This sheath runs through a tight tunnel holding the tendon down to bone and this swollen sheath passing through a tight tunnel results in significant pain. For this problem there are three modes of treatment, not treatment, conservative treatment and surgery.

Conservative treatment consists of modification of activities, use of a thumb brace and occasional icing and then possible use of anti-inflammatory medications. If the pain still persists despite conservative management, we do interventional procedures like PrP injections & Prolotherapy.