26/07/2026
'sTenosynovitisPhysiotherapy
Treatment Protocol
* Reduce pain and inflammation
* Protect the affected tendons
* Restore thumb and wrist range of motion
* Improve strength
* Return to normal activities
* Prevent recurrence
:Acute Phase
* Cryotherapy:10–15 minutes, 3–5 times/day
* TENS
* Therapeutic ultrasound
* Gentle massage to forearm muscles
* Myofascial release
* Gentle tendon gliding
Avoid aggressive deep friction massage during the highly inflamed stage
* Avoid repetitive thumb movements.
* Avoid forceful gripping, pinching, wringing clothes, lifting babies with the thumb abducted, and prolonged mobile phone use.
* Modify work and daily activities.
Thumb spica splint
* Wear most of the day (especially during painful activities) depends upon conditions
: Mobility Phase (After Pain Begins to Settle)
1. Thumb Flexion and Extension
2. Thumb Opposition
3. Wrist Flexion and Extension
4. Wrist Radial and Ulnar Deviation
5. Tendon Gliding Exercises
Wrist Flexor Stretch
Wrist Extensor Stretch
Gentle APL & EPB Stretch
:Strengthening Phase
* Thumb abduction
* Thumb extension
* Thumb opposition
* Wrist extension
Using a light resistance band or therapy putty:
* Thumb abduction
* Thumb extension
* Thumb opposition
* Wrist extension
* Radial deviation
* Grip strengthening with a soft ball
Especially useful for chronic cases.
* Slow eccentric thumb abduction
* Controlled eccentric wrist radial deviation
Practice:
* Lifting objects with a neutral wrist
* Proper gripping techniques
* Ergonomic work modifications
* Return-to-work and sports-specific tasks
* Soft tissue mobilization
* Myofascial release
* Gentle mobilization of the first carpometacarpal (CMC) joint
* Gentle radiocarpal mobilization (when indicated)
Can help:
* Reduce pain
* Support the APL and EPB tendons
* Improve function during daily activities
* Ice after aggravating activities
* Stretch 2–3 times/day
* ROM exercises daily
* Strengthening exercises daily
Contact: 03431320035
