How to treat tendon sheathitis?

Written by Cheng Bin
Orthopedics
Updated on November 29, 2024
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This mainly depends on the severity of the patient's tendinitis, which determines the proactive treatment plan. For instance, if the tendinitis is very severe, with local snapping and limited flexion and extension movements, it is necessary to actively carry out treatments such as small-needle-knife surgery, tenosynovectomy, or partial excision surgery. However, for tendinitis that merely presents as pain symptoms, conservative treatment can still be chosen. For example, local injection, reducing physical activity, and insisting on daily local hot washing. Using some topical ointments that promote blood circulation and remove blood stasis, many patients will gradually recover through these active treatment methods.

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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 relieve tenosynovitis

Tendinitis is a chronic occupational disease that can cause inflammatory damage to the tendon and tendon sheath, leading to symptoms such as swelling and limited mobility. For the treatment of tendinitis, oral non-steroidal anti-inflammatory drugs can be taken, or topical ointments can be applied to the affected area to reduce inflammation and relieve pain, which can effectively alleviate the symptoms of tendinitis. It is also important to rest, and treatments such as heat application, physiotherapy, or local injections can be used. These methods can effectively improve symptoms and even achieve a cure. If conservative treatment is ineffective or if there is a functional impairment, minimally invasive procedures or surgery may also be considered.

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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.

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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 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.