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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Written by Lv Yao
Orthopedics
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How to massage tendinitis?

Tendon sheath inflammation is caused by chronic strain and repeated activity, leading to a sterile inflammation of the tendon sheath surrounding the tendon. This results in impairment of tendon movement, causing symptoms such as pain and restricted movement. Tendon sheath inflammation primarily arises from repetitive activity and chronic strain. It can be relieved by appropriate resting, topical non-steroidal anti-inflammatory drugs, and physical therapy. In severe cases where tendon impingement occurs, surgery is required to alleviate the symptoms. Massage therapy is not recommended for this type of sterile inflammation, as it does not have a significant effect.

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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 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 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.

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Written by Li Jin
Orthopedics
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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.