When does tenosynovitis require surgery, and does tenosynovitis require surgery?

If you have tenosynovitis, you can use heat therapy or massage to the affected area. At the same time, it is necessary to pay more attention to rest, take sufficient rest for about 3 weeks, and pay attention to reduce manual labor that causes diseases before it is good. **Partial occlusion**, which can relieve early tenosynovitis, **the frequency of occlusion is once a week.

If there is still pain, or if it is reversed, tenosynoviotomy should be done, and the fingers should be flexed and stretched out early after surgery to prevent tendon adhesions. Manual labor is exempted for 1 month after surgery.

Question 1: Does tenosynovitis require surgery? Generally, surgery is not required, and occlusive injections are not recommended, which are only temporary relief, and it is easy to relapse after a few days.

Is your tenosynovitis finger or wrist? Tell us more about your current symptoms, such as whether there is redness and swelling, whether the joints can be twisted freely, etc. I'm good to give advice.

Question 2: Do I need surgery for tenosynovitis? Suffering from tenosynovitis is a condition caused by long-term friction of tendons, so you can choose to be conservative for a period of time.

It mainly includes hot compresses, oral anti-inflammatory and analgesic drugs, acupuncture physiotherapy, occlusion**, etc. Consider a small needle knife if necessary**.

Question 3: Is tenosynovitis used for surgery **Tenosynovitis is recommended that you can use hyperthermia, physiotherapy, *to carry out **, ** during the period of sufficient rest for about 3 weeks, especially to reduce the manual labor that causes the disease. If there is no obvious effect of conservatism**, then local occlusion** can be used to relieve early tenosynovitis, and occlusion should be done once a week.

If the occlusion is ineffective or reversed, then tenosynoviotomy should be done, and the flexion and extension of the fingers should be done early after surgery to prevent tendon adhesions. Manual labor is exempted for 1 month after surgery.

Question 4: Do I have to have surgery for tenosynovitis? Hello, how long has the patient been in this condition and are there any other symptoms at present?

Question 5: How long does it take for tenosynovitis surgery to recover Tenosynovitis surgery is the only way to cure the root cause. The surgery was not big. In the eyes of experienced doctors, there are basically no risks. The time when the wound grows after surgery is the time to recover, that is, about two weeks.

Question 6: Do tenosynovitis have to be operated? Tenosynovitis, generally stenosis tenosynovitis, conservative ** effect is not good, very small surgery, don't worry, about ten minutes. Please go to the hospital for orthopaedic examination**.

Tenosynovitis is characterized by redness, swelling or pain in the joints. So what should tenosynovitis patients pay attention to in their daily life? How long does tenosynovitis take to get better?

What to look out for in tenosynovitis.

First, such patients must go to the orthopedic department for treatment as soon as possible and throughout the course after the onset of the disease. Because such diseases are in the early stage, if some intervention can be obtained, they can often recover quickly. In addition, after the symptoms of this disease have been relieved, it needs to be carried out for a period of time** to prevent it**.

Second, such patients must maintain strict immobilization of the affected area during the ** period. Because many of these diseases are caused by excessive activity.

Third, such patients must pay attention to the warmth of the affected area to prevent the cold here.

How long does it take for tenosynovitis to get better.

The most common, relatively mild tenosynovitis, the recovery time, generally about a month, if the symptoms are relatively serious, the disease for a long time patients, this type of tenosynovitis, the recovery time will be relatively prolonged, there are some patients with chronic tenosynovitis, to reach the first time, may be as long as half a year, and more than a year, this type of tenosynovitis patients, most of them are more stubborn stenosis tenosynovitis, it is difficult to make tenosynovitis through conservative **, They usually require local surgical release to be cured.

Do you need to get a closed shot for tenosynovitis?

In fact, with stenosis tenosynovitis is a particularly common means to do closed needles, and the effect is very good, the reason why tenosynovitis will occur is due to local aseptic inflammation, which makes the tendon obviously edematous, and seriously affects the flexion and extension function of the fingers, and the closed needle is precisely aseptic inflammation, especially the aseptic inflammation produced by tenosynovitis, and the closed needle needs to be played in the tendon sheath, This makes the local blood concentration very high, so the effect on tenosynovitis** is also very good.

Can tenosynovitis be applied.

Tenosynovitis** is mainly caused by local immobilization and intrathecal injection of traminaide or Diprosone** intrathecal with good efficacy (blockade**). However, the injection must be accurate, injected into the tendon sheath, and injected subcutaneously is ineffective. If the above-mentioned non-surgical ** is ineffective, acupuncture** and surgery** can be given.

Each human hand has 28 bones, 24 long tendons from the forearm and 18 small muscles in the hand, which are joined together by ligaments, joints and **. A layer of fibrous tissue called a tendon sheath is attached to the outer part of certain tendons in the hand. It has the function of maintaining normal flexion and extension of the fingers and tendon sliding.

When the hand is fixed in a certain position for repetitive and excessive activity, friction often occurs between the tendon and tendon sheath, resulting in edema, fibrosis, and narrowing of the lumen. Because the tendon moves in the tendon sheath, the path through which it passes is narrow, resulting in pain and movement disorders, which is tenosynovitis, also known as stenosis tenosynovitis.

Tenosynovitis is a common disease, with the lower radius of the wrist abducting the common tendon sheath of the pollicis longus and extendor pollicis brevis muscles, and the flexor pollicis longus tendon sheath of the first metacarpal head, which are most common in cigarette factory workers, packers, and bookbinders; Sewers, scribes, housewives, painters, teachers, etc. There are two common types of tenosynovitis.

