What ointment is used for tenosynovitis?

Written by Lv Yao
Orthopedics
Updated on September 02, 2024
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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.

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Written by Li Jin
Orthopedics
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Symptoms of tenosynovitis

The symptoms of tenosynovitis mainly manifest as pain, swelling, and limited mobility in the affected area. Tenosynovitis is primarily a condition caused by long-term engagement in certain activities, leading to frequent movement of the tendon within the tendon sheath, which results in inflammatory damage to the sheath. When a patient with tenosynovitis is asymptomatic, treatment may not be necessary, and rest is typically sufficient. However, when symptoms do appear, treatment becomes necessary. Initial measures include rest and the symptomatic use of anti-inflammatory and analgesic medications, as well as medications that invigorate the blood and dispel stasis. Treatment can also be supplemented with methods such as heat application, physical therapy, and local injections to help improve symptoms and achieve favorable outcomes. When mobility impairments occur, surgical treatment may also be needed.

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Written by Lv Yao
Orthopedics
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Can tendonitis be massaged?

Tendinitis refers to the condition where, due to excessive flexing and extending movements, adhesions, exudation, and fibrosis occur between the tendon and the tendon sheath, leading to a local aseptic inflammatory response. This results in symptoms such as pain and limited mobility. When tendinitis occurs, it is important to choose the appropriate treatment based on the symptoms, such as adequate rest, avoiding excessive activity, and using physical therapy and heat applications to reduce local inflammation. If necessary, non-steroidal anti-inflammatory and analgesic drugs can be used for symptomatic treatment. However, massage does not have a significant effect, and a suitable and systematic treatment approach should be selected based on the symptoms. (The use of medication should be under the guidance of a doctor.)

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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 Lv Yao
Orthopedics
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How to treat tenosynovitis of the wrist?

Tenosynovitis of the wrist occurs when excessive flexing and extending movements lead to an inflammatory reaction between the tendons and the tendon sheaths. This can cause adhesion, fibrosis, and even sterile inflammation, leading to symptoms of pain and restricted movement. For tenosynovitis, it is first recommended to rest and reduce flexing and extending movements. Physical therapy, such as infrared therapy, can be used to alleviate the local inflammatory response. If necessary, non-steroidal anti-inflammatory pain medications can be used for symptomatic treatment. If the above treatments are not effective, local injections may be recommended for management.

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Written by Na Hong Wei
Orthopedics
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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.