De Quervain’s Tenosynovitis is a painful condition caused by inflammation of the tendons that control thumb movement as they pass through a narrow tunnel on the thumb side of the wrist. The condition commonly develops due to repetitive gripping, lifting, twisting, or overuse of the thumb and wrist, and is frequently seen in new parents, office workers, manual labourers, and individuals who participate in racquet sports. Symptoms include pain and tenderness at the base of the thumb, swelling, difficulty gripping or pinching objects, and discomfort when moving the thumb or wrist.
Activities such as lifting a child, opening jars, turning door handles, or texting may become painful and difficult. Early diagnosis and appropriate treatment are important to prevent worsening symptoms and restore normal hand function. Physiotherapy plays a vital role in reducing pain and inflammation, improving tendon mobility, restoring strength and flexibility, and correcting movement patterns that contribute to the condition. Treatment may include activity modification, splinting, manual therapy, stretching and strengthening exercises, tendon gliding techniques, and ergonomic advice. In persistent cases, corticosteroid injections or surgery may be considered, followed by a structured rehabilitation programme to restore full function and enable a safe return to work, sports, and everyday activities.