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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Written by Wang Cheng Lin
Orthopedics
1min 3sec home-news-image

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 Lv Yao
Orthopedics
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Tendon sheath inflammation is what?

Tenosynovitis refers to a non-infectious inflammation of the tendon and its surrounding sheath, caused by repetitive stretching of the tendon. This inflammation can lead to local swelling, exudation, and even adhesions. In severe cases, the sheath may press on the tendon, resulting in symptoms of trigger finger. If tendinitis occurs, the early symptoms are mild and can be treated conservatively, such as with rest, immobilization, topical non-steroidal anti-inflammatory and analgesic medications, and even localized injection treatments. If symptoms are severe and the compression is significant, surgery may be required to remove the constricting sheath to relieve symptoms. (Please use medication under the guidance of a doctor)

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Written by Guan Yu Hua
Orthopedic Surgery
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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.

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Written by Wang Cheng Lin
Orthopedics
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Can tendinitis be cured?

Tenosynovitis is curable, and there are currently two clinical treatment methods for tenosynovitis. The first method is conservative treatment. The most important and main point of conservative treatment is rest. You can go to the hospital to have a plaster or brace made to protect and restrict the movement of the fingers and wrist. Secondly, you can take some non-steroidal anti-inflammatory and analgesic drugs orally to relieve local pain. Third, local pain points can also be injected with a block to relieve pain. However, the number of times block needle treatment can be used is limited to once or twice a month at most. Thirdly, local hot compressions can be applied to increase local blood circulation and thereby relieve local pain. If the above conservative treatments are ineffective and symptoms progressively worsen, surgical treatment can be pursued, which can completely cure tenosynovitis. (Please use medication under the guidance of a professional physician.)

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Written by Guan Jing Tao
Orthopedics
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How to reduce swelling from tendon sheath inflammation.

Suggest local physical treatments, often involving electrical therapy and physiotherapy, along with the use of non-steroidal gels applied topically, all of which can effectively reduce local swelling. It is advised to apply for 10-20 minutes per session, two to three times per day, typically improving swelling and pain effectively within one to two weeks. For recurrent, stubborn tenosynovitis, local injection treatments are recommended when necessary, and if there is no significant improvement, local surgical treatment may be considered. (Medication should be used under the guidance of a doctor.)