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De Quervain's tenosynovitis — painful inflammation of the tendons on the thumb side of the wrist — limits gripping, pinching, and lifting. Our regenerative approach heals the tendon sheath without repeated cortisone injections.
De Quervain's tenosynovitis involves inflammation and thickening of the tendon sheath surrounding the abductor pollicis longus and extensor pollicis brevis tendons as they pass through the first dorsal compartment of the wrist. This causes significant pain, swelling, and restriction at the thumb-side wrist and radial styloid. It is common in new parents (from carrying infants), musicians, office workers, and manual laborers. Wrist joint biomechanics and cervical nerve root involvement (C6) contribute to tendon irritation and impaired healing. Regenerative therapies combined with chiropractic correction of the wrist and cervical spine provide effective resolution.
Dr. Foss addresses the cervical spine (C6) to reduce the neurological sensitization that perpetuates tendon pain, combined with wrist and thumb CMC joint adjustments to restore normal first compartment mechanics. Myofascial release of the forearm extensor musculature reduces tendon sheath pressure. Regenerative therapies applied directly to the first dorsal compartment reduce inflammation and stimulate healing of the tendon sheath. Most patients achieve resolution without surgery or repeated cortisone injections.
At Pura Vida Chiropractic, Dr. Foss uses Sacro-Occipital Technique (SOT) — a gentle, category-based system that addresses the spine, pelvis, and craniosacral rhythm as one integrated unit. SOT restores proper biomechanics, reduces nerve interference, and creates the neurological environment your body needs to heal itself.
For many patients, combining spinal correction with regenerative therapies produces faster and more lasting results. Depending on your condition, Dr. Foss may incorporate one or more of the following:
High-energy acoustic waves penetrate deep into tissue to break up calcifications, stimulate collagen production, and accelerate the body's natural repair process — all without surgery or downtime.
Photobiomodulation with a 10–15W Class IV laser delivers therapeutic light energy deep into tissue, reducing inflammation, blocking pain signals, and speeding healing at the cellular level.
Pura Vida Chiropractic is a family-friendly, bilingual (English/Spanish) clinic serving San Antonio, TX. Dr. Dan Foss is trained in Sacro-Occipital Technique (SOT), a comprehensive chiropractic system that addresses the whole body — not just the area of pain. We combine hands-on spinal correction with the latest regenerative technology to help patients resolve the root cause of their condition rather than masking symptoms.
We are insurance friendly. Bring your insurance card and ID to the office to verify how your insurance can contribute to your care. New patient appointments are available promptly.
Comparing options? See how to choose a chiropractor near me in San Antonio or read our guide on how to choose the best chiropractor in San Antonio.
De Quervain's is inflammation of the tendon sheath surrounding the abductor pollicis longus and extensor pollicis brevis tendons at the radial wrist. It commonly affects new mothers (lifting infants), people in repetitive thumb-grip occupations, and patients with prior wrist injury.
Dr. Foss addresses local and upstream contributors. Cervical adjustment restores nerve supply, gentle wrist and thumb mobilization addresses the joint patterns, and soft-tissue work on the abductor pollicis longus and extensor pollicis brevis tendons reduces local irritation. Class IV laser and SoftWave therapy stimulate tendon sheath healing.
Most patients see meaningful improvement within 6–10 visits over 4–6 weeks. New mothers benefit from continued chiropractic and ergonomic instruction throughout the postpartum lifting-heavy phase. Severe cases not responding to conservative care may require corticosteroid injection.
Yes. The techniques used are gentle and well-tolerated, including for postpartum patients. SoftWave and laser therapy are FDA-cleared and have excellent safety profiles.
Schedule your new patient appointment with Dr. Foss at Pura Vida Chiropractic in San Antonio, TX. We'll identify the root cause and build a personalized care plan.
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