Orthopaedy

Tenosynovitis

Each tendon is surrounded by a kind of tube filled with synovial fluid, which facilitates sliding tendons and protects it from damage while reducing or relaxation of muscles. When the tendon sheath swelling, nodules are often formed, causing pain during movement of the muscles. Inflammation of the tendon sheath is called tenosynovitis.

Symptoms

  • Pain in the wrist or shin while moving, accompanied by a sense of friction.
  • The sound of crunching and creaking in the joints.

Causes

Tenosynovitis can occur from excessive load on the tendon, which is associated with the profession (for example, violin, typists, hairdressers, seamstresses, programmers) or severe irritation. It is often manifested in the active sports activities (tennis). Other factors that contribute to inflammation of the tendon sheath – damp and cold at skiing and boating. Tenosynovitis can be a result of serious trauma.

Treatment

First of all it is necessary to provide rest hands and feet: the limb is immobilized by a plaster bandage tires or elastic bandage. When the inflammation is slight, rubbing are performed. At purulent inflammation doctors additionally prescribe antibiotics.

It should, if possible, to limit the movement of the affected joint. At inflammation of the palm don’t working on a typewriter or computer. If pain persists for 2-3 days, you should contact your doctor. Treatment of the neglected diseases can continue more than two months.

The doctor prescribe painkillers and anti-inflammatory medications and apply plaster to the affected joint of wrist, forearm or shin. At purulent tenosynovitis the tendon sheath is opened: many small lateral incision is made (thus improving the outflow of pus). In rare severe cases, surgery is sometimes necessary. It is considered simple: only the tendon sheath is opened to relieve the pressure, falling to the tendon.

Course of the disease

A man doesn’t discover symptoms of tenosynovitis immediately, but only after a few days. Often patient does not even remember the reason that caused the inflammation. The patient experiences pain when moving the affected part of the body, for example, cannot bend the fingers of the hand, or just struggling with severe pain can rotate the wrist. With timely treatment and ensure immobilization limbs inflammation usually goes away within 10 days. However, if a patient with a bandage or plaster continues to work or move actively, the healing process is delayed much longer.

Long absence of treatment is dangerous of appearance ankylosis of wrist joint – then the tendon is fixed in one position, and you can move it from this point only with painful muscle movement.