What are the good treatments for tenosynovitis at the wrist?

- Dec 30, 2019-

Patients with tenosynovitis come to report. Tenosynovitis starts, and the wrist is obviously painful in turning around, unable to lift heavy objects, which is really hard to say ...


The first thing to know is that tenosynovitis is not actually an inflammation caused by bacteria, but an inflammation of the tendon sheath caused by frequent movements of the tendon of the wrist or excessive force and cold factors. In the early stage of tenosynovitis, the fingers flexion and extension will cause popping and pain. In severe cases, the joints will be “stuck” and unable to flex and straighten.


Tenosynovitis often occurs on the palms of the thumb, middle finger, and index finger. The pain is particularly noticeable when getting up in the morning, and the affected area has flexion and extension dysfunction. Sometimes the pain radiates to the wrist, tenderness at the flexion of the knuckles, and it can also touch thickened tendon sheaths, Pea-sized nodules.


Tenosynovitis often occurs on fingers and wrists and is prone to occur by handicrafters, instrument players, domestic workers, and long-term computer workers.


Tenosynovitis is painful and it is recommended to do this:

1. It is very important to reduce the movement of the affected area and protect and fix it with wrist and finger protection.


2. Perform physical therapy and hot compresses.


3. It can be topically applied with anti-inflammatory and analgesic ointments, such as Futalin ointment, to reduce pain.


4. External application of Xiaotong paste, pain cream or acupuncture.


5. If none of the above methods work, you can only go to a doctor for local closed treatment, that is, you need to inject local anesthetics and hormones into the affected area.


6. In the worst case, when the above conservative treatments are not effective, you need to perform tendonectomy.


Nursing and functional training for tenosynovitis is also important.

1. Wash your hands with warm water as much as possible and avoid direct contact with cold water.


2. Don't hang your hand up at rest, raise your hand up to reduce the pressure on your hand.


3. When using the mouse, try to keep your wrist close to the desktop, and don't suspend it, so as not to increase the pressure.


4. Do some functional exercises, such as 360-degree wrist rotation, strong fists, and loose fists.


What exactly is a radial styloid process?

The wrist joint is composed of the distal end of the ulna and radius and the wrist bone. The larger distal end is the radius. The far side of the radius is the wrist joint surface. The outer side (radial side) has a downward protrusion, which is called the radial styloid process.


What is radial styloid stenosing tenosynovitis

Tenosynovitis of the wrist mainly refers to radial styloid stenosing tenosynovitis. Frequent movement of the thumb and wrist causes repeated rubbing of the tendons of the long abductor and brachial extensor tendons and the radial styloid process, causing clinical symptoms resulting from aseptic inflammation of the tendons and tendon sheaths at this site.


Symptoms of stenosis tenosynovitis of the radial styloid process In general, the onset is slower. Of course, some people suddenly feel pain at the radial styloid process. At the onset, there was marked tenderness at the styloid process of the radius. Particular pain is more pronounced when the thumb and wrist are moving.


This occurs in women between the ages of 30 and 50. According to statistics, the male to female ratio is 1:10. The reason may be that the long abductor hallucis longus and the short extensor hallucis tendon from the female to the thumb's stopping point are related. In clinical work, I also found that the incidence of radial styloid stenosing tenosynovitis in young breastfeeding women is also high. This has something to do with endocrine reasons and the attitude of holding the child.


treatment method

1. Non-surgical treatment is usually wrist support for mild disease and short duration. Including wrist and thumb braking, rest. If necessary, the sheath can be closed. The results are usually good. But keep in mind that closed treatment should not be repeated many times, otherwise it will easily lead to tendon degeneration and rupture.


2. Those with severe disease and a long course of the disease can be treated by the incision of the sheath. I have done many small operations like this and the results are very good. It is still the same sentence that I often say, and surgery must be done in a regular hospital. Because the operation is rough, it is still easy to damage the radial nerve during the operation. If the incision is not thorough, it is easy to relapse.