How to treat tenosynovitis of the wrist?

Written by Lv Yao
Orthopedics
Updated on May 07, 2025
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Tenosynovitis of the wrist occurs when excessive flexing and extending movements lead to an inflammatory reaction between the tendons and the tendon sheaths. This can cause adhesion, fibrosis, and even sterile inflammation, leading to symptoms of pain and restricted movement. For tenosynovitis, it is first recommended to rest and reduce flexing and extending movements. Physical therapy, such as infrared therapy, can be used to alleviate the local inflammatory response. If necessary, non-steroidal anti-inflammatory pain medications can be used for symptomatic treatment. If the above treatments are not effective, local injections may be recommended for management.

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Written by Lv Yao
Orthopedics
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How to massage tendinitis?

Tendon sheath inflammation is caused by chronic strain and repeated activity, leading to a sterile inflammation of the tendon sheath surrounding the tendon. This results in impairment of tendon movement, causing symptoms such as pain and restricted movement. Tendon sheath inflammation primarily arises from repetitive activity and chronic strain. It can be relieved by appropriate resting, topical non-steroidal anti-inflammatory drugs, and physical therapy. In severe cases where tendon impingement occurs, surgery is required to alleviate the symptoms. Massage therapy is not recommended for this type of sterile inflammation, as it does not have a significant effect.

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Written by Cheng Bin
Orthopedics
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Is electrothermal therapy effective for tendinitis?

Regarding the question of whether electrothermal therapy is effective for tenosynovitis. First, it needs to be affirmed that electrothermal therapy is beneficial for patients with tenosynovitis. The primary purpose of electrothermal therapy is to promote local blood circulation and facilitate the absorption of inflammatory exudates, which can effectively alleviate the clinical symptoms of the patient's tenosynovitis, and the results are quite good. Therefore, patients with tenosynovitis can undergo electrothermal therapy. In addition, for patients with tenosynovitis, local injections, topical plasters that activate blood circulation and remove blood stasis, and daily local hot washing can also be performed. Hot washing with Sichuan pepper and salt in hot water is usually sufficient. For patients with severe tenosynovitis, it is necessary to actively pursue surgical treatment.

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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.)

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Written by Cheng Bin
Orthopedics
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Can tendinitis be treated with hot compresses?

Can hot compresses be used for tenosynovitis? Yes, patients with tenosynovitis can undergo hot compresses. The primary purpose of hot compresses is to promote the absorption of local inflammatory exudates, which can effectively alleviate the symptoms of pain associated with tenosynovitis. Therefore, patients with tenosynovitis can undergo hot compresses. Additionally, it is crucial to strictly ensure rest and protection in the early stages, reducing stimulation to the affected area, which is more beneficial for the improvement of clinical symptoms of tenosynovitis. Topical applications of ointments that invigorate blood circulation and dispel blood stasis can also be used. However, in cases of severe tenosynovitis where there is a snapping sound and the patient's local flexion and extension movements are restricted, it is necessary to actively pursue surgical treatment, which usually involves tenosynovectomy or partial excision surgery.

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Written by Li Jin
Orthopedics
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Does tenosynovitis cause swelling?

Patients with tenosynovitis may experience swelling. Tenosynovitis primarily results from engaging in certain activities over an extended period, causing frequent movements of the tendon within the tendon sheath, which leads to inflammatory damage, resulting in swelling, pain, and restricted movement of the tendon and tendon sheath. Treatment for tenosynovitis is mainly divided into non-surgical and surgical treatment. Non-surgical treatment involves resting, using anti-inflammatory pain relief medications to alleviate symptoms, and can also include methods like heat application, physical therapy, and local blockades, which can play a positive role in improving symptoms and reducing inflammation. Of course, if conservative treatment is ineffective, or functional impairment occurs, surgical treatment may also be considered.