Apply ice to the thumb and wrist to decrease the inflammation, swelling, and amount of pain. Avoid activities that are causing pain and swelling.
Heat therapy or thermotherapy can help relax and loosen tight musculature.
Transcutaneous electrical stimulation (TENS) can be used to relieve pain.
Ultrasound therapy helps to accelerate the healing process of the soft tissues such as tendons and synovial sheath.
Laser therapy is found to be the most used and effective in reducing pain and increasing functionality in patients with De Quervain tenosynovitis.
The taping technique can also be used to decrease pain and thus improve function.
Massage at the thenar muscles can help relax tight musculature that causes pain. It decreases fascia restriction, stretches the connective tissue, and promotes a better healing environment.
Myofascial release is a soft tissue technique used to relax the muscles thus reducing the tension in the tendon or muscles.
Range of motion exercises
Active hand movements and range-of-motion exercises are recommended.
The strengthening exercises are progressed from isometric, eccentric, concentric, and then glides. These exercises help to strengthen and stabilize the muscles and joints of the hand and thumb. Shoulder and elbow strengthening exercises are also recommended to place less load at the wrist.
Stretching exercises or gliding techniques are recommended to allow the thumb tendons to glide easily within the tunnel.
Mobilization decreases the pain and improves the range of motion. A radial glide of the proximal row of carpals is given then the patient is asked to move the thumb into radial abduction-adduction.