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 Li Jin
Orthopedics
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How to apply heat to tendinitis

Patients with tenosynovitis can use heat application to improve symptoms and promote recovery. Heat can be applied with a hot towel or a hot water bottle to the affected area for about 10 to 20 minutes at a time, and can be done several times a day. Caution should be taken to avoid burns during heat application. Heat helps promote blood circulation and can play a role in alleviating symptoms of tenosynovitis and aiding in recovery. Additionally, patients with tenosynovitis need to rest and can also use anti-inflammatory and analgesic medications and medications that invigorate the blood and disperse stasis. Treatment can be combined with physical therapy and encapsulation techniques. These methods can be effective in improving symptoms and promoting recovery. When motor impairments occur, surgical treatment may also be necessary. (Please use medications under the guidance of a doctor.)

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Written by Li Jin
Orthopedics
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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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Written by Guan Yu Hua
Orthopedic Surgery
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Causes of recurrence of wrist tenosynovitis

Tendinitis is most commonly seen in the wrist or metacarpophalangeal joints. Typically, patients will experience redness, swelling, heat, and tenderness in the wrist, along with limited joint mobility. It is usually recommended that patients rest and avoid overexertion. Due to repeated friction caused by overexertion, swelling of the annular ligament or tendon sheath can occur. This leads to insufficient circulation of synovial fluid within the joints, and excessive friction can cause damage to the tendons and tendon sheaths, resulting in chronic inflammation and swelling. This is how tendinitis develops. Repetitive tasks, such as flipping a spoon at the wrist or cooking, can cause pain, with the most common being de Quervain's tenosynovitis, which can be confirmed by physical examination. Activities like wringing a towel or cooking can lead to pain. When necessary, treatments such as injections or small needle knife therapy may be required. Rest can relieve most symptoms, but there is a high chance of recurrence. Attention should be paid to wearing wrist braces and applying local heat can help.

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Written by Na Hong Wei
Orthopedics
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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 Li Jin
Orthopedics
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How should tendinitis be treated?

Tendinitis is primarily caused by long-term engagement in certain activities, such as prolonged use of mobile phones and mice, which can lead to frequent tendon movement within the tendon sheath, causing traumatic inflammation, and resulting in symptoms such as tendon and tendon sheath swelling, pain, and limited mobility. Treatment for tendinitis is mainly divided into non-surgical and surgical treatments. Non-surgical treatment mainly involves rest, the use of anti-inflammatory and analgesic medications, and treatment methods such as hot compresses, physical therapy, and local injections. These can effectively help improve symptoms of pain and swelling and reduce inflammation. When conservative treatment is ineffective or when there is a dysfunction in mobility, surgical treatment may also be considered.