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Thumb tendonitis (De Quervain's tenosynovitis) is a common condition affecting tendons on the thumb side of the wrist that requires immediate attention to prevent surgery. Early intervention with custom orthoses, therapeutic techniques, and potentially steroid injections can effectively treat this condition and preserve hand function.

• Two specific tendons involved: extensor pollicis brevis and abductor pollicis longus
• Often accompanied by radiostyloiditis (inflammation at the bony knob at wrist base)
• Diagnosed through several tests, including the Finkelstein maneuver (bending the thumb toward little finger)
• Custom thumb spica orthoses that immobilize the wrist while allowing fingertip use
• Treatment progresses from full immobilization to modified splinting as healing occurs
• Therapeutic interventions include ultrasound, stretching exercises, and cold laser therapy
• Soft tissue mobilization techniques help release adhesions around tendons
• Steroid injections can significantly reduce inflammation when appropriate
• Surgery becomes necessary when conservative treatment fails after prolonged symptoms
• Condition is as common as carpal tunnel syndrome, but requires prompt attention

If you're experiencing thumb-side wrist pain, seek treatment from a hand therapist as soon as possible. The sooner we address this condition, the better your chances are of avoiding surgery.

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Hello and welcome to the show, The Hand to Shoulder Solution, with me, Carl Petitto.

If you are experiencing pain in your arms and hands, this is your resource.

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This is a resource to help you mitigate pain at home and become more educated on what to ask your doctors and therapists. No medical advice will be given, and you should always see your medical professional for any questions.

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