Wrist Tendonitis

Introduction

Wrist Tendonitis (DeQuervains Tendonitis) can be defined as an irritation and swelling of the sheath or tunnel which surrounds the tendons of the thumb. Typically the pain will be present at the front of the wrist. Pain will be initiated when grasping an object or pinching the fingers, Some patients present with a lump in the wrist directly above the carpal tunnel. This indicates advanced the the condition has advanced as there may also be a balloon of joint fluid forms in the area. Localized swelling may be present and making a fist or bending the wrist will initiate pain.

 

Cause

• This is commonly a over use injury which results in inflammation of the lining around the tendon.
• Biomechanical condition with the wrist.
• Inappropriate technique with certain racket sport such as tennis, badminton or contact sports such as boxing.
• A fall.

 

Treatment

• R.I.C.E: Rest (Avoid using your injured wrist and hand), Ice (Apply ice or a cold pack to the wrist for 15-20 minutes, 4 times a day for several days, click here to view the reusable hot and cold pack), Compression (Wrap your wrist in an elastic support. This will limit swelling and support your wrist) .and Elevation ( Keep the injured wrist raised above the level of your heart for 48 hours such as up on a pillow. This will help drain fluid and reduce swelling).
• Anti-inflammatories (seek advice from doctor before commencing this treatment)
• Stretching exercises.

 

Rehabilitation

The exercises above will help to strengthen the wrist. Please note that these should only be attempted when the initial tendonitis has subsided and you wish to strengthen the wrist. If any pain is initiated from these exercises then you should immediately cease the exercises. Wrist supports will also help to speed up recovery and prevent further injury.