The best treatment for flexor tenosynovitis of the finger

Jun 21, 2024 Source: Cainiu Health
Disease description:

I don't know what caused this condition, and I'm not sure how to treat it—I'm just following my colleague's advice to reduce hand activities. May I ask what the best treatment is for finger flexor tenosynovitis?

Doctor's answer (1)
Dr. Xu Shuai
The treatment for flexor tenosynovitis of the fingers should be selected based on the severity of the condition and individual patient differences. 1. Non-pharmacological treatments: Physical therapy: Includes hot compresses, cold compresses, massage, and range-of-motion exercises for the affected joint. Topical treatments: Such as the application of traditional Chinese medicine plasters, which can dilate blood vessels and improve local blood circulation. 2. Pharmacological treatments: Use non-steroidal anti-inflammatory drugs (NSAIDs) as directed by a physician, such as ibuprofen sustained-release capsules, which inhibit prostaglandin synthesis and help reduce inflammation and pain. 3. Local injection therapy: Local injections of medications such as lidocaine and triamcinolone acetonide can block the spread of inflammatory mediators, reduce intercellular interactions, and provide analgesic effects. 4. Surgical treatment: Tenosynovectomy (incision of the tendon sheath), suitable for patients who do not respond to non-surgical treatments or who experience recurrent symptoms. This procedure aims to correct mechanical friction and compression caused by tendon sheath stenosis or fluid accumulation. Treatment for flexor tenosynovitis of the fingers should be selected according to the specific condition, and prompt medical consultation is necessary when indicated.