Ace Physiotherapy and Sports in Singapore
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ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
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Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
De Quervain's Tenosynovitis
What is De Quervain’s tenosynovitis?
De Quervain’s tenosynovitis is an inflammation of the soft tissues surrounding the tendons responsible for thumb movement. Physiotherapy is an effective treatment for relieving the symptoms of De Quervain’s tenosynovitis.
What causes De Quervain’s tenosynovitis?
De Quervain’s tenosynovitis is a type of repetitive strain injury (RSI) caused by overuse of the thumb and wrist. The tendons that control thumb movement originate above the wrist and pass through a narrow tunnel, wrapping around a bony prominence before reaching the thumb. With repeated use, these tendons can rub against the bone, leading to microtrauma. As the body attempts to heal this microtrauma, inflammation can develop in the tendons and surrounding sheath. Continued strain and irritation may cause the tendons to undergo structural changes, making them more vulnerable to further injury and persistent pain.
What are the symptoms of De Quervain’s tenosynovitis?
De Quervain’s tenosynovitis typically causes pain and tenderness over the thumb tendons as they pass across the top of the wrist joint. Swelling around the affected tendons is also common. Movement of the thumb and wrist may produce a creaking or grinding sensation, known as crepitus, due to the inflamed tendons rubbing within their sheath. Other symptoms include:
- Pain that worsens with gripping or twisting motions (e.g. opening jars, lifting a baby)
- A catching or snapping sensation during thumb movement
- Difficulty moving the thumb and wrist, especially when pinching or grasping
- Localised warmth over the affected area
- Pain that may radiate into the forearm
What should I do if I have De Quervain’s tenosynovitis?
De Quervain’s tenosynovitis generally does not improve on its own. Physiotherapy treatment is essential, as continuing to use your thumb and wrist without intervention can worsen the condition. If you have, or suspect you have, De Quervain’s tenosynovitis, you should consult Ace Physio Sports for treatment. In the meantime, it is important to avoid activities that aggravate or provoke your pain, as these can increase friction between the tendons and surrounding tissues, leading to worsening symptoms and a longer recovery time.
Physiotherapy for De Quervain’s tenosynovitis
Receiving the right physiotherapy is crucial in the treatment of De Quervain’s tenosynovitis. Your physiotherapist will begin with a thorough assessment to diagnose the condition and determine its severity. Based on the findings, a personalised treatment plan will be developed. This may include activity modification, anti-inflammatory medication, electrotherapy, and soft tissue techniques such as massage and stretching. Additional treatments may include:
- Manipulation / Mobilisation
- Taping
- Proprioceptive Exercise
- Exercise Programmes
What shouldn’t you I do if I have De Quervain’s tenosynovitis?
If you have, or suspect you may have, De Quervain’s tenosynovitis, it’s important not to ignore the condition. Delaying treatment can worsen the injury and extend your recovery time.
Could there be any long-term effects De Quervain’s tenosynovitis?
With the correct physiotherapy treatment, De Quervain’s tenosynovitis typically does not result in any long-term effects. However, inadequate or inappropriate treatment may lead to persistent wrist pain and a prolonged absence from daily activities or sports.
To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.
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