Tenosynovitis occurs when the synovial sheath surrounding a tendon becomes inflamed, resulting in pain, swelling, and limited joint movement. Tenosynovitis causes, symptoms, diagnosis, treatment, and prevention are discussed in this article in a straightforward manner.
There are several factors that can cause tenosynovitis, including:
Repetitive motion, such as typing, gardening, or sports, can strain tendons and cause inflammation of the synovial sheath.
Injury or trauma: Direct trauma, sudden impact, or excessive force to a tendon or joint can cause inflammation of the synovial sheath.
An infectious tenosynovitis occurs when bacteria or fungi invade the synovial sheath, causing inflammation and infection of the tendon.
Tenosynovitis can be caused by inflammatory conditions such as rheumatoid arthritis, gout, or lupus.
Tenosynovitis may be caused by structural abnormalities or irregularities in the tendon or surrounding tissues.
Tenosynovitis typically causes the following symptoms:
Tenderness or pain along the affected tendon, especially with movement.
A swelling or thickening of the synovial sheath may result from inflammation of the synovial sheath.
Joint or tendon stiffness: Limited range of motion.
Occasionally, individuals may experience a crackling or popping sensation when moving the affected tendon (crepitus).
The skin overlying the affected tendon may appear hot, red, or swollen.
Pain or dysfunction of the affected tendon causes weakness or difficulty performing certain movements.
In order to diagnose tenosynovitis, a combination of clinical evaluation, medical history, and diagnostic tests is typically carried out. Diagnostic procedures may include:
Examine the affected tendon for tenderness, range of motion, strength, and function with a healthcare provider.
Inquiring about symptoms, activity levels, previous injuries, and underlying medical conditions may help identify potential triggers or risk factors for tenosynovitis.
X-rays, ultrasounds, magnetic resonance imaging (MRI) and computed tomography (CT) scans can visualize the affected tendon and surrounding structures, assess for inflammation, and rule out other conditions such as arthritis or tendon tears.
Tenosynovitis treatment aims to reduce pain, inflammation, and promote healing. Treatment options include:
Avoiding activities that aggravate symptoms and allowing the affected tendon to rest and heal.
Pain and inflammation can be reduced by applying ice packs or cold therapy to the affected area.
Pain and inflammation can be relieved by nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen.
Splints, braces, or immobilization devices may be recommended to support and protect the affected tendon.
Stretching, strengthening exercises, and manual therapy techniques can help improve the flexibility, strength, and function of the affected tendon and surrounding muscles.
An injection of corticosteroids into the affected tendon sheath may provide temporary relief of pain and inflammation in cases of severe or refractory symptoms.
To relieve pain and restore function, surgical procedures such as tenosynovectomy or tendon repair may be considered in cases of persistent or severe symptoms.
Individuals can reduce their risk of tenosynovitis and minimize recurrence by taking the following steps:
Tenosynovitis can be reduced by using proper body mechanics, ergonomics, and equipment during activities and sports.
Increase the intensity, duration, and frequency of physical activities gradually to prevent overuse and reduce the risk of tenosynovitis.
A warm-up and stretching routine before physical activity can help prepare muscles and tendons for movement and reduce the risk of injury.
Allowing adequate time for rest, recovery, and recovery between activities can prevent overuse injuries and reduce the risk of tenosynovitis.
In order to prevent the progression of symptoms and minimize the risk of injury, pay attention to early warning signs of tenosynovitis, such as pain, swelling, or stiffness.
