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Tenosynovitis: Treatment, Procedure, Cost and Side Effects

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?

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.

Popular Questions & Answers

I have hand problems, to undersimplify. I have dequervain’s bilateral, dupuytrens on the rh (radiated, no more issues) and cyst on the top of my wrist on lh. My physiatrist told me I have a slight carpal tunnel syndrome (no symptoms) and the beginnings of osteoarthritis bi lateral (not enough to cause symptoms). Apart from dequervains pain, I have pain in my index finger rh especially when I flex it. It feels, I can’t describe it any better, like I have a tight glove on and it is hard to flex (i had to switch the mouse button side). I had an mri more than 5 years ago and it revealed tenosynovitis of the said index finger and some fluid deposited around the tendons of all my fingers. But here is the real puzzling affliction, I seem to have some kind of generalized tendonitis bi lateral and the pain seems to occur for no reason. Also I get injured too easily. For example, today, while I was sweeping the floor the inside of my left thumb and under my index finger down to my palm, started to hurt badly. Every so often when I grab something with force (or just in an awkward way) the knuckles at the base of my fingers in the palm of my hands hurt. I thought it was the osteoarthritis but I finally realized it was actually the tendons being compressed. I’ve looked everywhere for something that could explain this strange “all tendons inflamed” disease to no avail. I had a failed dequervains surgery, physiotherapy and all kinds of nsaid”s and methylprednisolone course twice. They’ve only injected once bilateral for dequervain’s. I’ve been trying to get them to inject me in the other problem areas but they simply ignore me. Any ideas?

MBBS, MS - Orthopaedics, F. KUMC, Fellowship in Joint Replacement, Fellowship in Arthroscopy, Cadaveric workshop in Knee and Shoulder Arthroscopy, Cadaveric Workshop in Knee Arthroscopy
Orthopedic Doctor, Vadodara
1. For your dq's, you can get operated and tendons can be released instantly. It's a short procedure, not so costly and very effective. 2. For your forefinger pain, I think carpal tunnel syndrome could be the cause. Get your never conduction veloc...

Even after the surgery for the dequervain disease, the pain is not gone. And injection depopred' also done. What I have to do, it's hurting too much?

MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS), Diploma in Advanced Laparoscopic surgery, Training in Laparoscopy
General Surgeon, Srinagar
Don't use depopred much. Just give rest to the area. Cold compresses thrice a day. Wear a thumb spica splint. And take tab nocoxia 60 mg once a day for one week.
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MS - Orthopaedics
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