Medicine for tenosynovitis

Tenosynovitis is a common disease nowadays, which usually occurs in the wrist or finger joints. Once tenosynovitis occurs, it will have a great impact on the patient's hand mobility, so timely treatment is needed. There are many types of tenosynovitis, and different types of tenosynovitis require different treatment methods. Below, I will introduce to you in detail the treatment methods of tendonitis!

1. Radial styloid stenosing tenosynovitis

When it is first diagnosed or the symptoms are mild, conservative treatment such as immobilization, physical therapy or local blockade can be used. If non-surgical treatment does not significantly improve symptoms or symptoms recur, surgical treatment can be used. Surgical treatment does not end with cutting open the first sheath on the dorsum of the wrist. The sheath should also be checked for anatomical variations. If there are any, the excess part needs to be removed. If there is tendon adhesion here, it should be released at the same time. Since the superficial branch of the radial nerve and its branches pass subcutaneously here, they should be protected during surgery and not damaged.

2. Stenosing tenosynovitis of the finger flexor tendons

(1) Physical therapy or local blockade can be used when the disease first occurs, and most of them are effective;

(2) Surgery can be used for patients with severe or recurrent lesions. The thickened narrow ring should be removed during surgery. The extent of the removal should be determined by observing that the thickened part of the flexor tendon is not blocked by the sheath when the finger is flexed and extended.

3. Myosinitis

Most symptoms can disappear by immobilizing the wrist, applying local hot compresses, and performing local physical therapy or local blockade when necessary. If the symptoms recur over a long period of time, the peritendinous and synovial tissues become thicker, and local bulges occur, surgical treatment may be considered to remove the thickened synovium and fascia.

4. Ulnar wrist extensor tenosynovitis

In the early stage, immobilization or local closure is required, and in the late stage, synovectomy or partial sheath resection is performed. Similarly, similar symptoms may occur in the radial and ulnar flexor wrist muscles, often caused by corresponding tenosynovitis. If the disease recurs, patients may also consider surgical treatment.

5. Prevention

Pay attention to maintaining correct posture while working, avoid excessive strain on joints, and take regular breaks.

1. When doing housework such as washing clothes, cooking, knitting sweaters, cleaning, etc., pay attention to the correct posture of your fingers and wrists, do not bend or extend them excessively; do not lift objects that are too heavy; do not use too much force on your fingers and wrists.

2. Continuous working time should not be too long. After work, rub your fingers and wrists, and then soak your hands in hot water.

3. It is best to use warm water when washing clothes in winter. Wear cotton gloves when sweeping snow after it snows to prevent your hands from getting cold.

4. For those who work at a desk for a long time, they should adopt the correct working posture, try to keep both hands balanced, and keep their wrists touching objects instead of hanging in the air.