Tennis elbow is estimated to have a prevalence of 1-3% of the population.
Tenosynovitis is a medical condition in which the sheath surrounding the tendon is inflamed. Tendons connect the bone to muscle. Tenosynovitis may be caused by another disease, injury, infection and overuse. Symptoms are:
• Difficulty in moving a joint
• Joint swelling in affected area
• Pain and tenderness around the joint
• Redness along the length of the tendon
HOW IS TENOSYNOVITIS DIAGNOSED?
A physical examination shows swelling over the involved tendon. The health care provider may touch or stretch the tendon, or have you move the muscle where it is attached to see whether you experience pain. In some cases, the doctor may order an ultrasound or MRI to confirm the diagnosis or rule out other possible causes such as arthritis.
HOW IS TENOSYNOVITIS TREATED?
The goal of treatment is to relieve pain and reduce inflammation. Rest or keeping the affected tendons still is essential for recovery.One may want to use a splint or removable brace to help keep the tendons still. Applying heat or cold to the affected area should help reduce pain and inflammation.Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can relieve pain and reduce inflammation. Local injections of corticosteroids may be useful as well. Some patients need surgery to remove the inflammation surrounding the tendon, but this is not common.Tenosynovitis caused by infection needs immediate treatment. The health care provider will prescribe antibiotics. In some severe cases, emergency surgery may be needed to release the pus around the tendon.If there is no infection, a steroid injection may be used to decrease inflammation along the tendon sheath.After one has recovered, do strengthening exercises using the muscles around the affected tendon to help prevent the injury from coming back.
DID YOU KNOW?
Avoiding repetitive movements and overuse of tendons may help prevent tenosynovitis