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Common Treatments


Tenosynovitis: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Tenosynovitis is also referred to as ‘trigger finger’ condition.

How is the treatment done?

Tenosynovitis is referred to as the inflammation of a fluid filled sheath, especially surrounding the tendon. This leads to swelling, joint pains, stiffness.

Tenosynovitis is both infectious and non infectious. The flexor tendons catch the infection and have been reported as well.

It is introduced by bacteria entering into a sheath through a puncture or laceration wound. The infection can be mono- or polymicrobial and can vary depending on the nature of the trauma. The most common pathogenic agent is staphylococcus aureus introduced from the skin.

Individuals who are diagnosed with this condition can notice that their fingers are swollen and a certain amount of tenderness is present and it also results in pain while carrying out normal day to day activities. This type of condition of tenosynovitis is caused due to an underlying disease which causes the swelling of the tendons. This type of condition is common with people who have certain jobs that involve heavy stress on their tendons such as carpenters, dentists, musicians and office workers as well. If this condition is left untreated then it might result into severe conditions of rheumatoid arthritis, sclroderma, gout, diabetes and even gonorrhea. The treatment procedure depends on the severity of the condition.

Who is eligible for the treatment? (When is the treatment done?)

The diagnosis of this treatment is done after seeing the patient’s medical history. Symptom alleviation, antibiotic therapy and surgery are followed to treat this condition depending upon the severity of the issue.

Noninfectious tenosynovitis can arise from overuse or secondary to other systemic inflammatory conditions such as rheumatoid arthritis or reactive arthritis.

Aspirated fluid can also be cultured to identify the infectious organism. X-rays are typically unremarkable but can help rule out a broken bone or a foreign body. The treatment for the tendons of this condition aims to reduce the inflammation and the pain associated with it. Your medical expert might suggest the application of certain braces and splints that help to reduce the tenderness of the area. It has been seen that by applying hot and cold stimulations on the affected area would help to reduce the pain and swelling of the affected areas. Other forms of treatment are physiotherapies, stretches, ultrasounds and anti inflammatory medicines. Some steroids might be injected in your body to help to eliminate the symptoms of the problems that you are facing and helps the tendon sheath to function properly and fight the infections that are associated with it. After the treatment procedure, once the tendon starts to heal, you need to carry out the exercises as advised by your medical expert to ensure positive and best results if the treatment.

Who is not eligible for the treatment?

Individuals who notice that their fingers are swollen and stiff which results in pain while carrying out day to day activites are advised to seek medical attention as they might be eligible for this course of treatment.

Are there any side effects?

Children who suffer through this condition, whether genetically or via foreign factors should not undergo treatment at such a tender age. After crossing the threshold of 18 or above, it is advisable for them to carry on with the treatment as it as outpatient procedure and would be done immediately.

What are the post-treatment guidelines?

The treatment for tenosynovitis generally does not have any side effects. The pain might still be there for a little while, or the area might be slightly swollen but it would go back to normal in a day or two’s time.

How long does it take to recover?

Patients are supposed to rest the inflamed part and not use the affected area for strenuous activities. Since this is an outpatient procedure, another check up to the doctor would not be necessary.

What is the price of the treatment in India?

The treatment for tenosynovitis is an outpatient procedure after which the patient can leave and recover the same day.

Are the results of the treatment permanent?

The price of treatment for tenosynovitis generally ranges from Rs. 25,000 to Rs. 2,50,000 in India, depending upon the severity of the issue.

What are the alternatives to the treatment?

The results of the treatment are semi permanent as tenosynovitis occurs due to abrasion between the tendons which can come again due to strenuous activities. The patient has to ensure not to overwork himself or herself in order to avoid surgical procedures in future.

Safety: Condition Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range:

Rs. 25,000 to Rs. 2,50,000.

