenosynovitis is most often a repetitive strain injury affecting two tendons on the thumb side of the wrist: the abductor pollicis longus and extensor pollicis brevis. Repeated gripping, lifting, or twisting can irritate the tendon sheath, causing it to become swollen and restrict smooth tendon movement. This leads to pain at the base of the thumb that may extend into the wrist.
New and expectant mothers are among the most frequently affected groups. Hormonal changes during pregnancy can affect connective tissue, while the repetitive demands of lifting, carrying, and supporting a newborn place significant ongoing strain on the thumb tendons. Less commonly, direct trauma to the area can also trigger the condition.
Common Symptoms of De Quervain's Tenosynovitis
Symptoms tend to develop gradually and may include:
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Pain or swelling near the base of the thumb
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Difficulty pinching, gripping, or grasping objects
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A snapping or catching sensation when moving the thumb
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Tenderness along the radial (thumb) side of the wrist
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Pain that worsens with thumb or wrist movement
De Quervain's Tenosynovitis Treatment Options
Conservative treatment includes custom splinting with a gradual reduction in wear time, a progressive exercise program, manual therapy, and corticosteroid injections when indicated. Starting treatment early is one of the most significant factors in recovery. The sooner it begins, the shorter the process tends to be.
Our Evidence-Based Approach to De Quervain's Tenosynovitis Treatment
Drawing on current research and clinical experience, our team at Reach Sports Physiotherapy & Hand Clinic has developed an in-house treatment protocol that has improved patient outcomes. Exercises progress very gradually according to each client's symptom response. Identifying and addressing the underlying cause, whether repetitive movement, gripping demands, or workload, is central to the protocol and helps reduce the risk of recurrence.
The Importance of Custom Splinting for Recovery
Off-the-shelf braces rarely achieve the correct thumb position needed for effective tendon rest, whereas custom orthoses address this precisely. Splinting typically continues for four to six weeks, with a gradual wean as symptoms settle. For moderate to severe cases, recovery commonly takes around 12 weeks.
When Is Surgery for Tenosynovitis of the Wrist Necessary?
Surgery for tenosynovitis of the wrist is considered when conservative management has not provided sufficient relief after several months. The procedure releases the tendon sheath to decompress the affected tendons. Post-surgical hand therapy is essential for regaining full strength and function.
Contact Reach Sports Physiotherapy & Hand Clinic for De Quervain's Tenosynovitis Treatment
If you’re noticing persistent pain along the thumb side of your wrist, early assessment can make a meaningful difference in comfort and long-term outcomes. To get started, contact our team in Edmonton or schedule an appointment online to begin a focused, evidence-based treatment plan tailored to your needs.
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If you're seeking expert hand therapy in and around Edmonton, AB, Reach Sports Physiotherapy and Hand Clinic is here to help. Contact us today to schedule your consultation and take the first step toward improving your hand health and function.
