Reviewed By:
Scott Nass, MD, MPA, FAAFP, AAHIVS (Primary Care)
Dr. Nass received dual medical degrees from the David Geffen School of Medicine at UCLA and Charles R. Drew University in Medicine and Science. He completed Family Medicine residency at Ventura County Medical Center with subsequent fellowships at Ventura, University of North Carolina-Chapel Hill, George Washington University, and University of California-Irvine. He holds faculty appointments at Keck School of Medicine of USC, Loma Linda University School of Medicine, and Western University of Health Sciences.
Tomohiro Hamahata, MD (Orthopedics)
Dr. Hamahata graduated from the Jikei University of Medical Science. After working at Asanokawa General Hospital and Kosei Chuo Hospital, he joined the Department of Orthopedics at Asakusa Hospital in April 2021, specializing in general orthopedics and joint replacement surgery.
Content updated on Sep 20, 2022
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Have joint pain
Pain in both hands
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Tendons are cartilage structures that connect muscle to bone. Tenosynovitis happens when the layer or tunnel around the tendon gets inflamed. Causes include overuse or repetitive strain on the tendon.
Your doctor may ask these questions to check for this disease:
Most cases can be managed with rest, a splint, or painkillers. Steroid injections in the area can help relieve inflammation. Severe cases may need surgery.
Q.
What Happens If Tenosynovitis Is Left Untreated?
A.
Left untreated, tenosynovitis can lead to joint stiffness, chronic pain and loss of range of motion that may necessitate surgery to try and repair.
References:
Schlenker JD, Lister GD, Kleinert HE. Three complications of untreated partial laceration of flexor tendon--entrapment, rupture, and triggering. J Hand Surg Am. 1981 Jul;6(4):392-8. doi: 10.1016/s0363-5023(81)80051-2. PMID: 7252116.
Hyatt BT, Bagg MR. Flexor Tenosynovitis. Orthop Clin North Am. 2017 Apr;48(2):217-227. doi: 10.1016/j.ocl.2016.12.010. PMID: 28336044.
https://www.sciencedirect.com/science/article/abs/pii/S0030589816301663?via%3DihubGiladi AM, Malay S, Chung KC. A systematic review of the management of acute pyogenic flexor tenosynovitis. J Hand Surg Eur Vol. 2015 Sep;40(7):720-8. doi: 10.1177/1753193415570248. Epub 2015 Feb 10. PMID: 25670687; PMCID: PMC4804717.
https://journals.sagepub.com/doi/10.1177/1753193415570248Goyal K, Speeckaert AL. Pyogenic Flexor Tenosynovitis: Evaluation and Management. Hand Clin. 2020 Aug;36(3):323-329. doi: 10.1016/j.hcl.2020.03.005. PMID: 32586458.
https://www.sciencedirect.com/science/article/abs/pii/S0749071220300329?via%3DihubChapman T, Ilyas AM. Pyogenic Flexor Tenosynovitis: Evaluation and Treatment Strategies. J Hand Surg Am. 2019 Nov;44(11):981-985. doi: 10.1016/j.jhsa.2019.04.011. Epub 2019 Jul 2. PMID: 31272698.
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Reviewed By:
Scott Nass, MD, MPA, FAAFP, AAHIVS (Primary Care)
Dr. Nass received dual medical degrees from the David Geffen School of Medicine at UCLA and Charles R. Drew University in Medicine and Science. He completed Family Medicine residency at Ventura County Medical Center with subsequent fellowships at Ventura, University of North Carolina-Chapel Hill, George Washington University, and University of California-Irvine. He holds faculty appointments at Keck School of Medicine of USC, Loma Linda University School of Medicine, and Western University of Health Sciences.
Tomohiro Hamahata, MD (Orthopedics)
Dr. Hamahata graduated from the Jikei University of Medical Science. After working at Asanokawa General Hospital and Kosei Chuo Hospital, he joined the Department of Orthopedics at Asakusa Hospital in April 2021, specializing in general orthopedics and joint replacement surgery.
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