Therapy of tendovaginitis

Since the causes for the creation of a Tendovaginitis Both infectious and non-infectious types must be preceded by a comprehensive diagnosis of the choice of suitable therapy.
In addition, the appropriate therapy for tendovaginitis depends on both the extent and the frequency with which the symptoms occur. In most cases one is enough medical therapy completely off. Various pain relievers (Analgesics), which for example belong to the class of Nonsteroidal anti-inflammatory drugs The sharp pain in the area of ​​the affected person can help with this Joint to alleviate.

In addition, many analgesics also have an anti-inflammatory effect and are thus able to contain the course of the disease and bring about a rapid recovery of the tendon sheaths. Paracetamol is less suitable for the treatment of tendovaginitis, as it has an analgesic effect, but no anti-inflammatory effect.
Furthermore, a temporary immobilization of the affected joint can be useful. In many cases the attending physician tends to put on a supportive bandage and anti-inflammatory Anoint or Creams to apply. In patients who frequently develop tendovaginitis, the adaptation of a so-called Chain rail be useful.
The splints, specially tailored to the symptoms of mechanical stress, alleviate the symptoms of external compression of the affected area.

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My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
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In order to be able to treat successfully in orthopedics, a thorough examination, diagnosis and a medical history are required.
In our very economic world in particular, there is too little time to thoroughly grasp the complex diseases of orthopedics and thus initiate targeted treatment.
I don't want to join the ranks of "quick knife pullers".
The aim of any treatment is treatment without surgery.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

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In addition, if tendovaginitis is frequent, it is necessary to think about adapting the working conditions, for example by purchasing computer equipment that is easy on the joints. Long-term remedies can only be created by reducing the incorrect and overstressing of the inflamed tendon sheaths.
For the therapy of chronic tendovaginitis can still be local Anesthetics (Narcotics) or Cortisone- Preparations are used. If there is no improvement in symptoms despite pain therapy and the application of local anesthetics, surgical correction of the irritated tendon apparatus should be considered.
In most cases, simply splitting the affected tendon sheath is sufficient to ensure permanent symptom relief. Tendovaginitis is also in urgent need of treatment in patients who only suffer from mild symptoms. Failure to provide timely therapy can result in the symptoms becoming chronic. In medical terminology, the clinical picture resulting from this phenomenon is called "R.epetive S.train I.njury "(short: RSI) designated.

The tendon sheaths of the finger flexors can also be affected by a long-lasting inflammation in the area of ​​the Wrist be harmed. After several years of untreated tendovaginitis, some patients suffer from inflammatory processes and thickening of the flexor tendons. In pronounced cases, this can even lead to an increasing loss of function (technical term: Tendovaginitis stenosans).