Can tenosynovitis heal itself?

Written by Li Jin
Orthopedics
Updated on September 21, 2024
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Tendon sheath inflammation is primarily due to long-term engagement in certain frequent activities, causing inflammatory damage to the tendons and tendon sheaths. This results in symptoms such as swelling and limited mobility. It is difficult to cure without treatment intervention. For the treatment of tendon sheath inflammation, it is firstly important to rest and stop the frequent activity. Medications such as non-steroidal anti-inflammatory analgesics can also be used. Additionally, treatments such as applying heat, physiotherapy, and local encapsulation can be employed. Through these treatments, some patients can recover effectively. When there is a significant impact on life due to functional impairment, surgical treatment may also be considered. Post-surgery, it is important to start functional exercises early to prevent adhesion. (Medication should be used under the guidance of a physician.)

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Written by Lv Yao
Orthopedics
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Tendon sheath inflammation symptoms

Tendon sheath inflammation refers to a sterile inflammation that occurs between the tendon and the tendon sheath due to chronic overuse, impacting the tendon's gliding due to proliferative compression, causing localized pain, and restricted movement. In the early stages of tendon sheath inflammation, symptoms can be alleviated by rest, physiotherapy, and the topical application of non-steroidal anti-inflammatory and analgesic drugs. If the compression symptoms are severe and significantly restrict movement, resulting in snapping, surgery is recommended to excise the narrowed tendon sheath to restore function and relieve pain.

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Written by Li Jin
Orthopedics
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Tendon sheath inflammation hot compress method

Heat application can play a certain role in improving the symptoms of tenosynovitis. You can use a hot towel or a hot water bottle and apply it to the affected area for about 10 to 20 minutes at a time, and you can apply heat several times a day. Be careful to avoid burns during heat application. Heat helps promote circulation and can help reduce the symptoms of tenosynovitis and promote recovery. At the same time, patients should also rest and stop any frequent activities. In addition, they can use anti-inflammatory pain relievers and drugs that promote blood circulation and remove blood stasis, along with physical therapy, injections, and other treatments to improve symptoms and aid recovery. When there is an impairment of movement, surgical treatment can also be considered. (Please use medication under the guidance of a doctor.)

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Written by Lv Yao
Orthopedics
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The difference between tendinitis and tendon sheath cyst.

Tendinitis refers to the inflammation of a sheath surrounding the tendon, known as the tendon sheath, caused by chronic strain. This results in a sterile inflammatory response between the tendon and its sheath, leading to symptoms such as pain and limited mobility. Meanwhile, a tendon sheath cyst is a cystic change occurring within the tendon sheath due to various reasons, characterized by a small amount of fluid or gel-like tissue within the cyst. When tendinitis occurs, it can be managed with conservative treatment, rest, and physical therapy to alleviate symptoms. On the other hand, a tendon sheath cyst might not show evident symptoms initially, but as the condition progresses and the cyst grows, it may compress local blood vessels or nerves causing symptoms, necessitating surgical intervention at this stage.

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Written by Na Hong Wei
Orthopedics
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How to completely cure tenosynovitis?

The only definitive treatment for tenosynovitis is surgery, because the clinical treatment of tenosynovitis is divided into three steps. The first step is general treatment, which mainly involves immobilization, medication, and topical application of analgesic and anti-inflammatory drugs; the second step is injection therapy; if these two methods do not work, then surgery is the only option. Therefore, surgery is the only way to completely cure tenosynovitis.

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Written by Cheng Bin
Orthopedics
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Is electrothermal therapy effective for tendinitis?

Regarding the question of whether electrothermal therapy is effective for tenosynovitis. First, it needs to be affirmed that electrothermal therapy is beneficial for patients with tenosynovitis. The primary purpose of electrothermal therapy is to promote local blood circulation and facilitate the absorption of inflammatory exudates, which can effectively alleviate the clinical symptoms of the patient's tenosynovitis, and the results are quite good. Therefore, patients with tenosynovitis can undergo electrothermal therapy. In addition, for patients with tenosynovitis, local injections, topical plasters that activate blood circulation and remove blood stasis, and daily local hot washing can also be performed. Hot washing with Sichuan pepper and salt in hot water is usually sufficient. For patients with severe tenosynovitis, it is necessary to actively pursue surgical treatment.