Recently, a beautiful young mother presented to the clinic. She complained of swelling and pain in both thumbs near the wrist and limited movement for several days, with the right side being the most important. She was diagnosed with “stenosing tenosynovitis of the proximal radius”, commonly known as mother’s hand. The treatment plan for this patient included: 1) short wave therapy; 2) local ultrasound introduction of fotarine anti-inflammatory; 3) manual therapy, including tendon massage and joint release, etc. Tips: Mom’s hand, medically known as stenosing tenosynovitis, or DeQuervain’s syndrome, symptoms are pain on the thumb side of the wrist, localized swelling, affecting hand movement, generally due to prolonged repetitive use of the thumb work, resulting in local tendon inflammation, unable to apply force. The reason why it is also known as “mother’s hand” is because every day cooking, washing clothes, scrubbing floors and other household chores, especially new mothers, and to hold dolls, help dolls bath, change diapers, long time incorrect posture, overuse of hands, most likely to occur, in fact, this disease is not unique to mothers, many grandmothers or new good father to help bring up children, will also occur, in addition to some occupations, such as long time Some other professions, such as operating machines, typing, chefs, restaurant waiters, etc., may also suffer from inflammation due to improper use of the hands over a long period of time. What are the pathological changes in the mother’s hands? Due to repeated strain, the support band on the radial side of the back of the hand (thumb side) becomes thickened, compressing the tendons and synovial membranes of the extensor pollicis brevis and abductor pollicis longus, causing narrowing of the ducts, inflammation and swelling of the tendons and synovial membranes at both ends of the ducts. In severe cases, the tendons may be restricted in their movement or may cause adhesions. What are the symptoms of mother’s hand? The main symptom is constant pain and swelling of the thumb near the wrist, and even inability to exert force. When adhesions occur, there is a feeling of tightness, the thumb can become stuck when moving, and even a raised lump can be palpated. How to diagnose mothers’ hands? A typical physical examination is the Finkelstein’s test, in which the patient’s thumb is flexed inward and to the ulnar side (pinky side), causing painful symptoms when the wrist joint is flexed ulnarly. How is it treated? The main treatment options are conservative treatment and surgery. Most patients have significant improvement in their symptoms after receiving physical therapy and manual therapy. Surgery may be considered for patients with severe pain, limited mobility, and poor results from conservative treatment. Conservative treatment methods include: 1) local braking for 1-2 weeks to avoid painful movements; 2) local physical therapy; 3) manual therapy.