Pain on the thumb side of the wrist may involve two thumb tendons. See their pathway and learn about treatment options.
What is it?
De Quervain tenosynovitis affects two thumb tendons where they pass through a tight compartment at the thumb side of the wrist. Lifting, gripping or moving the thumb can become painful. Thumb-base arthritis and other conditions can feel similar.
- Pain on the thumb side of the wrist
- Tenderness near the radial styloid
- Discomfort lifting or gripping
Causes and assessment
The exact cause is often uncertain; symptoms can occur during or after pregnancy and may be aggravated by thumb and wrist tasks. Assessment considers tenderness, movement and the history. Thumb-base arthritis or an injury can mimic tendon pain. Provocation tests are interpreted with other findings, not used as a home diagnosis. Assessment guidance
How physiotherapy may help
Adjust painful tasks
Find ways to lift and grip with less strain on the sore tendons.
Consider support
A suitable thumb-and-wrist splint may help protect the area during a treatment plan.
Plan wider care
Discuss medical assessment and treatment options when symptoms limit function.
Everyday approach
Avoid repeatedly performing painful self-tests or forcefully stretching the thumb. As symptoms settle, a clinician can guide an appropriate return to movement and loading. Splint choice and duration should be individualised.
What to keep in mind
Evidence for exercise alone is limited. Research supports considering a corticosteroid injection with a short period of thumb-spica immobilisation; a qualified clinician should discuss benefits, risks and suitability. Some persistent cases need specialist review.
General educational information, not a diagnosis or personal treatment plan. For an emergency in Australia, call 000.
Sources and further reading
Selected guidance and research; this brief guide is not an exhaustive evidence review.