De Quervain’s Tenosynovitis
De Quervain’s tenosynovitis causes pain and tenderness on the thumb side of the wrist, particularly when lifting, gripping, or twisting. Many people notice discomfort when lifting a baby, carrying shopping bags, or opening jars. It is sometimes called “mummy thumb,” as it commonly develops in new parents due to repeated lifting and wrist strain.
Understanding De Quervain’s Tenosynovitis
This condition occurs when the tendons that move the thumb become irritated or inflamed within their tendon sheath. This can lead to pain, swelling, and reduced thumb and wrist movement.
Assessment at The London Ultrasound Clinic
Your appointment includes a hands-on assessment and a high-resolution ultrasound scan of the wrist. This allows us to examine the thumb tendons, confirm irritation, thickening, or fluid around the tendon sheath, and rule out other causes of wrist pain.
Conservative Management
Many patients respond well to conservative care, which is usually the first step in treatment:
- Splinting to rest the tendons and support the wrist
- Activity modification to reduce repetitive strain
- Advice on lifting techniques and wrist positioning
- Gentle exercises where appropriate
These measures often improve symptoms, especially in early or mild cases, and can help prevent the condition from worsening.
Ultrasound-Guided Injection
If pain persists despite conservative management, an ultrasound-guided injection using steroid and local anaesthetic into the tendon sheath can provide very effective relief. Ultrasound guidance ensures accurate placement of the medication, reducing inflammation and restoring comfortable movement.
Recovery and Ongoing Care
Following treatment, we provide guidance on hand and wrist use, along with strategies to reduce recurrence. Most patients notice rapid improvement in pain and function over the following weeks, making everyday activities easier and more comfortable.
Our aim is to provide a clear diagnosis, carefully chosen treatment, and practical advice, helping you return to comfortable wrist and thumb movement with confidence.
