How is tenosynovitis treated?

Written by Cheng Bin
Orthopedics
Updated on September 20, 2024
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There are various treatment methods for tenosynovitis, mainly based on the severity of the patient's condition. If the tenosynovitis is very severe, such as the occurrence of triggering or local limb flexion and extension limitations, it is necessary to actively pursue surgical treatment. The surgery can be performed under local anesthesia, typically involving either cutting open the tendon sheath or partially removing it. Post-surgery, it is crucial to actively engage in functional exercises, change dressings, and disinfect the wound to prevent infection. For less severe tenosynovitis, local injection treatments can be an option. Additionally, persistently applying local heat treatments daily can help alleviate symptoms.

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Written by Lv Yao
Orthopedics
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Is tenosynovitis easy to treat?

Tendon sheath inflammation refers to the sterile inflammation of the tendon sheath surrounding a tendon, caused by repetitive activity and friction. This condition can impact tendon movement. In cases of early symptoms, conservative treatment such as rest and the topical application of non-steroidal anti-inflammatory drugs can be used to alleviate symptoms. However, if the symptoms are severe and lead to constrictive tendonitis, where the movement of the tendon sheath is obstructed and there is a snapping sensation during movement, surgery may be necessary to remove the constricted tendon sheath and relieve symptoms.

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Written by Lv Yao
Orthopedics
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How to deal with tenosynovitis?

Tendinitis refers to the condition where the tendon sheath around a tendon becomes inflamed due to chronic strain, resulting in a sterile inflammation that affects the movement of the tendon sheath and causes localized pain symptoms. If the symptoms of tendinitis are mild, one can opt for topical non-steroidal anti-inflammatory drugs and pay attention to rest to alleviate the symptoms. If the symptoms are severe and cause restricted movement, surgery is recommended to clean and remove the severely affected sheath to relieve symptoms.

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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 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 Cheng Bin
Orthopedics
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Can tendinitis be treated with hot compresses?

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.