What is the treatment for tenosynovitis? What are the treatments for tenosynovitis

The ** tenosynovitis is mainly through the immobilization rest of the affected part, local drugs**, oral drugs** and physical **, etc., and is generally common in index finger flexor tenosynovitis, thumb flexor finger tenosynovitis, wrist tenosynovitis, elbow tenosynovitis and other parts. The causes of tenosynovitis mainly include excessive finger movement, playing musical instruments, playing tennis, badminton, excessive manual labor, etc., which lead to repeated friction of tendon sheath and inflammation. The details are as follows:

1. Local hot compress: such as soaking in hot water, etc., to relieve the pain caused by excessive activity or wear;

2. Drugs**: such as topical anti-inflammatory analgesics, or topical patches, etc.;

3. Blocking: Inject hormone drugs and local anesthetics into the lesion site to produce anti-inflammatory effect, and the effect is fast, but the premise of closure is to ensure aseptic operation, and the patient has no immunocompromised state, diabetes, etc., so as to reduce the blockade.

The reason why many people get tenosynovitis is not that they usually do a lot of high-intensity physical labor with their hands, but because they play games for a long time, use a computer mouse, and let their hands do repetitive movements for a long time, and during this period, their hands do not get enough rest, so they get tenosynovitis. I know this because I used to be one of them. At first, I thought tenosynovitis was a cold on my hand and didn't take it seriously.

Later, I thought of using a computer to work at work, continuing to play games after work, and my hands were not idle, which are all factors that lead to tenosynovitis. Since then, I have thought of a lot of ways to **, compared with massage, the method of applying plasters is more practical and convenient, at that time I used Tianhe Gutong plaster, which added anti-inflammatory and pain-relieving ingredients such as Dinggong wilfordii, Jin Buchang, menthol, etc., and polyisobutylene (PIB) as the matrix, even if it is pasted for a few hours, ** will not feel uncomfortable, it is easy to stick or tear off. Hope.

It is recommended that you can try Wanteric indomethacin liniment and apply it directly, and these will not hurt very much.

Rest more, soak it in hot water, or apply Wanteric indomethacin liniment to reduce inflammation.

Tenosynovitis is a common disease, my friend has such a disease, generally there are few symptoms in the early stage, and it will be painful when it is severe.

1.**Method.

1. The acupuncture knife of the combination of traditional Chinese and Western medicine is mainly the first method of tenosynovitis tendon stenosis of flexor fingers. At the metacarpal head of the patient's metacarpophae, the needle knife percutaneously enters the subcutaneous subcutaneous insection of the tendon sheath, and when the plucking completely disappears, the needle knife is withdrawn. The wound is covered with cotton balls or damp cloth blocks.

The patient continues flexion and extension.

2.**Method 2: Injection**, that is, the drug is injected into the tendon sheath, and it is generally mixed with some analgesics and then injected. Generally, 4 to 6 injections are sufficient**. It is suitable for all stages of tenosynovitis**, with the best effect in the early stage.

3.**Method.

3. Surgery, that is, tenosynoviotomy, has a good surgical effect and is not easy, but sometimes it is complicated by tendon adhesions. It is indicated for those who do not respond to injections, as well as tenosynovitis with snapping or atresia. This is also one of the most direct and effective methods, but this method is generally performed after a severe illness.

Precautions. The disease of tenosynovitis should pay attention to life conditioning after getting sick, especially in ordinary times, we should pay attention to prevention methods, pay attention to maintaining a correct posture at work, and also achieve a combination of work and rest, and pay attention to rest.

Summary. Kiss; Hello. At present, there are many ways to develop tenosynovitis, patients can choose according to their own situation, if the patient's symptoms are not very serious, they can choose acupuncture**, Western medicine** and general**; If the patient's symptoms are severe, surgery can only be chosen, but the patient does not need to worry too much, because the effect of surgery is very good, and the probability of ** is also very low.

How tenosynovitis is**.

Kiss; Hello. At present, there are many ways to develop tenosynovitis, patients can choose according to their own situation, if the patient's symptoms are not very serious, they can choose acupuncture**, Western medicine** and general**; If the patient's symptoms are severe, surgery can only be chosen, but the patient does not need to worry too much, because the effect of surgery is very good, and the probability of ** is also very low.

1. Acupuncture acupuncture is currently the most common method for tenosynovitis, and the effect of acupuncture and moxibustion is very good.

2. Western medicine** Western medicine**, which is also a good method for tenosynovitis, and the main method, is to inject hydrocortisone acetate intrathecal into the patient's tendon, which needs to be injected about once a week, and under normal circumstances, after 4 or 6 injections, everyone can be cured. This is very effective for early tenosynovitis, if you want to reduce the pain you feel during the injection, you can also mix these drugs with drugs such as lidocaine hydrochloride and inject them together.

3. General** If the patient's tenosynovitis symptoms are not very serious, taking the general** can have a good ** effect, for example, the patient can wash his hands with warm water and carry out appropriate self-massage activities. At the same time, you can also rotate your hand every day, because this can effectively help yourself, and the muscles around your wrist can restore blood circulation, thus playing a role in relief.

Fourth, surgery** If the patient's tenosynovitis symptoms are already very serious, then surgery must be used, that is, under sterile conditions, the patient's narrow tendon sheath is cut with a scalpel, and the tenosynovulation surgery is carried out.

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**.