How should tenosynovitis be treated?

Written by Lv Yao
Orthopedics
Updated on September 19, 2024
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Tendon sheath inflammation refers to chronic aseptic inflammation caused by excessive and frequent flexing and extending motions during labor, where the tendon is subjected to repeated friction and compression within the fibrous tunnel of the tendon sheath. This results in local exudation, swelling, and fibrosis, leading to a narrowing of the sheath canal and hindering normal tendon movements. For mild symptoms of tendon sheath inflammation, treatment can include rest, immobilization, physical therapy, and topical non-steroidal anti-inflammatory and analgesic medications, as well as anti-inflammatory and pain-relieving plasters. If symptoms do not improve, local injection therapy may be employed. If symptoms persist and conservative treatment is ineffective, surgical removal of the narrowed tendon sheath may be necessary. (Please use medications under the guidance of a doctor.)

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Written by Guan Jing Tao
Orthopedics
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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
Orthopedics
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How to diagnose tenosynovitis?

Tendinitis refers to the condition where the tendons and their sheaths, due to excessive flexing and extending activities, develop adhesion and exudation between each other, leading to a painful aseptic inflammatory response. Generally, when tendinitis occurs, there is restricted movement in flexing and extending, as well as localized pain symptoms. Moreover, tenderness is also pronounced in areas where tendinitis symptoms are evident. Therefore, the diagnosis of tendinitis can be made through symptoms and examination, and when necessary, ultrasound and MRI can be used to reflect local swelling and inflammatory responses.

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Written by Lv Yao
Orthopedics
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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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Written by Guan Yu Hua
Orthopedic Surgery
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Causes of recurrence of wrist tenosynovitis

Tendinitis is most commonly seen in the wrist or metacarpophalangeal joints. Typically, patients will experience redness, swelling, heat, and tenderness in the wrist, along with limited joint mobility. It is usually recommended that patients rest and avoid overexertion. Due to repeated friction caused by overexertion, swelling of the annular ligament or tendon sheath can occur. This leads to insufficient circulation of synovial fluid within the joints, and excessive friction can cause damage to the tendons and tendon sheaths, resulting in chronic inflammation and swelling. This is how tendinitis develops. Repetitive tasks, such as flipping a spoon at the wrist or cooking, can cause pain, with the most common being de Quervain's tenosynovitis, which can be confirmed by physical examination. Activities like wringing a towel or cooking can lead to pain. When necessary, treatments such as injections or small needle knife therapy may be required. Rest can relieve most symptoms, but there is a high chance of recurrence. Attention should be paid to wearing wrist braces and applying local heat can help.

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Written by Guan Jing Tao
Orthopedics
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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.)