De Quervains Tenosynovitis is inflammation of the tendons and fibrous canal which run on the thumb side of your wrist. The condition involves the tendons of extensor pollicis brevis and abductor pollicis longus tendons, two muscles responsible for moving the thumb.
The tenosynovitis involves a special fibrous canal, which allows the tendons to move without interference of bony structures and ligaments. When the fibrous tissue of the canal becomes inflamed, it pinches or impedes the tendons from moving correctly. As the tendons can’t move correctly, they become irritated and inflamed causing pain.
Causes of De Quervains Syndrome:
- Repetitive pinching with thumb, gasping combined with wrist movements.
- Sports – such as fly fishing, golf, tennis, badminton.
- Repetitive activities – such as working in a garden, lifting up a baby.
- More common in women and the age group of 30 to 50.
Symptoms of De Quervains Syndrome:
- Pain alongside the wrist/thumb area.
- Pain worse with pinching
- Pain with making a fist.
- Pain moving your wrist.
- Swelling at the base of the thumb.
- Weakness or problems with grasping/pinching.
- Popping or catching sensation in the wrist.
I approach treating your presentation, which involves:
- Discussing potential lifestyle dynamics impacting your pain.
- Understanding how other factors such as arthritis play into your pain.
- Muscle testing the muscles comprising the arm and wrist for weakness and pain.
- Targeting effected muscles, releasing motor points, trigger points and relaxing the fascia
Providing exercises to continue treatment success between acupuncture treatments.
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