Is tenosynovitis easy to treat?

Written by Lv Yao
Orthopedics
Updated on September 01, 2024
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Tendon sheath inflammation refers to the sterile inflammation of the tendon sheath surrounding a tendon, caused by repetitive activity and friction. This condition can impact tendon movement. In cases of early symptoms, conservative treatment such as rest and the topical application of non-steroidal anti-inflammatory drugs can be used to alleviate symptoms. However, if the symptoms are severe and lead to constrictive tendonitis, where the movement of the tendon sheath is obstructed and there is a snapping sensation during movement, surgery may be necessary to remove the constricted tendon sheath and relieve symptoms.

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Written by Lv Yao
Orthopedics
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What ointment is used for tenosynovitis?

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 Guan Jing Tao
Orthopedics
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Tendon sheath inflammation X-ray manifestations

Tendon sheath inflammation typically shows no noticeable abnormalities in the early stages on X-rays. However, in cases of recurrent constrictive tendon sheath inflammation, it may lead to abnormal changes in the local ligaments and joints, such as ectopic ossification, calcification, and bone proliferation. Generally, an X-ray examination of tendon sheath inflammation shows no significant local abnormalities. In stubborn cases, which relapse after multiple treatments, X-rays may reveal changes such as bony proliferation or ectopic ossification with high-density shadows.

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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)

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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 Guan Yu Hua
Orthopedic Surgery
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Causes of tenosynovitis

The causes of tenosynovitis, simply put, the tendon sheath is a double-layered dense synovial tube that encases the tendons. It acts as a protective fluid sheath for the tendons, consisting of two layers enveloping the tendon. Between these two layers is a cavity filled with synovial fluid. The inner layer is closely attached to the tendon, while the outer layer lines the inside of the tendon fibrous sheath, jointly attaching to the bone. It primarily functions to stabilize, protect, and lubricate the tendons, preventing them from friction-induced damage and compression. Long periods of excessive friction can lead to damage in both the tendon and its sheath, leading to swelling and pain, which are the symptoms of tenosynovitis. For example, certain occupations such as bricklayers, carpenters, those who work extensively with computers, and chefs who frequently stir with spoons, as well as seamstresses in textile factories, are prone to developing tenosynovitis. There might be a link between this condition and occupational diseases. In such cases, applying heat can be helpful, and if the pain is particularly severe, enclosed treatments might be conducted. Additionally, taking drugs that promote blood circulation and relieve pain might be advisable. In severe cases, surgical treatment may be necessary. (The use of medications should be under the guidance of a doctor.)