What medication is most effective for treating muscle adhesions?

Nov 28, 2022 Source: Cainiu Health

Dr. Lin Yunfei

Introduction

Adhesions may occur due to increased joint movement leading to excessive exercise load. Generally, postoperative flexion and extension exercises are recommended. Medications such as hyaluronic acid, chitosan, polylactic acid, cefotaxime, and celecoxib can be used to control bleeding, reduce inflammation, promote healing, and relieve pain. Heat application may also help alleviate symptoms.

Tendon adhesions may occur due to increased joint movement leading to excessive exercise load. Generally, after surgery, flexion and extension exercises are recommended. Additionally, medications such as hyaluronic acid, chitosan, polylactic acid, cefotaxime, and celecoxib can be used to control bleeding, reduce inflammation, promote healing, and relieve pain. Heat application can also help alleviate symptoms by effectively improving blood circulation. It is important to visit a hospital for targeted examinations to determine whether conditions such as cervical spondylosis or shoulder periarthritis are present.

1. Hyaluronic acid: A type of amino sugar naturally found in normal joint fluid, it has excellent hemostatic and anti-inflammatory properties and can help prevent tendon adhesion.

2. Chitosan: A substance extracted from the shells of crustaceans such as shrimp and crab. It inhibits the growth of granulation tissue and collagen fibers around tendon ruptures, thus playing an effective role in preventing tendon adhesion.

3. Polylactic acid: Promotes intrinsic tendon healing and prevents extrinsic tendon healing.

4. Cefotaxime: Suitable for patients with infections around tendons, offering strong anti-inflammatory effects.

5. Celecoxib: A nonsteroidal anti-inflammatory drug that is effective in relieving pain, redness, and swelling associated with severe tendon inflammation.

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How to effectively treat tenosynovitis

The affected area of tenosynovitis can be treated with heat therapy, massage, and adequate rest—particularly avoiding the physical labor that caused the condition—for approximately three weeks. Local corticosteroid injections can alleviate early-stage tenosynovitis and are typically administered once weekly. When the above conservative measures fail or symptoms recur, surgical tenosynovectomy (sheath incision) is indicated. Early postoperative finger flexion and extension exercises should be initiated to prevent tendon adhesions.

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Are there any sequelae if a tendon is severed?

Generally, tendon rupture leads to complications. If not properly cared for, a ruptured tendon may result in sequelae such as tendon adhesion, restricted joint movement, or re-rupture of the tendon. In addition, if the injured area is subjected to strong external forces during the recovery period, it may cause reinjury, making repair more difficult. After a tendon rupture, proper rehabilitation training is essential.

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How is trigger finger (stenosing tenosynovitis) treated?

Trigger finger (stenosing tenosynovitis) can be treated through Western medical approaches, including pharmacotherapy and surgical intervention. Local corticosteroid injections—a common Western medical treatment—can effectively alleviate early-stage trigger finger; such injections are typically administered once weekly and help slow disease progression. If conservative treatments fail or symptoms recur, surgical intervention—specifically, a tendon sheath release (tenolysis)—may be indicated. Postoperatively, patients should perform finger flexion and extension exercises to prevent tendon adhesions.

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Can tendon adhesions be resolved through exercise after more than forty days?

Tendon adhesions cannot be resolved through exercise after more than forty days; generally, it takes 2–3 months to fully release the adhesion. If tendon adhesion persists beyond four weeks, it often cannot be alleviated through self-exercise or manual manipulation. In some cases, severe tendon adhesions may require surgical intervention. Tendon adhesion refers to aseptic inflammation within the tendon or results from surgical dissection.