[This site - Dr. Shoe] Tenosynovitis is a chronic strain
"The tenosynovitis is a very common disease. In fact, it is a common inflammation of the tendon sheath and tendon. It belongs to a simple cause of sports injury," said Chen Min, director of the orthopaedic department of the People's Hospital of Guangdong Province. Tenosynovitis can occur in the fingers, toes, wrists, ankles, etc., but the head of the radial styloid process and the first metacarpal are the most common. Due to frequent movements and long-term friction of the joints, and chronic irritations such as chronic strain or cold, it can cause aseptic inflammatory reaction of the tendon and tendon sheath, local exudation, edema, long sheath wall hypertrophy, narrow lumen, tendon sheath Intra-motor activity is limited and causes pain and dysfunction, and there is a snapping phenomenon when flexing and extending a finger.
Different locations, different performances
Chen Min, tenosynovitis due to the different parts of the disease symptoms are also different, clinically common radial wrist stenosis tenosynovitis, flexor tendon tenosynovitis and plantar flexor tendon tendon sheath and so on.
Radial styloid stenosis Tenosynovitis is a bony prominence (fibula styloid process) that appears on the side of the thumb of the wrist, manifesting as obvious pain around the bony process and impeded thumb activity and local tenderness. Self-examination can hold the thumb tightly in the other four fingers and perform wrist flexion on the inside of the wrist. Severe pain occurs in the radial styloid process.
The flexor tenosynovitis occurs mostly in the palm of the thumb and middle finger and is particularly noticeable in the morning. The affected finger is characterized by flexion and extension dysfunction. The pain is sometimes radiated to the wrist, and the finger joint flexion is tender and can be thickened. Sheath sheaths, pea-shaped nodules. When bending the fingers, suddenly stay in a semi-bending position, the fingers can not be straightened, and can not be flexed, like being abruptly stuck, like the use of the other hand to help move, the finger can move, like a trigger bolt Such actions and snapping are also called "trigger fingers" or "snapping fingers."
In the state of wearing high-heeled shoes standing and walking for a long time is the main reason for the occurrence of plantar flexor tendon sheathitis, the body's center of gravity forward, the body's gravity is concentrated in the front of the foot, as time passes, friction between the sheath and tendon, inflammation Out of the induced sheath sheath stenosis or inflammation.
Tenosynovitis prevention and reasonable treatment
“Manual workers, white-collar workers and thumb owners often do not know themselves after being attacked by tenosynovitis, causing many people to wait until the disease develops to a very serious level before going to the hospital.†Chen Min reminded: All day surrounded by computers, mobile phones, MP3 If white-collar workers and manual workers find that their fingers do not flex or cause slight pain, they should promptly reduce repetitiveness, excessive exertion, and long-time finger-grip movements, and seek medical treatment in time.
"Cold water stimulation will aggravate symptoms or induce the disease. In the fall and winter, cold or cold wind is the enemy of tenosynovitis," said Chen Min. Pay attention to the movement of the wrist, wearing wrists and warmth, and avoid wearing high heels is a method to prevent tenosynovitis.
If you are accidentally "tangled" with tenosynovitis, there are many ways to treat it. It is important to avoid repeated injuries to the area of ​​pain. Traditional Chinese medicine and traditional Chinese medicine have unique advantages in the treatment of tenosynovitis. For example, appropriate massage, acupuncture, moxibustion, and external application of Chinese herbs can relieve pain in the early stage of the disease. In the site of tenosynovitis attack hot or massage with Futalin emulsion can also receive the same effect, of course, when the pain is more severe anti-inflammatory painkillers such as Futalin, Celebrex, Fenbid, etc. can be applied. When the pain is unbearable and affects the normal life of the patient, the method of closing the drug in the sheath can be adopted, and an immediate effect can often be received. For long-term ineffective or recurrent authors, partial lysis can be performed. For example, a small needle with a small lesion is a good method. (Source: Yangcheng Evening News)
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