(Other clinical names: as washerwoman’s sprain, Radial Styloid Tenosynovitis, de Quervain disease, de Quervain’s Tenosynovitis, de Quervain’s Stenosing Tenosynovitis or mother’s wrist)
What is it?
A common condition of inflammation around the tendons that control the thumb.
Site/Area of pain
Pain is located at the thumb side of the wrist.
Type of pain/Symptoms
When condition is severe, catching or snapping with thumb movement or numbness on the back of the thumb and index finger may be experienced.
Most Common Occupational Related Causes
Carpal tunnel syndrome can be caused by a combination of factors;
Typing for prolonged periods without rest causing toxin build up in hand muscles and tendons.
Forceful and repetitive movements with your hands using the mouse or keyboard predisposing finger tendons to fatigue
Faulty positioning of the keyboard at an increased tilt causing excessive bending of the wrist.
Size of your hand does not conform to the size of your mouse which may predispose the thumb to get overused.
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Conservative measures of treatment consist of;
Rest from any positions or movements that make the symptoms worse
Non-Steroidal anti-inflammatory medication and ice to reduce the inflammation
Wearing a wrist/thumb spica splint to offload overused tendons of the thumb (seek professional advice) .
Gentle joint mobilisations, wrist and finger stretches as well as strengthening exercises introduced by a professional.
Workplace assessment and review recommendations.
Ergonomic Suggestions;
Take regular breaks every 30-40 minutes to stretch your hands and upper limb
Flat or soft touch keyboard to reduce finger travel time while typing
Vertical or Joystick mouse to change hand position while mousing
Wrist rests for keyboard or mouse use to position the wrist in a neutral alignment and prevent extreme thumb positions.
Wireless IT accessories to reduce drag on upper limb/hand
Reduce repetitive clicking by using keyboard shortcuts
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