The wrist hurts when it moves, which may be caused by tenosynovitis

Mondo Health Updated on 2024-01-28

Playing with mobile phones is very "hands-consuming", unconsciously hurting the wrist, fingers are not flexible, and the pain in the wrist is likely to be caused by tenosynovitis.

What is tenosynovitis.

Tenosynovitis refers to a chronic inflammatory response that occurs in the synovial layer of the tendon sheath, pathologically showing thickening, abrasion, and significant thickening of the tendon sheath that covers it, most commonly in the hands or wrists. Inappropriate long-term, excessive, and repetitive hand and wrist activities, such as holding a child, doing housework, using a mobile phone for a long time, playing a musical instrument, etc., will lead to aseptic inflammation such as congestion, edema, and exudation.

Causes of the occurrence of tenosynovitis.

1. Maintain a fixed and single posture for a long time, like a driver, often step on the accelerator and brake with both feet, and have less time to move. There are also office computer typists, and the blood and muscle tissue in the joints are not relaxed, so tenosynovitis is caused.

2. Strain caused by fatigue caused by excessive fatigue can also cause tenosynovitis.

3. Accumulation of strain is also related to finger overwork, frequent extension and flexion, accumulation of tendons, and repeated friction and squeezing of flexor tendons in the bony fibrous ductsor long-term hard holding, the bony fibrous duct is squeezed by the hard object and the metacarpal head, resulting in local congestion and edema of the bony fibrous duct.

4. Neurological diseases such as gout and rheumatism may also cause tenosynovitis.

Symptoms of tenosynovitis: The three typical symptoms of tenosynovitis: a clicking sound in the affected area when the finger or wrist is moved.

The mass is palpable and swollen locally, and it is painful to press. Sore movement: Pain when you exert your wrist or fingers.

If the test symptoms are atypical, you can go to the hospital for an accurate diagnosis with the help of ultrasound, MRI and other examinations.

What to do with tenosynovitis**.

Conservative** generally includes rest immobilization, hot water hand soaking, oral pain and anti-inflammatory drugs, external plasters, local occlusion**, acupuncture**, extracorporeal shock wave** and ultrasound**, etc.

Adequate rest and reduced activity of the affected area are the most important means of tenosynovitis. If you must use your mobile phone to learn Xi (play), try to change your hand Xi and try to use other fingers to complete it, so that your thumb can rest well.

At the same time, it is best to do less or no housework and hold the child in the short term, and reduce the force on the thumb and wrist as much as possible. Immobilization is done with a brace (usually a finger splint or a short thumb cast) to reduce friction of the tendon muscles in the tendon sheath by reducing activity, thereby relieving pain in the acute phase, and immobilization can be clinically recommended based on the patient's condition.

Short-term immobilization, cessation of strenuous work, and encouragement of downward functional exercises. Local occlusion**When immobilization and nonsteroidal anti-inflammatory drugs are ineffective, local occlusion may be an option**.

Traditional Chinese medicine** includes external application of Chinese medicine, internal administration, massage physiotherapy, acupuncture and other methods**. Surgery**When the wrist tenosynovitis conservative** fails, surgery can be performed**. These include open surgery, and arthroscopic surgery. Healthy Wintering Program

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