1) Radial styloid stenosis tenosynovitis The disease has a slow onset and gradually worsens, with pain in the bony process (radial stylprocess) on the side of the thumb of the wrist and around the thumb, obstruction of thumb movement, tenderness and friction in the styloid process of the radius, and sometimes a slight bulge in the styloid process of the radius, a pea-sized nodule. If the thumb is held tightly in the other four fingers and the wrist is flexed to the inside of the wrist (ulnar), severe pain occurs in the styloid process of the radius. In the acute phase, swelling may be local.

When the swollen tendon passes through the "tunnel" of the narrow tendon sheath, the thumb will make a sound when it is bent, which is also known as "snapping the finger".

2) Flexor tenosynovitis mostly 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, suddenly stay in the semi-bent position, the finger can neither be straightened, nor can not be flexed, as if being suddenly "stuck", the pain is unbearable, after using the other hand to assist in the pull, the finger can move again, producing a trigger-like action and spring, so it is also called "trigger finger" or "snap finger".

The best methods of tenosynovitis are: reduce the activity of the fingers in the early stage, so that the local rest can be obtained; Massage and acupuncture have certain curative effects; Hydrocortisone acetate, triamcinolone acetonide acetate or prednisolone acetate were injected into the tendon sheath for local sealing, which had good efficacy; For those with a long course of disease and ineffective reverse, the tendon sheath can be cut and partially excised in parallel, so that the tendon sheath no longer squeezes the tendon, which can achieve the purpose of **.

Tenosynovitis can be treated without surgery, you go to the Chinese medicine to **, sometimes it will be fine by itself.

Wrist and hand pain is not entirely a result of tenosynovitis, but can also be a sign of a more serious condition, and when you move your wrist, be careful if there is a crackling sound, this is not a sign of tenosynovitis, but a symptom of arthritis. A doctor should examine it. Tenosynovitis is the flexor of the thumb and the flexor of the fingers, and the narrowing is on the volar side of the metacarpal neck.

The extensor flexor and abducens flexure tendons are in the same sheath here, and when the fist is deviated from the wrist at the onset of the disease, it causes pain and tenderness in the affected area.

Tenosynovitis is mainly due to the symptoms of inflammation, redness, swelling, pain and other symptoms caused by repeated friction of tendons, and there are many ways to treat tenosynovitis, which can be divided into non-surgical and surgical, as follows:

1. Non-surgical**. The affected area can be treated with heat therapy, massage and sufficient rest for about 3 weeks, especially to reduce the manual labor that causes the disease. Partial occlusion** can lead to recovery of early tenosynovitis.

2. Surgery**. The main use is minimally invasive tenosynovectomy, which is completely and thoroughly, with fast recovery, no recovery and good results. It is worth noting that after tenosynovitis, the flexion and extension of the fingers should be done early to prevent tendon adhesions, and manual labor should not be done within 1 month after surgery.

It is recommended that you go to the hospital for a check-up before determining whether the surgery is necessary.

Tenosynovitis can occur in the fingers, toes, wrists, and ankles, but is most common in the styloid process of the radius and the first metacarpal head. Fibrosis occurs due to tendon sheath strain injury, which thickens the tendon sheath, causes sheath stenosis, and restricts the movement of tendons in the sheath, so it is called tenosynovitis.

Cause 1: Chronic injury, long-term, repetitive, and rapid exertion of the tendon within the tendon sheath.

Cause 2: Acute injury, tendon sheath injury caused by violent action on the tendon sheath.

Cause 3 pathological factors, tuberculosis, rheumatoid or rheumatoid disease, congenital tendon abnormalities, etc.

Medication injections**.

Intrathecal hydrocortisone acetate or cofenosansulone is given once a week to reduce pain during injection, mixed with 1% procaine or lidocaine hydrochloride and injected. Generally, 4 to 6 injections can be cured. It is very good for early tenosynovitis.

Acupuncture**. If the tendon sheath is thickened due to injury, then the radial pain of the wrist, severe pain in the radial styloid process when the fist is abducted, weakness of thumb movement, friction or snapping when the thumb is moving, and a positive ulnar test of the fist is positive. Its ** is to perform acupuncture at tender points, Yangxi, Lieqi, and Hegu.

External use of traditional Chinese medicine. The external application method of traditional Chinese medicine is more than external application of osteocrush, which is transdermal absorption, directly reaches the lesion, and plays the role of dissipating cold and dampness, invigorating blood circulation, reducing swelling and relieving pain, and relaxing tendons and activating the meridians. After a period of recuperation, you can fully recover to a healthy state.

Folk prescription**. Apply medicinal wine to the affected area, 50 grams of soft-shelled turtle insects, 35 grams of Jingbanxia, 15 grams of safflower, 10 grams of early orange whole scorpion, grind into fine powder, soak in rice wine for 2 weeks, and apply the affected area externally, with local fever as the degree, it can invigorate blood and reduce swelling.

Develop the habit of washing your hands with warm water after work, move your hands at the right time, and massage yourself.

Minor injuries to the hands, such as abrasions and puncture wounds, should be treated promptly.

3 If you have this disease, it is important to treat it as soon as possible, so that it does not become chronic.

I was afraid of surgery and didn't do it.

It's okay, thank you

Fang Duo is easy to post.