I have not had a client that was specifically diagnosed with De Quervain syndrome, but I have worked with numerous clients diagnosed with a variety of tendon and joint issues. Aside from getting the correct diagnosis, I also request recommendations, contraindications, and share my program design with the healthcare team. I always start such clients at a very conservative level or regress existing clients and move ahead very cautiously. My first step is always to reduce symptoms. Any flare up in symptoms is a reason to regress the program to a level that doesn’t produce issues. I also work with the client to create a list of things that help reduce symptoms and that increase symptoms. This has led to better management of the issue quite often.