Rest: (for the first two or three days at least) is needed to give the tissue time to heal. Doctors normally recommend rest, ice and elevation at the initial stage, which aims to reduce swelling and inflammation. It is very important to get an accurate diagnosis, ideally from a medical specialist who has experience of working with musicians. Please see Recovering from injury and Forearm and hand pain for general advice on recovery. Pianists with small hands and chronic tenosynovitis may consider looking into purchasing a smaller-sized keyboard. Pianists with small to medium sized hands are more likely to experience Dr Quervain’s tendinopathy because the thumb is more frequently being held out at full stretch. Pianists with tenosynovitis are most likely to experience pain when playing at full stretch, especially when playing forte, or when passing the thumb under the hand in scalic passages. If you feel pain where the thumb joins the wrist, then you may have De Quervain’s tenosynovitis. Pianists may experience a shooting pain down the thumb on impact with the keys, or a more generalised ache.įinkelstein’s test is a simple diagnostic technique that you can do yourself: curl your thumb and tuck it under your palm, wrap your fingers around it, then swivel your wrist to pull the hand in the direction of the fifth finger. Tenosynovitis is a painful condition caused by inflammation of the tendon sheath, which is rubbed against by the tendon which slides through the sheath. The pain may be localised in the inner side of the wrist at the base of the thumb, or may spread more widely. Some of the exercises described here may also be of benefit for pianists with other conditions caused by stresses on the thumb tissue. In this page I focus on Tenosynovitis (also known as De Quervain’s tendinopathy or tendinitis of the thumb). There are various kinds of thumb pain which can affect pianists and other keyboard players.
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