Tenosynovitis - chronic or acute inflammation of the connective tissue surrounding the tendon sheaths.Most often the disease develops in the area of the Achilles tendon (Achilles bursitis), ankle, foot, forearm (ulna and radius tenobursit), wrist and hand.We tenosynovitis mostly became known as a result of the defeat of the hands of many famous musicians (great noise due to the pain in his hand cast playing the piano and became a famous composer).Tenosynovitis manifests crunch when moving, minor swelling in the course of the affected tendon sheath, painful sensations when moving a group or one muscle
tenosynovitis - Causes
Tenosynovitis can occur as an entirely distinct disease (primary tenosynovitis) and be secondary to complications ofprocess-or a specific or nonspecific.When purulent inflammation of the surrounding tissue, with enough common infections such as syphilis and tuberculosis, microtrauma and wounds, the infection penetrates into the tendon sheath develops i
most widely received aseptic (non-infectious) tenosynovitis, developing mostly as a result of undue stress on the tendon.Related to her professional activities or hobbies repetitive cyclical movements lead to micro-traumas, which is the direct cause of tenosynovitis, which is classified as a professional.Also recovered post-traumatic tenosynovitis, most often affects professional athletes, but its development can be triggered by trauma, and the usual household.
Degenerative tenosynovitis is directly linked to various disorders of blood circulation and blood supply to the surrounding tissues (varicose veins, etc.).The cause of degenerative tenosynovitis lies in circulatory disorders surrounding the joint tissues, leading to degenerative changes in synovial tendon sheath
Tenosynovitis - symptoms
The clinical course tenosynovitis is divided into acute and chronic
Symptoms of acute tenosynovitis
Ifof acute tenosynovitis occurs congestion and rapid swelling of the synovial membrane, in the tendon sheath injury occurs painful swelling.In acute tenosynovitis of the finger accompanied by the crunch, they are painful and limited.Restriction of movement in the acute form of the disease can manifest itself in the form of persistent information fingers (contracture).
usually acute process affects vaginal tendon back surface of the feet and hands, much less - synovial vagina fingers flexors and fingers.Often, the inflammation is transformed into chronic form.
In acute infectious tenosynovitis edema and swelling may spread to the lower leg and forearm.In the case of purulent inflammation there is a fever, body temperature rises dramatically, inflamed blood vessels and nearby lymph nodes in the synovial cavity appears serous or purulent fluid.At the point of entry of the blood vessels in the tendon as a result of compression of the inflammatory fluid violated his food, which may cause further necrosis
Symptoms of chronic tenosynovitis
usually chronic tenosynovitis is an occupational disease and primarily affects the hands in the elbow and wrist.The main symptoms of chronic tenosynovitis include: poor joint mobility, pain during active movement, the distinct clicking or crunching motion compression of the wrist or hand.Chronic tenosynovitis most often affects the flexor tendon sheath and extensor digitorum
diagnosis of tenosynovitis are adjusted based on data from clinical studies (probing rice bodies, movement disorder, spherical painful seals and so on.) And characteristic localizationprocess.Acute infectious abscess must be differentiated from acute arthritis and osteomyelitis, unlike that in the tenosynovitis is not detected on X-ray changes in the bones and joints.The deformation of the joint and pain in the bones are missing.To exclude constrictive ligament, apply ligamentografiyu.In addition, the need to eliminate common diseases that can be a catalyst for the development of tenosynovitis (tuberculosis, brucellosis, etc.)
Tenosynovitis - Treatment
Treatment of acute tenosynovitis is the use of local and general treatments.When diagnosed acute nonspecific tenosynovitis treatment is to combat infection by strengthening the immune defense and the use of antibacterial drugs.In tuberculous tenosynovitis patient shows the passage of anti-TB therapy.For the treatment of aseptic tenosynovitis used NSAIDs (phenylbutazone, indomethacin, acetylsalicylic acid).Local treatment of both infectious and aseptic tenosynovitis in the initial stage of development is the imposition of warming compresses and plaster splints.After the acute symptoms subside shows the assignment of physiotherapy (UHF, ultrasound, microwave therapy, etc.).Treatment of purulent tenosynovitis is an urgent opening and subsequent drainage of tendon sheath.
Treatment of chronic tenosynovitis addition to all of these physical therapy techniques include exercise therapy, massage, mud or paraffin baths, electrophoresis Lydasum.In case of chronic infection shown holding puncture synovial vagina and antibiotics directed action, the use of non-steroidal anti-inflammatory drugs, topical administration of r-ra hydrocortisone with novocaine.In case of persistent chronic tenosynovitis krepitiruyuschie shows the assignment of one or two sessions of radiotherapy.
forecast with proper early treatment tenosynovitis is quite favorable, but in the purulent form often remain persistent dysfunction of the foot / hand
Self-massage at tenosynovitis
Conducting self-massage when tenosynovitis begin on overlying the affected area portion (suction self-massage).After three to five strokes should be done about three or four push-and come back to stroking.Repeated stroking manipulation is necessary to try to hold closer to the painful areas.After that comes the turn of four or five pressing, three or four strokes and kneading of five or six.After that you need to perform three to five strokes of the affected area, followed by a straight light rubbing in different directions.You must then return to the overlying area, but has to perform self-massage with a lot more pressure.In the case of pain rubbing and massage it should stop.
Self-massage at tenosynovitis shown to make two or three times a day.If the disease struck hands, during the day they have to be further rub.Self-massage is very well combined with healing and warming ointments, as well as with heat treatments like wraps, baths, heating pads, hot baths.
Following the thermal treatments and self-massage should be very wary of hypothermia.