Tenosynovitis: Symptoms, Causes, and Treatment

Tenosynovitis is the inflammation of the sheath surrounding a tendon, often affecting the wrists, hands, or feet. This condition can cause pain, swelling, and difficulty moving the affected joint. It is commonly seen in people who perform repetitive movements or have underlying conditions like arthritis. Tenosynovitis can impact daily activities and lead to discomfort. It is prevalent among individuals involved in activities that strain the tendons. Seeking early treatment can help manage symptoms and prevent complications.

Causes of Tenosynovitis

Tenosynovitis, inflammation of the protective sheath surrounding tendons, can develop due to various factors. These include:

• Repetitive movements or overuse of a particular tendon
• Injury or trauma to the affected area
• Poor ergonomics or improper technique during activities
• Medical conditions like arthritis or diabetes
• Bacterial or viral infections

Symptoms of Tenosynovitis

Tenosynovitis is a condition where the protective sheath surrounding a tendon becomes inflamed. Recognizing its symptoms early is crucial for prompt treatment and better outcomes. Common symptoms of tenosynovitis include:

• Pain and tenderness along the affected tendon
• Swelling and warmth near the tendon
• Difficulty moving the affected joint
• Audible creaking or crackling sensation with movement
• Weakened grip strength

Early detection allows for timely intervention, which can help prevent further damage, reduce pain, and promote faster recovery. If you experience any of these symptoms, consulting a healthcare provider for proper evaluation and treatment is advisable.

Diagnosis of Tenosynovitis

Accurate diagnosis of Tenosynovitis is crucial to provide appropriate treatment and prevent complications. The diagnostic process typically involves a combination of medical history review, physical examination, and imaging studies. Diagnostic methods may include:

• Thorough medical history review
• Physical examination to assess symptoms and mobility
• Ultrasound or MRI to visualize the affected tendon and surrounding structures
• X-rays to rule out other conditions like fractures or arthritis

Treatment Options for Tenosynovitis

Tenosynovitis can be effectively managed through various treatment approaches tailored to each individual's needs.

Splinting/Bracing

• This involves immobilizing the affected joint with a splint or brace.
• It reduces stress on the tendon sheath, promoting healing.
• The primary goal is to rest the affected tendon and decrease inflammation.
• Initially, the splint/brace is worn continuously, then gradually reduced as symptoms improve.

Physical Therapy

• Physical therapy includes exercises to strengthen and stretch the affected tendon.
• It aims to improve flexibility, reduce pain, and enhance function.
• The main objective is to restore normal tendon function and prevent recurrence.
• Treatment may involve stretching, strengthening, and functional exercises tailored to the individual.

Medication

• Nonsteroidal anti-inflammatory drugs (NSAIDs) or pain relievers may be prescribed.
• They help reduce pain and inflammation in the affected area.
• The primary goal is to alleviate pain and improve comfort.
• Medication is usually used in conjunction with other treatments like rest or physical therapy.

Prevention and Management of Tenosynovitis

When it comes to preventing or managing Tenosynovitis, making lifestyle changes and taking proactive measures can play a significant role in improving your condition. Here are some key strategies to consider:

Lifestyle Modifications:

• Avoid repetitive movements or overuse of the affected joint or tendon.
• Practice proper ergonomics at work or during physical activities to reduce strain on your tendons.
• Maintain a healthy weight to alleviate stress on your joints and tendons.

Regular Screenings:

• Visit your healthcare provider regularly for check-ups to monitor your tendon health.
• Discuss any concerns or symptoms with your doctor promptly to address them early.
• Follow any recommended screening schedules for early detection and intervention.

Supportive Care:

• Engage in regular stretching and strengthening exercises to improve tendon flexibility and strength.
• Use proper techniques and equipment during physical activities to prevent injury.
• Consider wearing supportive braces or orthotics if recommended by your healthcare provider.

If you’ve been having any symptoms or worries about Tenosynovitis, please reach out to our doctors. They will listen to your concerns, answer your questions and guide you through the next steps.