Thumb pain is surprisingly common and can significantly interfere with daily life. From texting and typing to gripping objects or lifting your child, the thumb plays a vital role in hand function. When pain strikes, especially around the base of the thumb or wrist, it can limit your movement and affect your quality of life.
Signs and Symptoms to Watch Out For
-
Swelling or tenderness near the base of the thumb
- Pain with thumb movement or wrist twisting (e.g., opening a jar)
- A “sticking” or catching sensation when moving the thumb
- Reduced grip strength
- Numbness or tingling (though this is more typical of nerve issues like carpal tunnel syndrome)
- A visible bump or swelling at the thumb side of the wrist
- Can come on gradually or suddenly
- Sharp, aching, burning, or throbbing
- Pain may also radiate up the forearm or down into the hand
Common triggers include:
- Repetitive thumb or wrist motion (texting, typing, gaming)
- Lifting babies or heavy objects
- Trauma (sprains or fractures)
- Arthritis (especially osteoarthritis or rheumatoid arthritis)
De Quervain’s Tenosynovitis: A Common Cause of Thumb Pain
De Quervain’s Tenosynovitis is one of the most frequent causes of pain at the base of the thumb and side of the wrist. It occurs when the tendons that are responsible for lifting and extending the thumb — become inflamed or compressed within their sheath.
What Causes It?
- Repetitive thumb or wrist movements
- Prolonged gripping or pinching
- Postpartum changes (commonly seen in new mothers due to lifting and holding babies)
- Trauma or overuse injuries
Treatment Options
Treatment depends on the severity and the underlying cause/ diagnosis, but most cases can be managed non-surgically:
- Rest and Activity Modification
- Avoid repetitive thumb/wrist motions
- Use ergonomic tools or modify your technique when lifting or gripping
- Splinting
- A splint helps rest the tendons and reduce inflammation
- Often worn for several weeks, especially at night
- Ice and Anti-Inflammatories
- Ice the affected area 2–3 times a day for 15–20 minutes
- NSAIDs (like ibuprofen) help reduce pain and swelling
- Physiotherapy
- Strengthening exercises for the thumb and wrist
- Manual therapy such as massage
- Corticosteroid Injections
- Reduce inflammation
De Quervain’s in New Mums (“Mummy’s Thumb”)
De Quervain’s is especially common in new mums due to repetitive baby care tasks like lifting, feeding, and carrying — often with the wrists in awkward positions. Hormonal changes and lack of rest can also contribute.
Tips for New Mums:
- Lift with a straight wrist: Scoop baby under the arms instead of lifting under the chest with thumbs extended.
- Use feeding support: A nursing pillow can reduce wrist strain during breastfeeding or bottle-feeding.
- Wear a thumb splint: Helps rest and protect the tendons during daily tasks.
- Ice and gentle massage: Reduce swelling after repetitive activity.
- See a physio: For exercises and practical tips tailored to your routine.
- Early management can make a big difference — don’t ignore persistent thumb pain.
When to Seek Help
Early diagnosis and treatment of conditions like De Quervain’s can prevent long-term injury and ensure a faster recovery.
Are You Experiencing Thumb Pain?
Consult with a physiotherapist for a thorough assessment and personalized treatment plan. Don’t let a small pain become a big problem!
Author: Caitlyn D'Souza - Physiotherapist
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