Joint problems are the root cause of people's physical pain and suffering, because joint problems greatly limit people's ability to coordinate their movements, and they are prone to symptoms of joint pain, causing great pain to patients. Even minor joint problems can cause great harm. For example, many people have had problems with their hand joints. Let’s take a look at what causes crackling and pain in the hand joints. Common in stenosing tenosynovitis of the thumb. Thumb tenosynovitis is a tendon disease of the hand, which refers to tenosynovitis of the flexor pollicis longus at the first metacarpal head and tenosynovitis of the flexor tendons at the metacarpal heads of the 2nd, 3rd, 4th, and 5th fingers. The tendon of the flexor pollicis longus enters a narrow channel formed by the bone groove and the sheath ligament on the palm side of the metacarpal bone at the neck of the first metacarpal bone. At the base of the first phalanx and the sesamoid bone on its ulnar side, the superficial and deep heads of the flexor pollicis brevis are attached respectively, and the flexor pollicis longus tendon passes between the two. Long-term friction between the two tendons and the tendon sheath can cause chronic inflammation. Closed treatment It can relieve early-stage tenosynovitis and should be blocked once a week. Generally, blocking treatment methods cause greater damage to local tissues and are prone to recurrence. Severe patients can choose surgical treatment. Finger flexion and extension exercises should be performed early after surgery to prevent tendon adhesion, and manual labor should be avoided within 1 month after surgery. Surgery After surgery, choose an appropriate splint for fixation. When non-surgical treatment is ineffective, acupuncture or tenotomy may be used. Make an incision at the transverse palmar crease and use vascular forceps to separate directly to the tendon sheath to avoid damaging the digital vascular nerve bundle. Puncture treatment After local anesthesia, puncture with a thicker needle, extract the cystic fluid, inject it, and then apply pressure bandage. Hormone drugs can have side effects on the body. For cases with short course and mild symptoms, conservative treatment can be implemented, including using a brace to properly immobilize the thumb, changing the activities and habits that induce the disease, reducing cold stimulation, local hot compresses, physical therapy, and application of topical medications. |
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