Home / Conditions / De Quervain's — thumb-side wrist pain

De Quervain's — thumb-side wrist pain

Pain on the thumb side of the wrist, worst when lifting with the thumb out — classically when lifting a baby. It is a tendon sheath problem, and it responds well to treatment.

Do not wait for an appointment

These suggest something else.

  • Pain at the base of the thumb joint itself rather than the wrist
  • Swelling, redness or fever
  • Numbness in the thumb and fingers
  • Pain after a fall onto the hand — this can be a scaphoid fracture
Sheet 21 · Thumb and wrist exercisesHand & wristOften settles in 6–12 weeks with a splint

Do this

  • A thumb spica splint, worn consistently for several weeks
  • Change how you lift a baby — under the bottom and back rather than under the arms with thumbs out
  • Stretches on Sheet 21 once the acute pain eases
  • Simple painkillers and ice over the tender spot

Avoid this

  • Continuing the lifting technique that caused it
  • Expecting the splint to work if it is only worn occasionally
  • Paying for a scan

The questions everybody asks

Why did this start after my baby was born?

It is extremely common then — the lifting position plus hormonal changes around childbirth.

It is not a sign that anything is wrong with you, and it usually settles.

Does an injection work?

Yes — this is one of the places where it works well.

A steroid injection into the tendon sheath has a high success rate here. Unlike tennis elbow, the evidence supports it.

Will I need surgery?

Only a minority.

Release of the sheath is a small, effective operation for those who do not settle with a splint and injection.

Open the exercise sheet

Pictures, how many and how often, and what it should feel like. Free, and printable.

On cost: if we suggest a scan, an injection or an operation, ask us what it costs and what happens if you do nothing. We will answer both. You should never feel pushed into spending money.

Consultation is ₹500 for a first visit and ₹300 for a follow-up, the same at both clinics. For anything else, ask at the desk or on WhatsApp before it is done — we will tell you the exact cost.

Should you come and see us?

A page is a starting point, not a diagnosis. If the pain is not settling, come in and have it looked at properly — bring any X-ray, MRI or CT films you already have.

Nallasopara West

Opposite Patil Hospital

Shop No. 14, Veena Apartment,
Opposite Patil Hospital, near Panchmukhi Hanuman Mandir,
S.T. Stand Road, Nallasopara West — 401203

Monday to Saturday
12:00 noon – 2:00 pm  ·  7:30 pm – 9:30 pm
Sunday by prior appointment only

Virar East

Opposite Parimal Hospital

Shop No. 7, Damodar Tower,
Opposite Parimal Hospital, Morya Nagar,
Manvel Pada Road, Virar East — 401305

Monday to Saturday
5:30 pm – 7:30 pm
Sunday by prior appointment only

Ready when you are.

Call either clinic during consulting hours, or send a WhatsApp message any time.