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Pain in the thumb?

Updated: Jun 13

Understanding mummy thumb repetitive strain injury


Mummy thumb, medically known as De Quervain's Tenosynovitis, is a condition that affects the tendons on the thumb side of your wrist. This ailment often arises from repetitive strain, causing pain and discomfort that can significantly impact your daily life. While it is commonly associated with new parents who frequently lift their infants, it's essential to understand that anyone can develop De Quervain's Tenosynovitis.



Symptoms of Mummy Thumb


Recognizing the symptoms of De Quervain's Tenosynovitis is the first step toward seeking appropriate care. Common symptoms include:

  • Pain near the base of the thumb: This pain can radiate into the lower arm, making thumb and wrist movements uncomfortable.

  • Swelling near the base of the thumb: You might notice a visible lump or cyst in the affected area.

  • Difficulty moving the thumb and wrist: Tasks that involve grasping, pinching, or general wrist movement can exacerbate the pain.

  • A sticking or stop-and-go sensation: This occurs when moving the thumb, due to tendon inflammation and swelling.

If these symptoms are not addressed promptly, they can worsen over time, leading to chronic pain and significant limitations in hand function.


Causes of Mummy Thumb


De Quervain's Tenosynovitis is typically caused by repetitive strain or overuse of the wrist and thumb. Key risk factors include:

  • Repetitive hand or wrist movements: Activities such as knitting, playing musical instruments, gardening, or frequent use of mobile devices can contribute to this condition.

  • Direct injury to the wrist or thumb: Trauma can lead to scar tissue formation, restricting tendon movement.

  • Inflammatory conditions: Diseases like rheumatoid arthritis increase the likelihood of developing this condition.

  • Parenthood: Frequently lifting and holding an infant, often in awkward wrist positions, can strain the tendons.

It’s crucial to recognize that De Quervain's Tenosynovitis is not exclusive to new parents. Anyone engaging in repetitive thumb and wrist activities can be at risk. Over time the symptoms will become worse so it is beneficial to seek advice and treatment as soon as someone begins experiencing symptoms.


Why See a Hand Therapist for Treatment?

As a Hand Therapist, I specialize in the care and rehabilitation of conditions affecting the hand and upper extremities. Here's how I can help manage and treat De Quervain's Tenosynovitis:


Accurate Diagnosis

A thorough assessment is essential to confirm the diagnosis of De Quervain's Tenosynovitis and exclude other potential conditions. Accurate diagnosis ensures that you receive the most effective treatment tailored to your needs.


Customized Treatment Plan


I develop personalized treatment plans that may include:

  • Provision of a Splint: Immobilizing the thumb and wrist helps rest the tendons, reducing inflammation and pain. A properly fitted splint can make a significant difference in your recovery.

  • Gradual Loading Exercises: Gentle, progressive exercises strengthen the thumb and restore normal function. These exercises are designed to rebuild tendon strength without causing further strain.

  • Pain Management: Advice regarding how pain can be managed with methods such as ice/heat and who can advise you further on medications suitable if required.

  • Activity Modification: Guidance on adjusting daily activities to minimize strain on the thumb and wrist, preventing further aggravation of the condition.


Preventing Complications

Untreated mummy thumb can lead to chronic pain, increased inflammation, and in severe cases, the need for a steroid injection or surgery. Early intervention and proper management can prevent these complications, ensuring a smoother and quicker recovery.


Holistic Care

My approach encompasses all aspects of your health and daily life, ensuring a comprehensive and effective treatment plan. This holistic care aims to improve your overall well-being, not just the affected area.


Conclusion

Mummy thumb, or De Quervain's Tenosynovitis, can cause significant discomfort and impair your ability to perform everyday tasks. Understanding the symptoms and causes is crucial for seeking timely treatment. As a Hand Therapist, I am dedicated to providing expert care to alleviate pain, restore function, and prevent recurrence. If you are experiencing symptoms of mummy thumb, it's important to seek professional assessment and treatment. Don’t let this condition affect your quality of life—schedule a consultation to begin your journey towards recovery and regain the full use of your hand. Your hands deserve the best care!





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