Tendons can be subject to both over use injuries and traumatic injuries. De Quervain’s tendonitis is a common overuse injury where there is an irritation of the tendons at the base of the thumb. This is usually caused by taking up a new, repetitive activity. The inflammation causes the compartment (a tunnel or a sheath) around the tendon to swell and enlarge, making thumb and wrist movement painful.
Both the extensor tendons and the flexor tendons are just under the skin, directly on the bone in the hand and fingers. Because of their location, they can be easily injured by a cuts on the wrist, hand, or fingers. Or jamming a finger may cause the tendons to rip apart from their attachment to bone.
Treatment for Tendon Pain
Physiotherapy treatment for patients with this condition is vital to hasten the healing process, ensure an optimal outcome and decrease the likelihood of injury recurrence. Treatment may comprise:
- Dry needling /acupuncture
- Deep tissue massage/myofascial release
- Exercise programs to stretch, self treat and improve proprioception, balance, strength and core stability
- Biomechanical Assessment
- Neural mobilisation
- Education / training advise/ phased return to exercise
- Activity modification advice
- Ergonomic advice
- Ice or heat treatment
- Splinting advice
- Injection advice
- Surgical advice