DE QUERVAIN'S TENOSYNOVITIS
De Quervain’s Tenosynovitis
Overview
De Quervain’s Tenosynovitis affects the tendons along the thumb side of the wrist, leading to pain and difficulty with gripping or thumb movements.
It is commonly seen in new parents, manual workers, or athletes who perform repetitive wrist and thumb motions.
Signs & Symptoms
- Pain near the base of the thumb or wrist
- Swelling or tenderness on the thumb side
- Pain with gripping or twisting (e.g. opening jars, lifting objects)
- Clicking or catching sensation in the tendons
- Difficulty moving the thumb or wrist smoothly
Causes
- Repetitive thumb or wrist motions
- Lifting infants or objects with poor wrist alignment
- Overuse from phone use or typing
- Hormonal or inflammatory changes postpartum
- Poor grip strength or joint control
How a Chiropractor Can Help
At Unify Rehab & Performance, we perform a comprehensive wrist and thumb assessment to determine which tendons are involved and what factors are driving irritation.
Our treatment includes:
- Manual therapy and mobilizations to improve wrist and thumb mechanics.
- Soft tissue therapy targeting the extensor tendons.
- Acupuncture to reduce pain and inflammation.
- Progressive rehab focusing on grip control, wrist stability, and gradual loading.
- Education on ergonomic modifications and activity adjustments.
By addressing both the local tendon irritation and underlying movement deficits, we help restore function and prevent recurrence.