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Tenosynovitis(Synovitis)Pronounced: ten-o-sin-o-VITE-is
by
Cynthia M. Johnson, MA DefinitionTenosynovitis is an inflammation of the tissue that covers a tendon. Tendons are cords that connect bones to muscles. It is most common in the hand, wrist, and foot.
CausesCommon causes are:
Risk FactorsThings that may raise the risk of this problem are:
SymptomsProblems may be swelling and pain, especially with motion. DiagnosisThe doctor will ask about your symptoms and health history. A physical exam will be done. It will focus on the painful tendon. This is often enough to make the diagnosis. Imaging tests may be done to confirm it. A blood test may also be done to look for signs of infection. TreatmentThe goal of treatment is to ease pain and swelling. This will make it easier to move. Options may be:
SurgerySurgery may be done if other methods do not help. The surgery will release the tendon and allow it to move freely. PreventionTo lower the risk of tenosynovitis:
RESOURCES:American Society for Surgery of the Hand http://www.assh.org OrthoInfo—American Academy of Orthopaedic Surgeons http://orthoinfo.aaos.org CANADIAN RESOURCES:Canadian Orthopaedic Foundation http://www.canorth.org Health Canada https://www.canada.ca References:De Quervain tendonitis. Ortho Info—American Academy of Orthopedic Surgeons website. Available at: ...(Click grey area to select URL) Updated December 2013. Accessed March 25, 2020.
De Quervain tenosynovitis. EBSCO DynaMed website. Available at:
https://www.dynamed.com/condition/de-quervain-tenosynovitis-17
. Updated May 14, 2019. Accessed March 25, 2020.
Derry S, Moore RA, et al. Topical NSAIDs for acute musculoskeletal pain in adults. Cochrane Database Syst Rev 2015;(6):CD007402. Goel R, Abzug JM. de Quervain's tenosynovitis: a review of the rehabilitative options. Hand (N Y). 2015 Mar;10(1):1-5. Last reviewed February 2020 by
EBSCO Medical Review Board
Teresa Briedwell, PT, DPT, OCS, CSCS Last Updated: 3/25/2020 | |