Your guide to Mum Thumb...
De Quervain's Tenosynovitis is a painful condition that occurs when the structures at the base of the thumb become inflamed and irritated. This inflammation is often the result of repetitive hand and wrist movements, such as lifting babies, feeding babies and carrying babies. To find out if you are experiencing De Quervain's Tenosynovitis, book in with your local healthcare professional.
How to look after it
There are three parts to the pyramid of mum thumb management. Physiotherapy, splinting, and medical management.
#1: Physiotherapy
Clinical Exercise Therapy
Physiotherapy is a classic conservative management option for Mum thumb. Firstly, the physiotherapist will investigate if what you are dealing with really is De Quervain's Tenosynovitis; this will normally involve questions and physical tests. After confirming the diagnosis the physiotherapist will make a tailored treatment plan for you! This normally involves a subset of:
- Splinting
- Rest & Ice
- Clinical Exercise Therapy
- Manual Therapy
- Ergonomic Advice
Clinical Exercise Therapy
Physiotherapy plays a vital role in the management of De Quervain's tenosynovitis. A physiotherapist will design a tailored exercise program to:
- Strengthen the muscles of the thumb and wrist.
- Improve range of motion.
- Enhance coordination and stability.
Rest and Ice
In the initial stages, resting the affected hand and avoiding activities that worsen symptoms is crucial. Applying ice to the painful area can also help alleviate pain.
Manual Therapy
Manual therapy techniques, such as soft tissue mobilization and joint mobilization, may be used by a physiotherapist to alleviate pain and improve wrist function.
Ergonomic Advice
A physiotherapist can provide guidance on ergonomics, helping individuals modify their lifting or holding technique to reduce strain on the wrist and thumb.
#2: Splinting
Wearing a splint or brace to immobilize the wrist and thumb can help reduce strain on the wrist and promote healing. A splint is usually something custom-made with hard material by a therapist whereas a brace is normally soft and store-bought. Commonly the terms splinting and bracing are used interchangeably. The brace or splint is used to reduce pain, swelling, and excess movement of the wrist and thumb.
A low-cost option is a thumb support brace. They are:
- Made with soft materials
- Easy to take on and off
- Allow for the movement of fingers
On the other end of the spectrum are custom-made thermoplastic splints. They are:
- Made to fit the contours of the body
- Lightweight
- Easy to clean
Getting the opinion of a doctor or physiotherapist can help you make the right decision if splinting is appropriate for you.
#3: Medical Management
Medical management normally includes medications or injections but can also include surgery. They may also be checking if any other issues caused your presentation. It is important to work as a team with your healthcare professionals including the GP. Discuss with your team options for conservative management, medical management, and surgical treatment and when each of these may be indicated.
This is general information only and should not replace medical advice. Please book in with your medical or allied health professional for tailored advice.
Lisa Moffatt
Physiotherapist - Women's and Pelvic Health
I believe every Aussie mum deserves the knowledge and tools to feel strong, confident, and in control of their body. Too often, women are told that issues like incontinence and postnatal pain are just “part of being a mum”—but that’s simply not true.
I’m on a mission to break the silence around pelvic health by sharing my expertise for free, so mums can get the support they deserve. Through education, community, and open conversations, I want to empower women to take charge of their health and well-being.
Canberra Physio & Pilates. All Rights Reserved.