Popular Health Tips

"Joint Pain Treatment" Physiotherapy:

BPT, MPT- Ortho
Physiotherapist, Gurgaon
"Joint Pain Treatment" Physiotherapy:

Joints form the connections between bones. They provide support and help you move. Any damage to the joints from disease or injury can interfere with your movement and cause a lot of pain

Many different conditions can lead to painful joints, including 
- Osteoarthritis 
- Rheumatoid arthritis 
- Bursitis 
- Gout 
Strains, sprains and other injuries of joints and around joints. 
-  Inflammation in and around joints 
- CFS (Chronic Fatigue Syndrome
- Fibromyalgia 
- Bursitis 
- Ankylosing Spondylitis(A.S.) 

- Tendon Sheath Inflammation (Tenosynovitis) etc. 

Joint pain is extremely common. In one national survey, about one-third of adults reported having joint pain within the past 30 days. 
Knee pain was the most common complaint, followed by shoulder and hip pain, but joint pain can affect any part of your body, from your ankles and feet to your shoulders and hands. As you get older, painful joints become increasingly more common. 

Physiotherapy treatment: 
For joint pain treatment we can use following techniques:
-Corrective devices if needed (orthotics) 
-Manual therapy etc. depending upon the case. 


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Physiotherapy For Carpal Tunnel Syndrome

MPT - Orthopedic Physiotherapy
Physiotherapist, Palwal
Physiotherapy For Carpal Tunnel Syndrome

Carpal tunnel syndrome is a painful disorder of the hand caused by pressure on your median nerve as it runs through the carpal tunnel of the wrist. Symptoms include numbness, pins and needles, and pain (particularly at night). Anything that causes swelling inside the wrist can cause carpal tunnel syndrome, including repetitive hand movements, pregnancy and arthritis.

Cause of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome symptoms begin when the pressure inside the tunnel becomes too high. This results in your median nerve becoming compressed as it passes through the small tunnel. 

The carpal tunnel pressure increase occurs when either of two things happens:

  1. The tunnel space decreases, such as when the wrist swells eg after a traumatic injury, partial subluxation of the carpal bones or fracture or tenosynovitis.
  2. When the contents of the tunnel (median nerve, blood vessels and tendons) enlarge. 
  3. Both of these situations increase the pressure on the nerve, leading to the carpal tunnel symptoms.

Symptoms of Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) sufferers will usually experience the following symptoms in their hand or fingers:

  1. hand pain or aching
  2. pins and needles
  3. numbness esp at night of with wrist flexing
  4. burning
  5. weakness or cramping
  6. perceived swelling

The symptoms are usually worse at night and your grip will weaken as the condition progresses. Eventually you will notice muscle atrophy of the thenar (thumb) muscles and loss of hand function or clumsiness. If this sounds like you, suspect carpal tunnel syndrome.

Physical Therapy Treatment

  1. Gliding Exercises: Moving your fingers in a specified pattern of exercises may help your tendons and nerves glide more smoothly through your carpal tunnel. While there’s some evidence that gliding exercises can help relieve symptoms when used alone, these exercises appear to work better in combination with other treatments -such as splinting.
  2. Graston Technique/Manual Therapy: The Graston Technique incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that effect normal function. Manual therapy techniques such as myofascial release or Active Release Technique are hands-on techniques that release tight tendons and musculature.
  3. Ultrasound: Deep, pulsed ultrasound directed at the carpal tunnel can reduce pain and numbness, and improve hand strength. Continuous superficial ultrasound doesn’t help.
  4. Traction: Some people obtain relief from carpal tunnel symptoms by using a hand traction device, called C-Trac. You might try this device, which can be purchased for home use, if other conservative treatment options have failed.
  5. Splints: Splints (braces) are the most commonly used nonsurgical treatment for carpal tunnel syndrome. Splints that immobilize the wrist in a neutral (unbent) position are most likely to relieve discomfort. An unbent wrist maximizes the size of the carpal tunnel, which reduces pressure on the median nerve, relieving your symptoms. If you wish to discuss about any specific problem, you can consult a physiotherapist.
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Popular Questions & Answers

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice