Can tendinitis be treated with hot compresses?

Written by Cheng Bin
Orthopedics
Updated on September 17, 2024
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Can hot compresses be used for tenosynovitis? Yes, patients with tenosynovitis can undergo hot compresses. The primary purpose of hot compresses is to promote the absorption of local inflammatory exudates, which can effectively alleviate the symptoms of pain associated with tenosynovitis. Therefore, patients with tenosynovitis can undergo hot compresses. Additionally, it is crucial to strictly ensure rest and protection in the early stages, reducing stimulation to the affected area, which is more beneficial for the improvement of clinical symptoms of tenosynovitis. Topical applications of ointments that invigorate blood circulation and dispel blood stasis can also be used. However, in cases of severe tenosynovitis where there is a snapping sound and the patient's local flexion and extension movements are restricted, it is necessary to actively pursue surgical treatment, which usually involves tenosynovectomy or partial excision surgery.

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Written by Lv Yao
Orthopedics
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What department should I go to for tendon sheathitis?

Tendinitis refers to a sterile inflammation of the tendon sheath around the tendons, caused by chronic strain, characterized by local pain and limited mobility. If tendinitis occurs, it is recommended to seek medical attention at the orthopedics department of a formal hospital. After assessing the extent of the inflammation and its impact on movement, and determining the presence of symptoms of constrictive tendinitis, an appropriate treatment method can be selected. In the early stages, conservative treatment such as rest and topical non-steroidal anti-inflammatory pain medications can be used. If the symptoms are severe, surgery may be required to remove the narrowed tendon sheath or the inflamed sterile tendon sheath to alleviate symptoms.

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Written by Lv Yao
Orthopedics
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What medicine is used for tenosynovitis?

Tendinitis refers to the inflammation of the tendon sheath around the tendon due to repeated motion and strain, resulting in symptoms such as pain and limited mobility. In the early stages, the inflammation is relatively mild and conservative treatments can be chosen, such as the topical application of non-steroidal anti-inflammatory and analgesic medications to alleviate local pain and reduce inflammation. Physical therapy can also be used to promote healing of the injury. If the symptoms are severe and there is a snapping symptom, medication alone may not resolve the condition, and surgical treatment may be necessary.

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Written by Guan Jing Tao
Orthopedics
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How is tenosynovitis diagnosed?

Tendinitis mostly occurs in the wrist joints that frequently flex and extend, as well as in the thumb and corresponding metacarpophalangeal joints. It is largely due to the repetitive flexion and extension movements of the fingers and wrist joints, such as those performed by noodle makers in restaurants, vegetable cutters, and some handcraft laborers. Repeated movements irritate the local tendon sheaths causing inflammation, leading to relative narrowing, which prevents the tendons from flexing and moving normally. This results in a condition known as stenosing tendinitis. These are the common causes and symptoms of the condition, enabling a clear diagnosis.

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Written by Guan Yu Hua
Orthopedic Surgery
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Causes of tenosynovitis

The causes of tenosynovitis, simply put, the tendon sheath is a double-layered dense synovial tube that encases the tendons. It acts as a protective fluid sheath for the tendons, consisting of two layers enveloping the tendon. Between these two layers is a cavity filled with synovial fluid. The inner layer is closely attached to the tendon, while the outer layer lines the inside of the tendon fibrous sheath, jointly attaching to the bone. It primarily functions to stabilize, protect, and lubricate the tendons, preventing them from friction-induced damage and compression. Long periods of excessive friction can lead to damage in both the tendon and its sheath, leading to swelling and pain, which are the symptoms of tenosynovitis. For example, certain occupations such as bricklayers, carpenters, those who work extensively with computers, and chefs who frequently stir with spoons, as well as seamstresses in textile factories, are prone to developing tenosynovitis. There might be a link between this condition and occupational diseases. In such cases, applying heat can be helpful, and if the pain is particularly severe, enclosed treatments might be conducted. Additionally, taking drugs that promote blood circulation and relieve pain might be advisable. In severe cases, surgical treatment may be necessary. (The use of medications should be under the guidance of a doctor.)

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Written by Lv Yao
Orthopedics
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How to massage tendinitis?

Tendon sheath inflammation is caused by chronic strain and repeated activity, leading to a sterile inflammation of the tendon sheath surrounding the tendon. This results in impairment of tendon movement, causing symptoms such as pain and restricted movement. Tendon sheath inflammation primarily arises from repetitive activity and chronic strain. It can be relieved by appropriate resting, topical non-steroidal anti-inflammatory drugs, and physical therapy. In severe cases where tendon impingement occurs, surgery is required to alleviate the symptoms. Massage therapy is not recommended for this type of sterile inflammation, as it does not have a significant effect.