How to reduce inflammation in tendinitis

Written by Guan Jing Tao
Orthopedics
Updated on January 19, 2025
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To reduce inflammation in tendinitis, non-steroidal anti-inflammatory drugs (NSAIDs) should be used rather than antibacterial drugs such as cephalosporins, as the two are entirely different. In addition to using NSAIDs, it is also recommended to combine this with local physical therapy, such as electrotherapy, physiotherapy, acupuncture, etc. Topical NSAIDs can be applied locally and used in conjunction with physical therapy.

For initial occurrences of tendinitis, these treatments can also provide good relief and improve symptoms of pain. However, for recurrent, stubborn tendinitis, the effectiveness of oral and topical medications in improving symptoms is limited. If necessary, local pain point block treatments can be performed, which can also result in good therapeutic effects.

(The use of medications should be under the guidance of a doctor.)

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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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Tendinitis, cold compress or hot compress?

First of all, it must be affirmed that patients with tenosynovitis need to actively apply heat. The condition known as tenosynovitis is mainly caused by local excessive irritation and friction, leading to the proliferation of connective tissue and resulting in aseptic inflammation. Therefore, active heat application is necessary. The main purpose of heat application is to promote local blood circulation and the absorption of inflammatory exudates, which can effectively alleviate the clinical symptoms of the patient's tenosynovitis. Additionally, patients with tenosynovitis need to actively rest and protect the affected area. For those with severe pain, local injection treatment can also be considered.

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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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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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Causes of recurrence of wrist tenosynovitis

Tendinitis is most commonly seen in the wrist or metacarpophalangeal joints. Typically, patients will experience redness, swelling, heat, and tenderness in the wrist, along with limited joint mobility. It is usually recommended that patients rest and avoid overexertion. Due to repeated friction caused by overexertion, swelling of the annular ligament or tendon sheath can occur. This leads to insufficient circulation of synovial fluid within the joints, and excessive friction can cause damage to the tendons and tendon sheaths, resulting in chronic inflammation and swelling. This is how tendinitis develops. Repetitive tasks, such as flipping a spoon at the wrist or cooking, can cause pain, with the most common being de Quervain's tenosynovitis, which can be confirmed by physical examination. Activities like wringing a towel or cooking can lead to pain. When necessary, treatments such as injections or small needle knife therapy may be required. Rest can relieve most symptoms, but there is a high chance of recurrence. Attention should be paid to wearing wrist braces and applying local heat can help.