How to treat tenosynovitis and how to effectively treat tenosynovitis

It was good to stick it with a plaster, and my tenosynovitis was with a plaster. Others say that tenosynovitis is difficult to treat, but it seems that I am quite lucky, and I used effective medicine at the beginning. You can also try it. Applying a warm compress is good for the recovery of the affected area.

tenosynovitis; It usually occurs in the thumb and middle finger. Flexion and extension dysfunction of the affected fingers, especially when waking up in the morning, can be reduced or disappeared with activity. The pain sometimes radiates to the wrist.

Metacarpophalangeal flexion may be tender, and sometimes thickened tendon sheaths and pea-sized nodules may be palpable. When bending the affected finger, it suddenly stays in a semi-bent position, and the finger can neither be straightened nor flexed, as if it were being abruptly curved"card"After using the other hand to assist in the trigger, the fingers can move again, producing a movement and snapping like a trigger, so there are also cases"Trigger finger"called. For more information, please click on the icon below for a free consultation. dl

Some tendons are covered with a crust of fibrous tissue called a tendon sheath. Its function is to facilitate the gliding of tendons and to allow the fingers to flex and extend normally.

When the hand is moving, the tendon slides in the tendon sheath, and part of the tendon sheath gradually thickens due to this friction, narrowing, and as a result, the tendon movement is impaired, and local pain is also generated. This condition is called tenosynovitis, also known as stenosis tenosynovitis.

The most common sites of tendon sheath thickening and stenosis are at the beginning of the flexor tendon sheath of each finger, which corresponds to the distal palmar striae, and the tendon sheath located at the styloid process of the radius. If it occurs in the aforementioned area, it is called flexor tenosynovitis, and if it occurs in the latter part, it is called radial styloid tenosynovitis. Both are common.

Flexor tenosynovitis, most commonly in flexor tendon sheaths of the thumb, esopha, and middle fingers, occurs less often in patients without polydactyly and little fingers. After the onset of the disease, the patient feels:

Impairment of flexion and extension of the affected finger, especially in the morning, improves with more activity. There is local tenderness and induration, which is tender when pressed on the flexor surface of the metacarpophalangeal joint of the affected finger and induration can be palpable. Induration is the thickened part of the sheath.

In severe cases, it can produce a snapping sound, that is, when the affected finger moves, the muscle position passes through the tendon sheath in the narrow area and makes a "click" sound. This condition of tenosynovitis, also known as "snapping fingers". When the hand touches the induration and moves the affected finger, this popping sensation is more clear, and sometimes the affected finger can be seen bouncing.

Some patients suffer from finger flexion but cannot be extended or extended but cannot be flexed, and need to be helped to flex and stretch with the help of the hand, which is called the phenomenon of atresia.

In styloid tenosynovitis of the radius, there is a bony bulge on the radial side of the wrist (i.e., the side of the thumb) called the radial styloid process. It has a tendon sheath through which two tendons (extensor pollicis brevis tendon and abductor pollicis longus) pass. The tendon sheath is also often inflamed due to more movement of the thumb and wrist; This is called radial styloid tenosynovitis.

After the onset of the disease, the patient feels:

There is pain and swelling at the styloid process of the radius.

Difficulty moving the thumb, which is obvious in the morning, with occasional snapping. On examination, the radial styloid process is tender, sometimes palpable, and the patient is asked to clench the thumb into the palm of the hand, and then passively tilt the fist to the side of the little finger, if pain occurs around the styloid process, it indicates the presence of tenosynovitis.

The first method of this disease is intrathecal injection of hydrocortisone acetate or chloritazoxone once a week, in order to reduce the pain during injection, it can be mixed with 1% procaine or lidocaine hydrochloride and injected. Generally, 4 to 6 injections can be cured. It is very effective for early tenosynovitis.

Acupuncture, massage, Chinese herbal medicine and hand immobilization can also be used, all of which have certain curative effects. If the above ** is ineffective, surgery can be used**, that is, under sterile conditions, the narrow tendon sheath is incised, which is called healthy sheath incision. The result of the surgery is very good, not easy**.

Tenosynovitis is a relatively common disease, mainly caused by muscle overactivity, synovial inflammation, fibrinous exudation, etc. If the disease is not actively pursued** and protected, it has the potential to develop into a permanent activity. If the condition is relatively mild, a conservative method can be adopted, hot compress physiotherapy, local closure can be used, and patients who do the opposite generally need surgery.

When doing laundry, cooking, cleaning, and other household chores, you should pay attention to the correct posture of your fingers and wrists.

It is stenosis tenosynovitis, and the tendon sheath is a sheath-like structure that surrounds the tendon. The outer layer is fibrous tissue, which attaches to the bone and adjacent tissues, and plays a role in fixing and protecting the tendons. The inner layer is synovium, which can nourish the tendon and secrete synovial fluid, which is conducive to the sliding of the tendon, due to repeated excessive friction, causing inflammation, edema, thickening of the fibrous sheath wall to form a narrow ring, and the fibrosis and thickening of the tendon cause the tendon to slide difficult in the sheath, which is stenosis tenosynovitis.

TCM surgical plaster is a good one.