Effective Treatments for Wrist Tendonitis: Expert Advice - Orthopedics

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Hello, regarding tendinitis?


Hello, I was diagnosed with a wrist tendon tumor when I was seven years old.
After surgery, my wrists still experience pain easily, and sometimes I suddenly lose strength when trying to pick up objects.
What treatment options are available for these symptoms?

Yu Ye, 20~29 year old female. Ask Date: 2020/05/29

Dr. Wang Shouji reply Orthopedics


Hello, if a tendon tumor refers to a tenosynovial cyst, it indicates that there is a small hole in the joint capsule, allowing synovial fluid to leak out, which can cause pain.
However, this pain is usually intermittent and rarely persists continuously.
If you have further questions, please visit the orthopedic outpatient clinic to check for any other issues.
Changhua Hospital cares about your health.
Wang Shou-ji.

Reply Date: 2020/05/29

More Info


Wrist tendonitis, often referred to as wrist tendinopathy, is a condition that can cause pain, weakness, and discomfort in the wrist area. It typically arises from repetitive strain or overuse of the wrist tendons, leading to inflammation and irritation. Given your history of wrist issues since childhood and the surgical intervention you underwent, it’s crucial to approach treatment with a comprehensive plan. Here are some effective treatments and expert advice for managing wrist tendonitis:

1. Rest and Activity Modification
One of the first steps in treating wrist tendonitis is to rest the affected wrist. Avoid activities that exacerbate the pain, especially repetitive motions or heavy lifting. Modifying your daily activities to reduce strain on the wrist can help alleviate symptoms.


2. Ice Therapy
Applying ice to the affected area can help reduce inflammation and numb the pain. Use an ice pack wrapped in a cloth for 15-20 minutes several times a day, especially after activities that aggravate your symptoms.


3. Physical Therapy
Engaging in physical therapy can be highly beneficial. A physical therapist can design a tailored exercise program that focuses on strengthening the wrist muscles and improving flexibility. They may also use modalities such as ultrasound or electrical stimulation to promote healing.


4. Bracing or Splinting
Using a wrist brace or splint can provide support and immobilization, allowing the tendons to heal. This is particularly useful during activities that may strain the wrist. A brace can also help maintain proper wrist alignment.


5. Medications
Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. If your symptoms are severe, your doctor may prescribe stronger medications or corticosteroid injections to manage inflammation.


6. Gradual Return to Activity
Once the pain subsides, it’s essential to gradually return to your normal activities. Start with low-impact exercises and slowly increase intensity. Pay attention to your body’s signals and avoid pushing through pain.


7. Ergonomic Adjustments
If your wrist pain is related to your work or daily activities, consider making ergonomic adjustments. This could involve changing your workstation setup, using tools designed to reduce strain, or employing proper techniques when lifting or using your hands.


8. Alternative Therapies
Some individuals find relief through alternative therapies such as acupuncture, massage therapy, or chiropractic care. While evidence varies, these approaches may provide additional pain relief and improve function.


9. Surgical Options
If conservative treatments fail to provide relief after several months, surgical options may be considered. Surgery can address underlying issues such as tendon tears or impingement. Discuss with your orthopedic surgeon the potential benefits and risks associated with surgery.


10. Lifestyle Modifications
Incorporating lifestyle changes such as maintaining a healthy weight, staying hydrated, and engaging in regular low-impact exercise can support overall musculoskeletal health and potentially reduce the risk of tendonitis recurrence.


Conclusion
Managing wrist tendonitis effectively requires a multifaceted approach. It’s essential to work closely with healthcare professionals, including your primary care physician, orthopedic specialist, and physical therapist, to develop a personalized treatment plan. Regular follow-ups can help monitor your progress and adjust your treatment as needed. Remember, patience is key, as tendon healing can take time. By following these expert recommendations, you can work towards reducing your symptoms and improving your wrist function.

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