Can tenosynovitis be cured completely?

Written by Zhang Ying Peng
Orthopedics
Updated on June 26, 2025
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Tenosynovitis is an inflammation formed by overactivity and repeated friction against the tendon sheath. For the treatment of tenosynovitis, significant pain can be managed by orally taking non-steroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and relieve pain, such as Nimodipine and Ibuprofen. One can also take traditional Chinese medicine orally to activate blood circulation, dissipate blood stasis, reduce swelling, and relieve pain, such as Huoxue Quyu Capsules and Duyiwei Capsules. With conservative treatment, there is a certain chance of recurrence of tenosynovitis. If surgery is used to remove the proliferative part of the tenosynovitis, this condition can be radically cured and will not recur. (Please use medication under the guidance of a doctor)

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Diagnosis methods for tenosynovitis

Diagnosis relies on the doctor's physical examination, as well as the patient having localized pain and restricted movement, with definite tender points. Moreover, if local symptoms are atypical, an X-ray can be performed to rule out other conditions such as osteoarthritis, or bone hyperplasia, allowing for a localized diagnosis. In addition, localized symptomatic treatment can be administered, and if there is improvement, it can indirectly confirm the diagnosis of tendinitis. Typically, when there is localized pain with significant movement restriction, and apparent pain and hyperplasia at the tendon's central axis, a clear diagnosis can be made.

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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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How is tenosynovitis treated?

There are various treatment methods for tenosynovitis, mainly based on the severity of the patient's condition. If the tenosynovitis is very severe, such as the occurrence of triggering or local limb flexion and extension limitations, it is necessary to actively pursue surgical treatment. The surgery can be performed under local anesthesia, typically involving either cutting open the tendon sheath or partially removing it. Post-surgery, it is crucial to actively engage in functional exercises, change dressings, and disinfect the wound to prevent infection. For less severe tenosynovitis, local injection treatments can be an option. Additionally, persistently applying local heat treatments daily can help alleviate symptoms.

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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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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.