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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How to reduce inflammation in tendinitis

To reduce inflammation in tendinitis, non-steroidal anti-inflammatory drugs (NSAIDs) should be used rather than antibacterial drugs such as cephalosporins, as the two are entirely different. In addition to using NSAIDs, it is also recommended to combine this with local physical therapy, such as electrotherapy, physiotherapy, acupuncture, etc. Topical NSAIDs can be applied locally and used in conjunction with physical therapy. For initial occurrences of tendinitis, these treatments can also provide good relief and improve symptoms of pain. However, for recurrent, stubborn tendinitis, the effectiveness of oral and topical medications in improving symptoms is limited. If necessary, local pain point block treatments can be performed, which can also result in good therapeutic effects. (The use of medications should be under the guidance of a doctor.)

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How to reduce swelling from tendon sheath inflammation.

Suggest local physical treatments, often involving electrical therapy and physiotherapy, along with the use of non-steroidal gels applied topically, all of which can effectively reduce local swelling. It is advised to apply for 10-20 minutes per session, two to three times per day, typically improving swelling and pain effectively within one to two weeks. For recurrent, stubborn tenosynovitis, local injection treatments are recommended when necessary, and if there is no significant improvement, local surgical treatment may be considered. (Medication should be used under the guidance of a doctor.)

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Written by Lv Yao
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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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Can tendonitis be massaged?

Tendinitis refers to the condition where, due to excessive flexing and extending movements, adhesions, exudation, and fibrosis occur between the tendon and the tendon sheath, leading to a local aseptic inflammatory response. This results in symptoms such as pain and limited mobility. When tendinitis occurs, it is important to choose the appropriate treatment based on the symptoms, such as adequate rest, avoiding excessive activity, and using physical therapy and heat applications to reduce local inflammation. If necessary, non-steroidal anti-inflammatory and analgesic drugs can be used for symptomatic treatment. However, massage does not have a significant effect, and a suitable and systematic treatment approach should be selected based on the symptoms. (The use of medication should be under the guidance of a doctor.)

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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.)