Can tenosynovitis be cured? If there is tenosynovitis, how to treat it?

Tenosynovitis is a sterile inflammation of the joints caused by overmobility, abnormal exertion, or exposure to cold. Generally, it is completely possible. In the early stage of the disease, it is possible to heal spontaneously by immobilizing the joints and reducing the movement of the joints.

Other methods are massage, acupuncture, hyperthermia, injection closure needles and small needle knife. Generally, through massage and acupuncture, most patients will be cured. For patients who do the opposite, it is recommended to use a closed needle and a small needle knife**.

The number of convenient needles and small needle knives can not be too much, generally no more than three times.

Tenosynovitis can generally be treated, and if it is detected early, the prognosis is usually better, and it is mainly conservative. The anti-tenosynovitis is mainly the observation and closure of drugs in the conservative period, and if it is conservative, it is ineffective, and some patients need surgery.

Early tenosynovitis can be relieved by restricting joint movement and taking anti-inflammatory and analgesic drugs, and the effect is generally good. If the effect is minimal, you can consider minimally invasive**, such as occlusion**, small needle knife**, etc., which can also temporarily relieve pain.

If the goal of ** cannot be achieved, and the tenosynovitis is reversed, some patients can undergo surgery**, but even if the operation ** may be ** again**. Therefore, once there is an abnormal condition, you should go to the hospital as soon as possible, pay more attention to maintenance, and need to carry out functional recovery exercises under the guidance of a doctor.

Tenosynovitis can be achieved by surgery, and early mild tenosynovitis can be considered conservatively, including soaking hot hands, applying voltarin topically, and restricting the movement of finger joints. If symptoms are significant, local occlusion** or a small needle knife can be used to cut the tendon sheath open to relieve the tendon entrapment. A small number of patients have obvious symptoms of entrapment, and surgery can be taken in the case of ineffective conservative ineffect, and a small incision can be made at the site of tendon sheath entrapment after brachial plexus anesthesia, and the tendon sheath will be completely released and partially resected.

Tenosynovitis is possible, and the main method of tenosynovitis is to administer injections.

Tenosynovitis is inflammation of the local bone and joint, and you have to go to the hospital**, if you have surgery, I think it should be possible**.

Hand painIf a bony problem is ruled out, the most common cause of pain is tenosynovitis, especially on the radial side of the wrist and the ventral side of the thumb.

What causes tenosynovitis:

A tendon sheath is a synovial tube that is placed outside a tendon to protect the tendon. It is divided into two layers around the tendon, and a cavity between the two layers is the synovial fluid cavity, which contains the synovial fluid of the tendon sheath. The inner layer is closely attached to the tendon, and the outer layer is lined with the tendon fiber sheath, which is jointly combined with the bone surface and has the effect of fixing, protecting and lubricating the tendon from friction or compression.

If the tendon is rubbed too much for a long time, damaging inflammation of the tendon and tendon sheath can occur, causing swelling and leading to tenosynovitis. It is more common for women with children or who do housework frequently.

What are the manifestations of tenosynovitis:

The clinical manifestations are mainly local pain, pain when the tendon moves, sometimes redness, swelling and tenderness on the surface, tendon sheath adhesion or stenosis will occur in severe cases, then the inner finger has limited movement, there is a snap, or it is manifested as a "trigger finger"; There are also congenital tendon sheath stenosis in children, and the finger joints cannot be moved. Generally, there is no problem with filming, but sometimes it is necessary to take a film in the outpatient clinic mainly to rule out bony diseases.

How to deal with tenosynovitis:

1. Reducing the range of motion of the part (such as reducing holding children and doing housework), this is the most important.

2. Local physiotherapy or ice.

3. Application of anti-inflammatory and analgesic drugs (our department mostly uses Fastom ointment, Celebao anti-inflammatory and analgesic).

4. Occlusion** (generally the course of the disease is long, the pain is severe, the previous method is not effective, our department generally uses Diprosone + lidocaine).

5. In order to reduce the inducement, the bow can be fixed by wearing wrist guards and finger guards, elastic bandages, or braces.

6. Surgery, mainly for long course of disease, poor recurrent effect, or congenital tendon sheath stenosis.

7. Focus on prevention. Maintain a correct posture when working, avoid excessive strain on joints, and pay attention to the correct posture of your fingers and wrists when doing housework such as laundry, cooking, knitting sweaters, cleaning, etc., and do not bend or stretch back excessively; Do not carry items that are too heavy; Do not exert too much force on your fingers and wrists; The continuous working time should not be too long, rub your fingers and wrists after work, and then soak your hands in hot water; It is best to use warm water when washing clothes in winter to prevent cold hands; For long-term desk office workers, they should adopt a correct working posture, try to balance their hands, and their wrists can reach the physical object, and do not hang in the air.

8. Rotate the wrist joints 360 degrees, or clench the palm of the hand into a fist and then relax, do it back and forth a few more times or press the fingers or palms back a few times, which can effectively relieve the soreness of the hands.

Flexor tendon stenosis tenosynovitis, also known as plate finger. Localized pain on the volar side of the metacarpophalangeal joint. The pain worsens when the fingers are extended and flexed, and the pain sometimes radiates to the wrist.

On examination, the affected area is tender, and a nodule the size of a mung bean is palpable, which can slide up and down with the extension and flexion of the finger, and there is a sound. Finger extension and flexion immobility, a special plate machine phenomenon, sometimes need to be moved with the other hand to extend and flex. This is due to thickening, narrowing of the flexor finger tendon sheath due to chronic inflammation, and localized secondary thickening of the flexor tendon.

When the fingers are flexed, the thickened tendon needs to have enough strength to pass through the narrow tendon sheath, resulting in a disjointed extension and flexion movement.

**: Local fixation: The finger can be fixed in the straight position for 2-3 weeks, and the symptoms can be significantly relieved.

Closure**, massage** can be.

Take the medicine that activates the meridians internally, such as the elixir of activating the meridians. Strengthening tendons and dispelling wind tablets. Tendon Wind Pills. External application of membrane toughenment cream.

Repeated** surgery** to remove part of the tendon sheath. Lift the tendon from the extrusion.

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**.