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22-year-old experiences swollen thumb, shooting wrist pain: Hyderabad neurologist explains what it is and symptoms, treatment, and prevention

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Hours of gaming, endless swipes, and marathon controller sessions might be fun — until your thumbs revolt. That’s exactly what happened to 22-year-old Rahul, a college student and rising online gaming star. Rahul, 22, thought his thumbs were unstoppable—until they rebelled. A rising online gamer, he spent hours clutching his controller, thumbs darting across buttons like lightning. Winning felt amazing, but soon a dull ache at the base of his right thumb turned into sharp, shooting pain up his wrist. Even holding a water bottle became a challenge. What started as a minor nuisance was actually a classic case of Gamer’s Thumb.

What is Gamer’s Thumb?

Medically called De Quervain’s Tenosynovitis, Gamer’s Thumb is a repetitive strain injury caused by overworked tendons that control thumb movement—the abductor pollicis longus and extensor pollicis brevis. These tendons run through a tight tunnel along the thumb side of the wrist. Nonstop gripping, swiping, or button-mashing inflames the tendons, leading to pain, swelling, and restricted movement. Gamers aren’t alone—heavy smartphone users and content creators face the same risk.

Spotting the symptoms

Rahul’s wrist was swollen and tender, especially along the thumb side. A simple test—tucking the thumb into the palm and bending the wrist—made him wince instantly. Pain that flares while holding phones, typing, or gripping objects is usually the first red flag.


How Rahul fought back

The treatment started with rest—the toughest pill for any gamer. Rahul also wore a thumb spica splint to immobilise the thumb and wrist, applied cold compresses to ease inflammation, and took anti-inflammatory meds. As the pain eased, physiotherapy focused on gentle stretching and strengthening. Three weeks later, Rahul was pain-free, smarter about gaming habits, and back in action.



Prevent it before it hits
Dr Sudhir Kumar recommends a few preventative tips for gamers and those with excessive phone use-

- Take breaks every 30–45 minutes during gaming or phone use.

- Stretch thumbs and wrists regularly.

- Avoid gripping too tightly or pressing buttons hard.

- Use ergonomic devices made for long sessions.

- At the first sign of pain, rest and seek medical advice.
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