Do you know the prevention and treatment of tenosynovitis?

Tenosynovitis mostly occurs in the upper limbs of the human body, and the wrists and fingers are the most common, in addition to the redness and swelling, the patient will also have pain, which brings a lot of inconvenience to the patient's life. For this disease, we should take the initiative to understand and effectively prevent it to avoid inconvenience to ourselves.

Tendon sheath, the first fibrous sheath on the dorsal side of the wrist has two tendons passing through, namely the abductor pollicis longus and extensor pollicis brevis tendons, and the two tendons penetrate the narrow sheath canal and form an angle with the sheath canal, terminating at the base of the first metacarpal bone and the base of the proximal phalanx of the thumb, respectively. When the wrist and thumb have a high range of motion, the tendon angle increases. Over time, the local synovium becomes inflamed, thickened, the tendon thickens, the fibrous sheath wall also thickens, and a subcutaneous hard nodule appears at the styloid process of the radius, making it difficult for the tendon to slide in the sheath, resulting in pain and other symptoms.

Lactating and menopausal women are prone to tenosynovitis due to endocrine changes and synovial involvement, which is the main reason why this disease is more common in women. It is also the reason why tenosynovitis is also commonly known as "mother's hand".

Cold can also trigger tenosynovitis, which can be triggered by frostbite on the palms of hands exposed to cold weather. Studies have shown that patients with other arthritic conditions are more likely to develop tenosynovitis. People who have diabetes, rheumatoid arthritis, and infectious diseases are likely to develop tenosynovitis due to the inflammation of these diseases.

For office people, tenosynovitis is also an occupational disease that should be prevented, because the frequent use of computers and mice, the tapping of fingers, will increase the friction of tendons, thus causing tenosynovitis. For video game streamers and esports athletes, tenosynovitis is even more likely.

In addition to the above reasons, according to relevant literature reports at home and abroad, there are many anatomical variations that are easy to cause the occurrence of this disease. If the abdomen of the metacarpus pollicis longus or extensor pollicis brevis is too low, part of the abdomen also enters the sheath; Due to the presence of more vagus tendons in the sheath, the number of tendons increases significantly, and some have as many as more than 10 tendons; There is also a hard and thick fibrous septum in the first sheath of the dorsum of the wrist, which makes the original sheath more narrow, and the tendon is very easy to be incarcerated. These anatomical variations make the patient at a young age of onset and difficult to respond to conservative**.

For new mothers and housewives, they can wear gloves when they are exposed to cold water in winter, and they should know the correct posture of their fingers and wrists when cooking, washing, knitting sweaters, cleaning and other household chores, and they should not carry items too heavy. When holding a child, you should use the strength of your arms, not your wrists.

For office people who work at the desk for a long time, they should adopt a correct working posture, balance their hands, place their wrists reasonably, not hang in the air, and take regular breaks to avoid excessive strain on their joints.

For tenosynovitis that has already flare-up, immobilization, physiotherapy, or local occlusion may be used at the initial onset or when symptoms are mild**. Surgery may be used if non-surgical ** symptoms do not improve significantly or if ** is reversed.

To sum up, for tenosynovitis, the best way to prevent tenosynovitis is to arrange the time of work and rest reasonably, and to clarify the correct force action.

4.Age factor.

In short, there are many reasons for the success or failure of tenosynovitis, and we should pay attention to avoiding long-term repetitive activities, using posture correctly, strengthening exercise, etc., in order to effectively prevent the occurrence of tenosynovitis.

Prolonged repetitive activities can lead to muscle fatigue and damage to tendon sheath tissue, which can lead to tenosynovitis over time. For example, playing tennis, unscrewing bottle caps, using a mouse, keyboard, etc., can all cause tenosynovitis.

When using electronic products such as computers and mobile phones for a long time, you should pay attention to the correct posture to avoid the elderly from bowing their heads or bending over during the time of caution, and can use brackets or raising the computer screen to improve their posture.

If you maintain the same posture for a long time, such as looking down at your mobile phone or computer for a long time, it will cause long-term compression of the muscles and tendon sheath tissue in the wrists, fingers, etc., which is easy to cause tenosynovitis.

Proper exercise can enhance the elasticity and toughness of muscles and tendon sheath tissues and reduce the incidence of tenosynovitis.

Forging the wheel of the clan practice ** method Press the fingertips of the thumb on the healthy side on the palmar side of the affected wrist, and put the remaining four fingers on the dorsal side, and massage them appropriately to relax the tendons and activate the muscles and relieve pain.

Tuina** In fact, tenosynovitis disease is not rubbed by hand to make it go away, but to press hard, in an instant, violently, at its highest point with explosive force to crush it, if you press the strength of the human hand is not enough, you can use the thumbs of both hands to overlap and force at the same time. Don't let go after pressing and keep pressing.

Occlusion** Intrathecal injection of drugs such as prednisolone or lidocaine once a week is given. Disadvantages: It is not recommended to use it, and multiple closures will cause greater damage to the patient's local tissues.