Tendovaginitis - treatment

Tendovaginitis is a chronic or acute inflammation of the tendon sheath. Develops in the field of wrist joint, hand, foot, Achilles tendon and ankle joint.

Symptoms of tendovaginitis

The main symptoms include acute pain during movement and swelling along the tendon. When reloading pain is not sharp and not permanent, but only at the time of movement. Sometimes crepitating tendovaginitis, which is characterized by crunching and creaking in the tendon area, may develop. With prolonged non-interference, tendovaginitis can acquire a chronic form and permanently restrict movement in the inflamed joint.


Treatment of tendovaginitis

Treatment of tendovaginitis depends on the causes of its occurrence, and there may be several.

Acute infectious nonspecific tenosynovitis

This disease occurs when the synovial vagina is damaged by a pathogenic pyogenic microflora infiltrated into it. Most often observed in the tendons of the flexor tendons of the fingers. It flows with painful sensations due to the accumulation of pus, which blocks the bloodstream of the tendon. May be accompanied by fever, severe pain and lymphadenitis . In severe cases, when pus enters the radial and ulnar synovial bags, it can cause chills, fever, swelling and severe pain. If untimely treatment can threaten with tendon necrosis.

The treatment is carried out in the hospital and is often performed by opening and further purification from purulent formations, immobilizing the finger and applying a course of antibacterial and anti-inflammatory drugs.

Chronic infectious tendovaginitis

Most often caused by a microflora containing brucella, tuberculosis bacteria, spirochetes. Characterized by painless swelling.

Treatment consists of restriction of movements and application of antibiotics.

Asseptic tendovaginitis

To such types of disease carry posttraumatic and inflammatory reactive tenosynovitis. Most often this type of tendovaginitis develops from permanent microtraumatism, for example, in typists or pianists. It is accompanied by crepitus in the tendon region, weakness in the joint and inability to perform precise, delicate movements.

In the acute period of the course of the disease, the imposition of a langet on the area of ​​the affected joint in a functional position is paramount. Then they prescribe a course of physiotherapeutic procedures, anti-inflammatory drugs, compresses, ointments. With a decrease in inflammation, it is recommended that physical exercises be practiced with a gradual increase in the load.

Posttraumatic tenosynovitis

Posttraumatic tenosynovitis is a consequence of bruises and sprains , sometimes with a hemorrhage into the tendon sheath. For treatment, immobilization, physiotherapeutic procedures are shown, and with significant hemorrhages, puncture of the tendon sheath.

Than to treat tendovagititis?

All types of tendovaginitis are medically treated, but they are used for various medications, depending on the causes of the onset and complexity. Most often, these are anti-inflammatory drugs, antibiotics, compresses and ointments. In most cases, immobilization of the joint is necessary. The various thermal physiotherapeutic procedures, such as ozocerite, paraffin, phonophoresis, UHF, etc., have a very beneficial effect on the treatment of tendovaginitis. During the recovery period, massage and exercise therapy are shown.

In addition to the traditional medicine methods, it is possible to treat tendovaginitis with folk remedies. But it must be remembered that self-medication is dangerous to health and folk methods are only aids for a speedy recovery. In the treatment of tendovaginitis folk remedies are better to consult a doctor beforehand in order to coordinate the actions for the most effective treatment and the fastest recovery.