At what stage of development does tenosynovitis require surgery?

Nov 28, 2022 Source: Cainiu Health
Dr. Lin Yunfei
Introduction
If the patient's condition has progressed to a severe stage, conservative treatments such as medication, massage, and acupuncture may be ineffective. When patients experience明显 restricted finger flexion and extension, or noticeable snapping and pain during movement, surgical interventions such as small needle knife therapy or tendon sheath incision and release should be promptly performed, which can achieve better therapeutic outcomes.

Generally speaking, when tenosynovitis progresses to a severe stage and causes significant discomfort, surgical intervention becomes necessary. The detailed analysis is as follows:

Tenosynovitis is an inflammatory condition affecting the tendon and its sheath, caused by factors such as excessive muscle activity and synovial inflammation. It primarily manifests as joint swelling, restricted movement, and redness, warmth, and tenderness on the wrist side. In typical cases, if the disease has advanced to a severe degree and conservative treatments—such as medications, massage, or acupuncture—prove ineffective, more aggressive measures are required. When patients experience明显 limitations in finger flexion and extension, or notice obvious snapping sounds and pain during movement, surgical treatments such as minimally invasive needle-knife therapy or tendon sheath release surgery should be promptly performed, which can yield favorable therapeutic outcomes.

Patients should get adequate rest, avoid chronic sleep deprivation or heavy physical labor, and may also take warm baths periodically to help relax the body and alleviate discomfort.


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