How to treat tenosynovitis?

Written by Li Jin
Orthopedics
Updated on September 11, 2024
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Tenosynovitis is mainly caused by prolonged engagement in certain activities, leading to frequent tendon movements within the tendon sheath, which in turn causes inflammatory damage, resulting in swelling, pain, and restricted movement of the tendon and sheath. For the treatment of tenosynovitis, it is important to first rest and stop engaging in the frequent activity. When symptoms occur, anti-inflammatory and analgesic medications, heat applications, physiotherapy, and local injections can be used for treatment. These methods can play an active role in improving symptoms and reducing inflammatory responses. If conservative treatment is ineffective, or if there is a functional impairment, surgical methods can also be considered for treatment.

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Written by Na Hong Wei
Orthopedics
1min 19sec home-news-image

How to treat tenosynovitis?

In clinical practice, the treatment of stenosing tenosynovitis is divided into three stages. The first stage involves general treatments, including early immobilization, followed by localized heat therapy, microwave therapy, and shock wave therapy, as well as the topical application of anti-inflammatory and pain-relieving medications. If there is no improvement after one week of conservative treatment, the second stage is initiated. The second stage involves an injection treatment, which is quite effective for this type of tenosynovitis in clinical practice. Generally, one or two injections can significantly alleviate symptoms, and some people may even fully recover. However, if after three injections the symptoms do not improve or worsen, further injections should be avoided, as this method is not beneficial for you, and you would then proceed to the third stage. The third stage involves surgical treatment. There are two types of surgical treatments: one involves a minor procedure using a small needle knife in traditional Chinese medicine, and the other involves conventional surgery. However, for radial styloid stenosing tenosynovitis, surgery is generally recommended due to the proximity of the radial nerve, which could be at risk of damage.

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Written by Na Hong Wei
Orthopedics
27sec home-news-image

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 Lv Yao
Orthopedics
40sec home-news-image

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 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.