What medicine is used for tenosynovitis?

Written by Lv Yao
Orthopedics
Updated on September 22, 2024
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Tendinitis refers to the inflammation of the tendon sheath around the tendon due to repeated motion and strain, resulting in symptoms such as pain and limited mobility. In the early stages, the inflammation is relatively mild and conservative treatments can be chosen, such as the topical application of non-steroidal anti-inflammatory and analgesic medications to alleviate local pain and reduce inflammation. Physical therapy can also be used to promote healing of the injury. If the symptoms are severe and there is a snapping symptom, medication alone may not resolve the condition, and surgical treatment may be necessary.

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Written by Wang Cheng Lin
Orthopedics
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Is it good to get a steroid injection for tenosynovitis?

Treating tenosynovitis with injections is acceptable. Injections can significantly alleviate the pain caused by tenosynovitis and symptoms of limited joint mobility. However, it is imperative to take precautions during this treatment. Firstly, the injection contains steroids and anesthetics, so the number of injections must be limited. Generally, it is advisable to administer it once or twice a month. Excessive injections should be avoided as they can damage the local tendons or even the tendon sheaths, potentially exacerbating the pain from tenosynovitis or leading to spontaneous tendon ruptures. Therefore, the frequency of injections should be limited to a maximum of one to two times per month. Secondly, it’s crucial to ensure proper disinfection of the area during injections to prevent infections at the injection site and attend to potential bacterial infections. (Use of medication should be under the guidance of a physician.)

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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.

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Written by Guan Jing Tao
Orthopedics
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Consequences of the deterioration of tenosynovitis

If tenosynovitis recurs repeatedly and is not given enough attention, it can become quite persistent and may not significantly improve with appropriate treatment. In such cases, surgery may be necessary. When tenosynovitis worsens, it leads to local pain, limited movement, and even noticeable swelling. Generally, there is no malignant transformation in the local tissues of tenosynovitis. The underlying mechanism of tenosynovitis involves aseptic inflammation due to the tendons' load-bearing activities. Long-term recurrence can lead to local scar hyperplasia. Post-surgical treatment should avoid repeated load-bearing activities to reduce recurrence.

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Written by Sun Shu Jian
Orthopedics
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What causes tendinitis? How does tendinitis occur?

The cause of tenosynovitis is the repeated mechanical friction between the local tendon and tendon sheath, leading to chronic aseptic inflammatory changes. It is often related to repeated activity in the affected area. Excessive repetitive movement of the affected area causes local congestion, exudation, edema, and other inflammatory changes. The stimulation of inflammatory factors leads to local pain and discomfort. As the condition progresses, thickening of the tendon sheath causes the local tendon to move less smoothly within the sheath, thereby causing restricted local movement. Additionally, tenosynovitis in infants and young children is often considered to be caused by congenital factors.

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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)