Chiropractic & Physiotherapy

What is De Quervain’s Tenosynovitis?

De Quervain’s is an inflammation of the tendon sheaths of the muscle tendons that course that run from your wrist to your thumb. The fluid-filled sheath enables the tendon to “glide” or “slide” easily through it. Tenosynovitis is the inflammation of the fluid-filled sheath (called the synovium) that surrounds a tendon. This inflammation can lead to swelling and thickening of the sheath, which restricts the smooth gliding action of the tendons within the tunnel.


– Overuse (Repeated hand and thumb movements such as grasping, pinching, squeezing, or wringing)

– Arthritic diseases

– Direct injury to the wrist


– Sharp or dull pain and swelling in the thumb side of your wrist

– Pain increases when forming a fist, grasping or gripping something, or when turning the wrist.

– A “catching” or “snapping” sensation may be felt as you move your thumb or wrist


Ice – To reduce the symptoms

Deep friction massage – Breaks down scar tissues

Stretching exercises – Allow the thumb tendons to glide smoothly within tunnel

Strengthening exercises – Improve blood circulation of the affected area and promote healing

Electrotherapy – Decrease the pain

If you are having any of these symptoms, do seek the advice of treatment from our physiotherapist. They can guide you in your rehabilitation, and help manage your condition.






– 过度使用(重复性的手部及腕部动作,像是捏握、抓握、紧握或者是拧)

– 关节炎疾病

– 对手腕直接的撞击


– 在腕关节附近,大拇指部位感到刺痛或钝痛

– 握拳、抓握或旋转手腕的时候,疼痛会增加

– 手部或腕部做动作的时候会有卡住或弹响的感觉


冰敷 – 缓解症状

深层横向按摩 – 打破软组织的粘黏,促进组织良好的愈合

伸展 – 让肌腱可以顺畅的滑动

肌力运动 – 增加局部的血液循环,促进恢复

电疗 – 降低疼痛