What department should I go to for tendon sheathitis?

Written by Lv Yao
Orthopedics
Updated on September 08, 2024
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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 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 Cheng Bin
Orthopedics
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How to treat tendon sheathitis?

This mainly depends on the severity of the patient's tendinitis, which determines the proactive treatment plan. For instance, if the tendinitis is very severe, with local snapping and limited flexion and extension movements, it is necessary to actively carry out treatments such as small-needle-knife surgery, tenosynovectomy, or partial excision surgery. However, for tendinitis that merely presents as pain symptoms, conservative treatment can still be chosen. For example, local injection, reducing physical activity, and insisting on daily local hot washing. Using some topical ointments that promote blood circulation and remove blood stasis, many patients will gradually recover through these active treatment methods.

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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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Tendon sheath inflammation is what?

Tenosynovitis refers to a non-infectious inflammation of the tendon and its surrounding sheath, caused by repetitive stretching of the tendon. This inflammation can lead to local swelling, exudation, and even adhesions. In severe cases, the sheath may press on the tendon, resulting in symptoms of trigger finger. If tendinitis occurs, the early symptoms are mild and can be treated conservatively, such as with rest, immobilization, topical non-steroidal anti-inflammatory and analgesic medications, and even localized injection treatments. If symptoms are severe and the compression is significant, surgery may be required to remove the constricting sheath to relieve symptoms. (Please use medication under the guidance of a doctor)

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

Tendon sheath inflammation is a sterile inflammation caused by overwork and frequent flexing and extending of the tendon, leading to repeated abrasion and compression within the fibrous sheath of the tendon sheath. This results in local exudation, swelling, and fibrosis, which narrows the sheath canal. If the symptoms are mild, conservative treatment can be chosen, such as applying non-steroidal anti-inflammatory and analgesic medications, and topical anti-inflammatory and analgesic plasters for symptomatic treatment, combined with rest, immobilization, and physical therapy to alleviate symptoms. If symptoms worsen, local encapsulation treatment may be necessary. If symptoms persist and conservative treatment is ineffective, then surgery may be required.