Tendonitis of the wrist occurs due to repetitive movements that cause inflammation of the tendons of the joint, with local pain, swelling and redness, difficulty performing movements with the joint and weakness, for example, when the tendon at the base of the thumb is damaged, this inflammation is called Tervain tenosynovitis, in which, in addition to the symptoms of tendinitis , there is a buildup of fluid around the tendon.
Diagnosis can be made by the orthopedic or physical therapist after observing the region and analyzing the individual’s medical history, and specific tests may be performed to identify tenosynovitis and imaging tests, such as x-rays and MRI, which, although not really necessary, helps in the diagnosis and allows to identify whether the tendon has been calcified or not , in addition to the extension.inflammation, which can influence treatment.
- Treatment may be done with the use of anti-inflammatory.
- Joint immobilization and physiotherapy.
- But in more severe cases surgery may be necessary.
- In the case of pregnant and lactating women.
- Treatment should not be done with pills.
- But in the form of ointment to be applied directly at the site of pain.
- In addition to stretching.
De Quervain tendinitis and tenosynovitis are classified as repetitive stress injuries (IHR), i.e. they occur as a result of repetitive joint movements, which can occur due to various situations, such as:
Also, tendinitis and tenosynovitis can occur due to great strain on the muscles involved, such as holding something very heavy, such as a shopping bag in one hand, for a long period of time.
Learn more about tenosynovitis
Treatment may vary depending on the severity of the inflammation, but in all cases it is necessary to rest the joint so that the inflammation does not worsen, the best way of resting is the immobilization, because in this way the joint is not used, which promotes improvement In addition, ice can also be put in place for a few minutes , as it also helps relieve symptoms of inflammation.
Stretching and strengthening exercises can be used from day one and are essential for recovery, it can be useful to do the exercise of pressing a softball or clay ball in 3 sets of 20 repetitions, in addition, the physiotherapist can also use joint and band mobilization techniques.to immobilize the tendon.
Physical therapy for wrist tendinitis can be performed with electrotherapy and thermotherapy devices that help deflate and combat pain, as well as exercises that increase the mobility and strength of weakened muscles, devices such as dozens, ultrasound, lasers and galvanic currents can be used to accelerate healing.
The main characteristic of this disease is the degeneration and thickening of the tendon sheath, located in the wrist, so surgery can be useful to release the sheath from the tendon, facilitating the movement of the tendons inwards; surgery should only be used as a last resort, when even after months of physiotherapy there is no improvement in symptoms and even after this procedure, it will be necessary to undergo physical therapy to regain strength, movement and reduce pain and swelling.
An excellent home treatment for wrist tendonitis is to place an ice pack on the wrist for 20 minutes, every day, twice a day, but to protect the skin from burns, wrap the ice pack (or pack frozen vegetables) on a paper towel, after this time the area will be anesthetized and it will be easier to perform the following stretches:
This exercise is recommended 3 times in a row in the morning and evening to increase the flexibility of muscles, tendons and improve oxygenation of the affected structures, bringing relief from symptoms. See also an excellent massage technique in the following video: