De Quervain's syndrome

stachu

New User
Does anybode have experience with de Quervain's syndrome? It is supposedly one of the most frequent wrist injuries for players with two handed backhand. It started when I added more wrist movement to my backhand, probably a terrible idea, although improved my bh a lot.
The thing is, it has been two months already and it has only marginally improved. I may feel it just once a day when I do some sudden wrong move, but the pain is still there. I avoid all moves that might irritate the injury, and take NSAIDs, mainly aspirin. Any tips?
 

stachu

New User
OK, thanks. I was hoping to avoid that, but apparently it's now the only option to make the nasty thing go away.
 

RogueFLIP

Professional
Not the only option. Can do gentle soft tissue work in the area and forearm. Gentle thumb pulls/distraction with rotations. Check your ergonomics in terms of computer keyboard and mouse usage and such. Appropriate rest if needed.

Physical therapy and/or occupational therapy are options as well.
 

stachu

New User
Thank you. This is my left, non-dominant hand, so I really don't use it that much. Will try the thumb exercises though.
 

yossarian

Professional
Thank you. This is my left, non-dominant hand, so I really don't use it that much. Will try the thumb exercises though.

I assumed you already tried something like this. Just google exercises for dequervain’s. If they don’t work, one corticosteroid injection usually provides relief
 

jeep2008

Rookie
Use a De Quervain's brace when at home.Try physiotherapy with TECAR technology. Use massage and or a massage gun with the softest head.Use the gun only sideways near tendons not straight down.
 

stachu

New User
Another piece of good advice, thank you! Never heard of TECAR before.
I started excentric exercises and tendon gliding, as well as some massage of the muscles involved. Probably with too much enthusiasm, because today the damn thing flared up again.
 

FiddlerDog

Hall of Fame
Avoid cortisone injections like the plague.
They are proven to destroy tendons.

You will need to take 1 year off from tennis.
Get used to it, and find a new hobby for a year.
Focus on fitness
 

Chas Tennis

G.O.A.T.
Stop stressing your injury and see a well qualified Dr. There are wrist injuries discussed in the Health & Fitness Forum.

Don't use your thoughts on healing times. Research some information on healing times of new injuries.
 

FiddlerDog

Hall of Fame
Tendon injuries take 6-12 month to heal.

deQuervain’s tenosynovitis,
A painful condition affecting the tendons on the thumb side of the wrist.
Repetitive hand or wrist movements can make the condition worse.
The main symptoms are pain and tenderness in the wrist, often below the base of the thumb.

DeQuervain’s stenosing tenosynovitis is the most common tendonitis affecting the tennis wrist. It is the result of trauma from repetitive gliding of the two tendons at the base of the thumb. The inflammation causes the tunnel around the tendons to swell, making thumb and wrist movements painful. DeQuervain’s leads to pain directly over the affected tendons and with tendon stretching. Treatment starts with activity modification, a splint that limits movement of the involved tendons, anti-inflammatory medications, and/or a steroid injection into the tendon compartment. If the symptoms persist despite these treatment modalities, surgery to open the compartment is recommended.
 

Chas Tennis

G.O.A.T.
Tennis injuries

See Radial-Sided Disorders for deQuervain's

The ncbi pmc collection are selected publications where the full publication is available online. Always a good place to search for publications on sports injuries and biomechanics. (PubMed publications are not free online.)
 
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Chas Tennis

G.O.A.T.
Tendon injuries take 6-12 month to heal.

deQuervain’s tenosynovitis,
A painful condition affecting the tendons on the thumb side of the wrist.
Repetitive hand or wrist movements can make the condition worse.
The main symptoms are pain and tenderness in the wrist, often below the base of the thumb.

DeQuervain’s stenosing tenosynovitis is the most common tendonitis affecting the tennis wrist. It is the result of trauma from repetitive gliding of the two tendons at the base of the thumb. The inflammation causes the tunnel around the tendons to swell, making thumb and wrist movements painful. DeQuervain’s leads to pain directly over the affected tendons and with tendon stretching. Treatment starts with activity modification, a splint that limits movement of the involved tendons, anti-inflammatory medications, and/or a steroid injection into the tendon compartment. If the symptoms persist despite these treatment modalities, surgery to open the compartment is recommended.

See thread Tendon Injury Nuthouse

Read publications directly and find your own information, ask your doctor. Find pictures of tissues, Tendinitis vs Tendinosis.
link

My summation, search for what is true for yourself -
Tendinitis after a new injury involves inflammation.
Tendinosis - If the tendon is stressed while it is trying to heal it may heal defectively in a short time. '2-3 weeks' is mentioned for animal experiments. Google: Tendinosis pictures

Seeing how you do for a month, is a very risky thing to do.

When injured often the player tries to play and see how they do. That can lead to defective healing in a short time. That is why you should let your injured tendon tissues heal. See a Dr.

When you see tennis players with braces on their elbows, their injuries may have involved tendon injuries that healed with tendinosis. ? Google: Golfer's Elbow Google: Tennis Elbow

I injured my elbow and got a tennis elbow brace. Once on my court, all four 50ish men had similar elbow braces. Notice how many elbow braces are on your courts. Ask about them. Stop stressing tissues as soon as you get a new injury.

This may have been the same elbow injury as above? I had just gotten a sudden elbow injury in the Golfer's Elbow location. I read about the '2-3 weeks time to tendinosis' about 3 weeks after my new injury. I stopped tennis after I read that, for 3 months, and it still hurt a little when I started back.... See a Dr for healing times. I very occasionally feel something on certain motions, but my right elbow works fine.

The take away is - if you might have injured a tendon - don't try things to see how your do. See a Dr. Other tissue injuries may be similar?

If you are months into trying things, see a Dr.
 
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stachu

New User
Well, I am not actually using this wrist in tennis for now. I only rally, don't serve, and do not use two handed backhand, so the left hand is not involved at all.
It doesn't bother me unless I do a sudden jerky move, like instinctively trying to catch something that is about to fall.
But the exercises, massage, and a wrist wrap for the night seem to actually help.
 

yossarian

Professional
Well, I am not actually using this wrist in tennis for now. I only rally, don't serve, and do not use two handed backhand, so the left hand is not involved at all.
It doesn't bother me unless I do a sudden jerky move, like instinctively trying to catch something that is about to fall.
But the exercises, massage, and a wrist wrap for the night seem to actually help.
Ignore Chas. Nuance is completely lost on him and he really doesn’t know what he’s talking about
 
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jeep2008

Rookie
Tendon injuries take 6-12 month to heal.

deQuervain’s tenosynovitis,
A painful condition affecting the tendons on the thumb side of the wrist.
Repetitive hand or wrist movements can make the condition worse.
The main symptoms are pain and tenderness in the wrist, often below the base of the thumb.

DeQuervain’s stenosing tenosynovitis is the most common tendonitis affecting the tennis wrist. It is the result of trauma from repetitive gliding of the two tendons at the base of the thumb. The inflammation causes the tunnel around the tendons to swell, making thumb and wrist movements painful. DeQuervain’s leads to pain directly over the affected tendons and with tendon stretching. Treatment starts with activity modification, a splint that limits movement of the involved tendons, anti-inflammatory medications, and/or a steroid injection into the tendon compartment. If the symptoms persist despite these treatment modalities, surgery to open the compartment is recommended.
Sadly in this article there is nowhere the most basic and effective of treatments,PHYSIOTHERAPY.Why do people don't believe it this kind of treatment is beyond me!Imho a experienced physiotherapist is a lot more help almost always than an orthopaedic doctor!
 
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