How to tape tendonitis on the thumb (De Quervain’s disease)

Do you experience pain along the thumb side of your wrist, and are the tendons in the sheath near the thumb inflamed or swollen? This condition is commonly referred to as De Quervain’s disease.

The radial collateral ligament lies just above the thumb on the outer edge of the wrist, connecting the thumb joint to the radius bone. The most frequent cause is repetitive strain from recurring movements, which leads to irritation. This taping method is an effective option to help reduce swelling and allow you to move your thumb more comfortably and with less pain.

This taping method may help with:

  • Reducing swelling
  • Relieving pain
  • Improving sideways wrist movement (radial abduction on the thumb side)
  • Supporting and stabilizing the wrist joint

It can be applied for the following conditions:

  • Nerve irritation or tingling along the thumb side
  • Tendon inflammation near the thumb
  • De Quervain’s disease
  • Pain during side-to-side movement of the wrist (thumb side)

Taping for Thumb Tendonitis (De Quervain’s) – Video Guide

Tips to ensure your taping treatment goes smoothly:

  • First, make sure you know the exact cause of the pain or discomfort.
  • Read the step-by-step instructions carefully before you begin taping.
  • Select the tape color you prefer.
  • Do not stretch the tape when applying the beginning and end sections.
  • Rub the tape firmly after application to improve adhesion.
  • Check if there are any reasons or contraindications why taping should be avoided.
  • On average, kinesiology tape will stay in place for about 3 to 7 days.
  • Showering is usually not a problem while wearing the tape.
  • Removing the tape is easier if you use a bit of oil.

Preparation before taping the thumb for tendonitis

Tape

Shape: Cut one customized I-strip of about 20 cm and one smaller X-strip for the wrist, approximately 10–12 cm long. Round off the ends (anchors) for better adhesion.
Number of strips: 2.
Technique: Apply the long I-strip using a muscle technique (light stretch for relaxation) and place the smaller X-strip with a ligament technique, keeping the ends anchor points without stretch.

Measuring and cutting the tape

Step

1

  • Measure the long I-strip while the wrist is in a neutral position, starting at the thumb side and extending halfway up the forearm.
  • For the shorter I-strip, measure around the wrist but leave a gap roughly the width of three fingers.

Applying the wrist tape

  • When applying wrist tape, it can be very helpful to have someone assist you to ensure the tape is positioned correctly. Having an extra set of hands makes the process much easier.

Step

2

Step

3

Step

4

Step

5

Step

6

  • Tilt the wrist toward the thumb side. Tear the backing paper of the long I-strip (blue) about 5 cm from each end. With the thumb slightly bent, place one anchor on the thumb side of the wrist and the other higher up on the forearm, both without stretch.
  • Remove the remaining backing from the underside and gently move the hand toward the little-finger side, allowing the tape to follow the arm naturally. Rub the tape firmly to activate the adhesive.
  • Take the smaller X-strip and split the backing paper in the middle, folding it back toward each anchor while holding the ends.
  • Apply the center of the tape directly over the painful spot with strong tension.
  • Finally, secure the four small ends around the wrist without any stretch. Activate the tape by rubbing it in place with your hand.

Christina’s advice on taping the thumb for tendonitis

In these self-taping instructions, I’ve selected techniques that are simple to apply on your own. To make sure the treatment is both safe and effective, I’m sharing practical tips to keep in mind before, during, and after taping. These recommendations are based on my many years of hands-on experience. If your symptoms persist, always consult a healthcare professional or physician.

Christina Peter

Physiotherapist and Taping Instructor

Disclaimer:
Please note: we emphasize that the suggested tape applications and the information on our website regarding the possibilities of the Medical Taping Concept are not yet scientifically proven. The statements and examples mentioned are based on years of experience from patients and trained therapists.

Contraindications for not using tape: pregnancy, open wounds, bone fractures, unexplained complaints, allergies and skin conditions, medication use such as blood thinners, thrombosis, and fever.
Always consult a specialist before applying tape in these cases.

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