Hand Tendinitis And Tenosynovitis

Inflammation of a tendon (tendinitis) or the lining of a tendon sheath (tenosynovitis) in the hand. This lining secretes a fluid that lubricates the tendon. When the lining becomes inflamed, the tendon cannot glide smoothly in its covering.

BODY PARTS INVOLVED

• Tendons in the hand.
• Lining and covering of the hand tendons.
• Soft tissue in the surrounding area, including blood vessels, nerves, ligaments, periosteum (covering to bone) and connective tissue.

Causes

• Strain from unusual use or overuse of the wrist, hand or forearm.
• Direct blow or injury to the muscles and tendons of the wrist, hand or forearm. Tenosynovitis becomes more likely with repeated injury.
• Infection introduced through broken skin at the time of injury or through a surgical incision after injury.

Signs & Symptoms

• Constant pain or pain with motion of the hand.
• Limited motion of the hand and wrist.
• Crepitation (a "crackling" sound when the tendon moves or is touched).
• Redness and tenderness over the injured tendon.

Do I need any tests?

Usually not. The diagnosis of tenosynovitis and tendonitis can usually be made by a doctor who examines you. If an infection is the suspected cause (uncommon) then blood tests and other tests may be done to find the cause of the infection.

Treatment

Follow your doctor's instructions. Instructions are supplemental.

• Wrap the hand and wrist with an elasticized bandage until healing is complete.
• Apply heat frequently.Use heat lamps, hot soaks, hot showers, heating pads, or heat liniments and ointments.
• Take whirlpool treatments, if available.

MEDICATION

You may use non-prescription drugs, such as acetaminophen, for minor pain. Your doctor may prescribe:

• Stronger pain relievers. Don't take prescription pain medication longer than 4 to 7 days. Use only as much as you need.
• Injection of the tendon covering with a combination of a long-acting local anesthetic and a non-absorbable corticosteroid such as triamcinolone.

Home Diet

During recovery eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Your doctor may suggest vitamin and mineral Supplements to promote healing.

Prevention Tips

• Engage in a vigorous program of physical conditioning before beginning regular sports participation.
• Avoid repetitive motion and overuse of the affected area. This may be very difficult if your job involves repetitive movements. If it is a recurring problem then you should discuss this with your employer. A change of duties may help.
• Warm up adequately before practice or competition.
• Wear protective gear appropriate for your sport.
• Learn proper moves and techniques for your sport.
• Exercises to strengthen the muscles around the affected tendon may help.