How is tenosynovitis diagnosed?

Written by Guan Jing Tao
Orthopedics
Updated on November 17, 2024
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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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How to treat tenosynovitis?

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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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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Can tenosynovitis heal itself?

Tendon sheath inflammation is primarily due to long-term engagement in certain frequent activities, causing inflammatory damage to the tendons and tendon sheaths. This results in symptoms such as swelling and limited mobility. It is difficult to cure without treatment intervention. For the treatment of tendon sheath inflammation, it is firstly important to rest and stop the frequent activity. Medications such as non-steroidal anti-inflammatory analgesics can also be used. Additionally, treatments such as applying heat, physiotherapy, and local encapsulation can be employed. Through these treatments, some patients can recover effectively. When there is a significant impact on life due to functional impairment, surgical treatment may also be considered. Post-surgery, it is important to start functional exercises early to prevent adhesion. (Medication should be used under the guidance of a physician.)

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Orthopedics
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Does tenosynovitis cause swelling?

Patients with tenosynovitis may experience swelling. Tenosynovitis primarily results from engaging in certain activities over an extended period, causing frequent movements of the tendon within the tendon sheath, which leads to inflammatory damage, resulting in swelling, pain, and restricted movement of the tendon and tendon sheath. Treatment for tenosynovitis is mainly divided into non-surgical and surgical treatment. Non-surgical treatment involves resting, using anti-inflammatory pain relief medications to alleviate symptoms, and can also include methods like heat application, physical therapy, and local blockades, which can play a positive role in improving symptoms and reducing inflammation. Of course, if conservative treatment is ineffective, or functional impairment occurs, surgical treatment may also be considered.

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How is tenosynovitis treated?

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.