If lifting, gripping, or twisting your wrist has become painful, you might have De Quervain syndrome. This condition, often called “gamer’s thumb” or “mother’s wrist,” affects the tendons on the thumb side of your wrist. It can happen to anyone who uses repetitive hand motions, such as typing, gardening, or lifting.
The pain, swelling, and difficulty using your hand caused by De Quervain syndrome can make daily tasks harder. If you are looking for relief, learning about the available treatments can help you decide what is best. This article will look at the most common De Quervain syndrome treatments and how well they work.
1. Rest and Activity Modification
One of the first steps is to rest your wrist and change how you use your hand in daily activities. This means avoiding motions that strain the thumb and wrist, like gripping, twisting, or lifting heavy objects. You can also try using both hands to share the workload and take breaks during tasks that use your hands a lot.
Effectiveness
For mild cases, resting your wrist and making these changes can lead to noticeable improvement within a few weeks. However, suppose the condition has been present for a long time. Resting and activity changes alone might not be enough to fully heal.
2. Splints and Braces
Splints and braces are often used to help treat De Quervain syndrome. These devices hold your thumb and wrist in place, stopping them from moving. By keeping your wrist and thumb still, splints and braces reduce strain and allow the tendons to heal more easily.
Effectiveness
Splints and braces are very effective when combined with changes in activities. Wearing a splint every day for several weeks can lower pain and make it easier to use your hand. This treatment works best for cases that are caught early. For better results, splints and braces are usually paired with other therapies.
3. Anti-Inflammatory Medications
Anti-inflammatory medications include ibuprofen or naproxen. They are often used to help with the pain and swelling of De Quervain syndrome. These medications can either be taken as pills or applied as gels directly to the sore area.
Effectiveness
These medications can provide quick relief from symptoms, but they do not fix the root cause of the condition. Anti-inflammatory medications work best when paired with other treatments, such as rest or physical therapy. When combined, they can help manage the condition more effectively.
4. Corticosteroid Injections
Corticosteroid injections are also part of De Quervain syndrome treatments. This involves injecting a strong anti-inflammatory directly into the sheath around the affected tendons. This helps reduce swelling and inflammation, making it easier for the tendons to move.
Effectiveness
Corticosteroid injections are very effective at reducing pain and inflammation. Studies show that up to 80 percent of people feel relief after just one injection. However, in some cases, symptoms might return, and additional injections may be needed.
5. Physical Therapy
Physical therapy is a common non-invasive treatment that can help restore wrist and thumb function. A therapist may guide you through stretching exercises and strengthening routines to prevent re-injury. They may also recommend some ergonomic techniques.
Effectiveness
Physical therapy is highly effective in reducing pain and improving grip strength when done consistently. Customized exercises also prevent the condition from worsening and aid long-term recovery.
6. Lifestyle Adjustments
Making changes in your daily habits can go a long way in managing De Quervain syndrome. Ergonomic tools, such as padded grips or wider handles, can reduce strain on your wrist. Techniques like using your whole arm instead of just your wrist for motions can also help.
Effectiveness
Lifestyle adjustments are often critical for preventing flare-ups once other treatments have reduced symptoms. While they may not provide immediate relief, they are essential for managing the condition in the long term.
7. Surgery
For cases that do not respond to conservative treatments, surgery may be necessary. The procedure, called a tenosynovectomy, releases the restrictive sheath around the tendons. This allows them to glide freely without causing pain.
Effectiveness
Surgery has a very high success rate, with most patients experiencing complete symptom relief and restored function. Recovery typically takes a few weeks. However, physical therapy may be required to regain full strength and flexibility. Surgery is usually considered a last resort when other treatments have been exhausted.
When to Visit an Orthopedic Doctor
See a doctor if your wrist pain does not get better with rest or home care. You should also get help if:
- The pain lasts a long time or gets worse
- Your thumb or wrist is swollen, stiff, or hard to move
- It is difficult to hold, twist, or grip things
- You struggle with simple tasks like writing or typing
An orthopedic surgeon near you can check your wrist and find out what’s wrong. Then, they can suggest treatments like exercises, braces, medicine, or surgery to help you feel better.
De Quervain Syndrome Treatments in Bethesda, Germantown, & Rockville, MD
De Quervain syndrome can be a painful and frustrating condition, but there is hope. There are solutions available to fit every stage of the condition. These range from non-invasive treatments like rest and therapy to more advanced ones like injections and surgery. Acting promptly is key to preventing further complications and enjoying a pain-free lifestyle.
Are you ready for the best De Quervain syndrome treatments? The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is here to help. Our experienced team, led by Dr. Peter Fitzgibbons, specializes in customized treatment plans to ensure the best possible outcomes. Call us today at (301) 515-0900 or use our online scheduling platform to set up an appointment.
Reclaim the freedom of movement and get back to doing what you love—pain-free.
The top ortho doctors near you look forward to serving you!
Sources:
https://my.clevelandclinic.org/health/diseases/10915-de-quervains-tendinosis
