Tendonitis What is the difference between tenosynovitis? How can it be treated?

In our lives, many people suffer from these two diseases - tendonitis and tenosynovitis due to overwork or excessive exercise, which will affect people's normal work and study. But sometimes the concepts of these two diseases can easily be confused by people who don't know the relevant knowledge. Therefore, in our daily life, we should not only go to a regular hospital to seek medical treatment in a timely manner and **, but also learn more about these two diseases.

In this way, it is not only possible to take adequate precautions, but also to distinguish the pathogenesis and symptoms of the two diseases, and at the same time, not to confuse the concepts of the two diseases. Then let's take a look together, what is the difference between tendonitis and tenosynovitis?

First of all, the location of the two diseases is different. Tendonitis is a lump near the tendon sheath or joint capsule. The outer layer of the cyst wall is made up of tissue, and the inside becomes a smooth endothelium covered with a thick sac, thick liquid oxygen substance.

Tenosynovitis is a sheath-like structure that surrounds a muscle. The outer layer is fibrous tissue that attaches to bones and other adjacent tissues to fix and protect tendons. Tenosynovitis is usually caused by recurring symptoms, and tendonitis caused by strenuous exercise or tendon rupture is also one of the most common causes.

Tendinitis is generally a bacterial inflammation, while tenosynovitis is generally aseptic inflammation, so there is still a large difference between the two.

Generally speaking, tenosynovitis can be improved according to the insistence on slow movement and **, but tendonitis is difficult to improve, and the ** of tendonitis, most of them are not very clear, most patients may be middle-aged and elderly patients, may be due to insufficient blood supply to the tendon, or repeatedly suffer minor trauma, which leads to this disease. In general, young people, especially women, may be overworked or overworked in their daily lives, or their fingers and wrists are bent or stretched back excessively, or some white-collar workers often use computers, which can lead to tenosynovitis. Therefore, it is necessary to pay special attention to your physical health and not to overly fatigue yourself.

Therefore, everyone may get tenosynovitis or tendonitis, everyone must attach great importance to it, try not to make yourself too hard, otherwise it will make us sick**, we should try to drink less alcohol, eat more food that is good for this disease, listen to the doctor's words, we can do some exercises suitable for ourselves, and maintain a good mood on weekdays, so as to make our disease as soon as possible**.

The causes vary, tendonitis is caused by trauma, tenosynovitis is developmental; The clinical manifestations are different, tendonitis is painful to the touch, flexion and extension is more severe, tenosynovitis is mild popping and pain; **The scheme is different, tendonitis should be closed and sealed**, and tenosynovitis should be closed and surgical**.

Tendonitis is inflammation caused by muscles, and tenosynovitis is inflammation caused by stickiness that precedes tendons. You can take anti-inflammatory drugs internally, apply traditional Chinese medicine externally, or use a fascia gun to break away the stickiness.

The difference between the two is that the first is an inflammation of the muscles, and then the inflammation is very serious, and the second is tenosynovitis, which is the inflammation of the part next to the tendon, which is the difference between the two.

The site of onset of these two types of diseases is different, tendonitis is a mass that occurs near the tendon sheath or joint capsule, the outer mail of the cyst wall is composed of tissue, the inner part becomes a smooth endothelium, and the cyst has a thick thick liquid oxygen substance. Tenosynovitis is a sheath-like structure that surrounds a muscle sheath with an outer layer of fibrous tissue that attaches to bones and other adjacent tissues to fix and protect tendons.

In the case of tenosynovitis, the cause of tenosynovitis is generally that repeated or strenuous exercise causes tendonitis breakage, or tendon rupture, which is also one of the most common causes of disease, tendonitis is generally bacterial inflammation, and tenosynovitis is generally aseptic inflammation, so there is a difference between the two to a large extent.

First. The causes of the disease vary, tendonitis is generally caused by trauma, tenosynovitis is generally caused by development, and there is a certain relationship with endocrine changes.

Second. Clinical manifestations, tendonitis is generally pain at the tendon attachment point, pain during flexion and extension activities, obvious aggravation, local redness, swelling, heat and pain, tenosynovitis clinical manifestations are mainly obvious trigger-like sensation when flexing and stretching out the fingers, and there can be snapping and mild pain.

Pay attention to rest and keep warm, usually you can apply external application to invigorate blood and dispel bone stasis, and pay more attention to the use of hands.

Tendinosynovitis can generally be relieved by drugs**, surgery**, etc., tenosynovitis is mainly related to overwork and overcompression, such as long-term knitting of sweaters, typing, carrying goods, frequent climbing, etc.

1. Drugs**. Patients with tenosynovitis can be relieved by oral drugs, common oral drugs are loxoprofen, celecoxib, diclofenac sodium, etc., and the drugs applied are flurbiprofen ointment, loxoprofen ointment, etc., due to the different symptoms and constitution of patients, symptoms can not be used without authorization, it is recommended that patients go to the hospital in time, according to the patient's condition and the doctor's guidance of medication.

2. Surgery**. The patient's tenosynovitis symptoms are more serious, and the patient can choose to be operated under the guidance of the doctor.

It is recommended that when patients have symptoms of tenosynovitis, they should not blindly choose the best way, but should go to the hospital for examination, and choose the appropriate way according to the degree of the disease and the doctor's guidance. For tendonitis and tenosynovitis, you can take non-steroidal anti-inflammatory drugs under the guidance of a doctor**, such as diclofenac sodium extended-release tablets, meloxicam tablets, celecoxib tablets, etc. At the same time, it can also be used with acupuncture, massage, and hot compress to assist**, which is conducive to the rapid recovery of the disease.

If the symptoms are more severe, you can also go to the orthopedic surgery department of a regular hospital in time and perform it through surgery**.

1. Routine**. Ice should be applied to the affected area for 20 minutes every few hours in the acute phase; and elevate and immobilize the affected limb; For tendonitis of the upper extremities, a brace or cast can be used to fix it in a suitable functional position, and rest is the best way to relieve muscle tension; For tendonitis in other locations, edema can be reduced by dressing with an elastic bandage. After the acute phase, develop a suitable plan to improve the strength of the muscles and restore the range of motion.

2. Drugs**. Nonsteroidal anti-inflammatory drugs may be used to relieve pain. For severe pain, local steroid injections can be used to control inflammation and reduce pain.

However, repeated injections of steroids are not recommended because multiple injections of steroids can weaken the tendon and cause it to rupture.

3. Surgery**. Some patients, especially if adhesions occur; If the above methods are ineffective, surgery may be considered. The stenosis tendon sheath is cut longitudinally and a small tendon sheath is removed, resulting in **pain**. Disadvantages: Traumatic, painful, long recovery period.

4. Physiotherapy. Taking a jacuzzi can help raise body temperature and promote blood circulation. If tendonitis occurs in the knee area, warm compresses can be applied to a warm, damp washcloth.

In recent years, the use of ultrasound **** tendonitis, especially with calcified tendonitis, has been reported, but its efficacy still needs to be further confirmed.