Causes and Treatment of Tenosynovitis of the Wrist Band

Tendovaginitis of the wrist joint is an inflammatory lesion of tendons and surrounding membranes in the area of ​​the wrist.

In this case, the middle segments of the tendons of the muscles of the forearm suffer, in fact, they enable the person to perform balanced delicate movements with his fingers.

What causes the manifestation of the disease?

Among the factors that can provoke tendovaginitis:

• penetration of pathological microorganisms inside the shell of the affected area;here include infections of a nonspecific character( proliferating microbes in purulent arthritis, panaritium, phlegmon), as well as specific( gonorrhea, brucellosis, tuberculosis);
insta story viewer
• regular load of tendons , forearm and bone muscles, which causes the development of microtraumas and activation of the inflammatory process;
• the transferred trauma - a bruise or a stretching of ligaments on a hand;
• regular connective tissue diseases .

What kinds of diseases are

Based on the causes of the development of the disease, we can distinguish the following types of tendovaginitis:

• aseptic , which can be posttraumatic, professional or reactive( provoked by rheumatic disease);
• infectious ( specific and nonspecific).

By the nature of inflammation distinguish between tenosynovitis:

• serous;
• serous-fibrinous;
• purulent.

Given the specific course of the disease, the disease can manifest itself in two forms:

• acute;
• chronic.

How does the disease manifest itself?

Symptoms of tendovaginitis of the wrist joint are different, depend on the type of developing disease and the variant of its course.

Aseptic type of pathology can occur in acute and chronic form.

In the first case the patient can observe:

• edema on the outside of the hand;
• acute pain while walking;
• specific crunch( crepitation).

The general state of man remains stable. If you reduce the load on the sick limb, all the symptoms will disappear after a few days.

On the background of acute aseptic tendovaginitis wrists can develop chronic, which is characterized by:

• the absence of obvious signs of inflammation;
• moderate pain during movement;
• feeling of pain when palpating the affected area.

The infectious form of the disease is mostly diagnosed in acute form and is accompanied by:

• acute, throbbing pain in the affected area;
• restriction of motor activity;
• development of regional lymphadenitis( inflammation of the axillary lymph nodes);
• with redness, swelling, fever, painful palpation of the affected area;
• signs of general intoxication( muscle pain, malaise, fever).

Diagnosis of the disease

The diagnosis of the disease is mostly clinical, taking into account the usual symptoms of the disease and the definition of risk factors for pathology.

The consultation is given by a traumatologist-orthopedist and neurologist.

In case of doubt as to the accuracy of the diagnosis, additional measures are taken:

• SPL( ultrasound diagnostics);
• radiography;
• laboratory methods of examination.

Methods of treatment of the disease

Treatment of an acute form of the disease can be general and local.

General treatment of the acute form of nonspecific infectious tendovaginitis of the wrist joint involves the use of antibacterial drugs and carrying out activities aimed at strengthening immunity.

A similar method of treatment of aseptic tendovaginitis necessarily involves the use of non-steroidal anti-inflammatory drugs - Indomethacin, Aspirin, Butadione.

Local treatment in both cases at the initial stage implies resting the patient's hand, and warming compresses are also prescribed.

As the acute symptoms disappear, the physiotherapeutic procedures( UHF, ultraviolet rays, ultrasound, etc.) are performed.

Therapeutic physical training, which is of a regular nature, will not interfere.

If the infectious process only progresses, resort to the punctures of the synovial vagina and the introduction of targeted antibiotics.

In the case of a chronic form of creping tendovaginitis, x-ray therapy is sometimes indicated.

Traditional medicine to help

In some cases, the issue of treatment of the disease without the use of medications( with drug intolerance, allergies) is urgent.

Then you should be treated with folk remedies: herbal decoctions and infusions, compresses, ointments.

Following are a few recipes:

1. Calendula ointment ( to relieve inflammation and kill microbes).Mix well the equal parts of a fatty baby cream with dry marigold flowers. With the resulting composition, we lubricate the affected area and, covering it with a bandage, leave it for the night.
2. Wormwood tincture ( fortifying, relieves inflammation).In 200 ml of boiling water, add two tablespoons of dry wormwood and hoard for two hours, after which the infusion is filtered. We drink one spoon two or three times a day before meals.
3. Gadgets with a shepherd's bag .Ingredients: 200 ml of boiling water and one tablespoon of herbs. We insist for two hours, then filter and apply in the form of nocturnal lotions.
4. Compresses with bear bile ( have anti-inflammatory and resorptive action).We warm up the main ingredient in a water bath, make compresses and apply them to the affected area. We leave for the night.

Diseases: secret and obvious

Among complicated forms of the disease:

1. Purulent radial tenobursitis , developing in case of complication of purulent tenosynovitis of the 5th finger( large).In this case, there are palpable pains along the palmar surface of the aching finger, as well as along the back edge of the hand to the region of the forearm. With , the progression of the disease is likely to spread the inflammatory process on the forearm;Purulent ulnar tenobursitis - consequences of a complicated form of purulent tendovaginitis of the little finger. Characterized by soreness and swelling of the affected finger, which in some cases pass to the palm surface of the hand and thumb. There is a significant limitation of mobility of the affected area;
2. The stenosing tendovaginitis is the result of a complication of the aseptic process. A number of specialists regard it as an independent form of pathology. The essence of the disease consists in the gradual narrowing of the membranes of the affected tendons, which leads to the squeezing of nerves innervating the fingers. The patient may complain of reduced sensitivity, soreness, limited mobility of the patient's fingers.

Preventative measures

Since the disease is most often the cause of occupational factors, the main measure of its prevention is the organization of regular breaks during work and holding the charge for the hands, placing emphasis on the brush.

Circular movements, shaking, extension and bending of fingers are suitable.

Do not disturb the tired hands and massage, which improves blood circulation and reduces swelling of damaged tissues. This massage can be done alone or with the help of an unauthorized person.

For greater efficiency before the procedure, experts recommend making a relaxing bath for hands.

In conclusion, it should be noted that, despite the absence of a clear danger of the disease for the life of the patient, its prevention should be given special attention, since the development of such a disease can not only significantly reduce the quality of life, but also deprive you of the opportunity to do what you love.