Tenosynovitis (tendon sheath inflammation)
About Tenosynovitis (tendon sheath inflammation)
Painful inflammation of a tendon and surround sheath. The inflammation can result from: overuse or over stretching of the tendon, trauma, infection, or inflammatory diseases. Tendons are the fibrous attachments of the muscles to the bones. The sheath of the tendon can also become inflamed causing tenosynovitis. De Quervain's tenosynovitis is one of the most common types and occurs at the base of the thumb and lateral wrist. When tenosynovitis is caused by an infection prompt treatment is needed to prevent permanent loss of function.Symptoms
Difficulty moving a joint, joint swelling in the affected area, pain and tenderness around a joint that is worse with movement, redness over the effected tendon. Tenosynovitis most often affects tendons related to the hand, wrist, foot, or ankle.Tests & Diagnostics
A history and physical exam will be performed. No further tests are generally needed. Rarely a MRI is done.Common tests: MRI.
OTC sleep aids and supportive treatments
Prescription medications
Conventional treatment summary
The goal of therapy is to relieve pain and reduce inflammation. Treatment includes: rest, immobilization, nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn or Aleve), pain medications such as acetaminophen (Tylenol), physical therapy, steroid injections. Rarely surgery is needed. If an infection is thought to be the cause antibiotics will be administered. Surgical opening of the sheath to wash out the infection may be performed.Medical specialties
Orthopedic Surgery · Hand Surgery · Pediatric Orthopedic Surgery
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Tenosynovitis (tendon sheath inflammation).