Can tendonitis be massaged?

Written by Lv Yao
Orthopedics
Updated on October 21, 2024
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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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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 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 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.

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Written by Guan Jing Tao
Orthopedics
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Consequences of the deterioration of tenosynovitis

If tenosynovitis recurs repeatedly and is not given enough attention, it can become quite persistent and may not significantly improve with appropriate treatment. In such cases, surgery may be necessary. When tenosynovitis worsens, it leads to local pain, limited movement, and even noticeable swelling. Generally, there is no malignant transformation in the local tissues of tenosynovitis. The underlying mechanism of tenosynovitis involves aseptic inflammation due to the tendons' load-bearing activities. Long-term recurrence can lead to local scar hyperplasia. Post-surgical treatment should avoid repeated load-bearing activities to reduce recurrence.

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Written by Lv Yao
Orthopedics
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How should tenosynovitis be treated?

Tendon sheath inflammation refers to chronic aseptic inflammation caused by excessive and frequent flexing and extending motions during labor, where the tendon is subjected to repeated friction and compression within the fibrous tunnel of the tendon sheath. This results in local exudation, swelling, and fibrosis, leading to a narrowing of the sheath canal and hindering normal tendon movements. For mild symptoms of tendon sheath inflammation, treatment can include rest, immobilization, physical therapy, and topical non-steroidal anti-inflammatory and analgesic medications, as well as anti-inflammatory and pain-relieving plasters. If symptoms do not improve, local injection therapy may be employed. If symptoms persist and conservative treatment is ineffective, surgical removal of the narrowed tendon sheath may be necessary. (Please use medications under the guidance of a doctor.)