Signs and Symptoms to look out for.

If you’re experiencing the following symptoms after childbirth, you may have De Quervain’s Tenosynovitis:

Pain:

Pain at the base of the thumb that may extend into the wrist and even up to the forearm.

Swelling:

Swelling around the base of the thumb.

Pain Aggravation:

Pain worsens with activities such as lifting your baby under their armpits, turning your wrist, grasping objects and breast feeding positions.

Reduced Movement:

Difficulty moving your thumb due to pain.

Weakness:

Weakness in your hand, particularly noticeable when gripping or holding objects.

Treatment Options

The good news is that De Quervain’s Tenosynovitis is very treatable, and there are several effective treatment options available:

  • Modify Activities: Avoid repetitive or aggravating movements such as certain household chores, prolonged use of phones with thumb scrolling, or carrying heavy objects. Keep your thumb positioned close to your index finger to minimise strain.
  • Modifying How You Are Holding Your Baby: Try varying how you carry your baby to reduce strain on your wrist and thumb, avoiding repetitively picking your baby up from under their arm pits. Also, utilise prams or baby carriers whenever possible to distribute weight more evenly.
  • Breastfeeding Positions: Try having your baby supported on pillow and keeping your wrist straight and avoid excessive wrist bending to hold baby’s head up.
  • Exercises: Wrist and thumb strengthening exercises
  • Splinting or taping: Taping the wrist and thumb or wearing a wrist and thumb splint, as recommended by a physiotherapist or GP, can be very effective in supporting the affected area and reduce strain on the tendons.
  • Gentle Massage: Massaging the area around the base of the thumb and wrist can help relieve tension and improve circulation, aiding in recovery.
  • Cold Therapy: Applying ice packs for 20 minutes, 2-3 times a day, can help reduce swelling and inflammation, providing relief from pain.
  • Seek Support: Don’t hesitate to ask family members or friends for assistance with daily activities, household chores, and baby care to allow your wrist and thumb to rest and recover.

De Quervain’s Tenosynovitis is a common issue among new mothers, but with proper management and treatment, you can alleviate the pain and discomfort associated with it. By modifying activities, using supportive measures like splints, and seeking appropriate medical advice, you can effectively manage and recover from this condition. If you’re experiencing persistent symptoms, consulting with a healthcare professional, such as a physiotherapist or GP, is crucial for personalised treatment and guidance tailored to your needs. You can also discuss this with your Women’s Health Physiotherapist during pregnancy to develop strategies to try and prevent De Quervain’s Tenosynovitis postpartum.

Remember, taking care of yourself is essential as you navigate the joys and challenges of motherhood. Addressing De Quervain’s Tenosynovitis promptly can help you enjoy this special time with less pain and more comfort.

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Resources 

Challoumas D, Ramasubbu R, Rooney E, Seymour-Jackson E, Putti A, Millar NL. Management of de Quervain Tenosynovitis: A Systematic Review and Network Meta-Analysis . JAMA Netw Open. 2023;6(10):e2337001. doi:10.1001/jamanetworkopen.2023.37001
Satteson E, Tannan SC. De Quervain Tenosynovitis. [Updated 2023 Nov 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK442005/
Physiopedia. De Quervain’s Tenosynovitis. (2023). https://www.physio-pedia.com/De_Quervain%27s_Tenosynovitis

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