Can Surgery Effectively Treat Tendonitis in the Fingers? - Orthopedics

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Tendinitis


Hello Dr.
Chen: I am currently working in cleaning, and I may have overexerted myself, which has caused pain in my finger joints.
They appear swollen, and when pressed, it feels like there is fluid.
So far, my treatment has mainly consisted of anti-inflammatory and pain relief medications.
A doctor has suggested surgery.
Can tendonitis be effectively treated with surgery?

Miss Wang, 50~59 year old female. Ask Date: 2013/06/15

Dr. Chen Yongxue reply Orthopedics


Hello: It is recommended that you visit the outpatient clinic for evaluation and treatment by a physician, depending on the patient's condition.
Thank you!

Reply Date: 2013/06/15

More Info


Tendonitis in the fingers can be a challenging condition, especially for individuals whose occupations involve repetitive motions or excessive strain on the hands, such as cleaning work. The symptoms you describe—pain, swelling, and a sensation of fluid buildup—are common indicators of tendonitis, which is an inflammation of the tendons that connect muscles to bones.
In terms of treatment, the approach to tendonitis typically begins with conservative measures. These may include rest, ice application, anti-inflammatory medications, and physical therapy. The goal of these treatments is to reduce inflammation and pain, restore function, and prevent further injury. In many cases, these conservative treatments can be quite effective, allowing individuals to return to their normal activities without the need for surgery.

However, if conservative treatments fail to provide relief after a reasonable period (usually several weeks to months), surgical intervention may be considered. Surgery for tendonitis is generally aimed at addressing underlying issues, such as removing degenerated tissue, repairing damaged tendons, or releasing constricted tendons that may be causing pain. The decision to proceed with surgery should be made in consultation with an orthopedic surgeon or a hand specialist, who can evaluate the specific nature of your condition and the extent of the damage.

It's important to note that surgery is not always a guaranteed solution. While many patients experience significant relief and improved function following surgery, others may still have residual pain or limited mobility. The success of surgical intervention often depends on various factors, including the severity of the tendonitis, the specific surgical technique used, and the individual's overall health and adherence to post-operative rehabilitation.

Rehabilitation following surgery is crucial. A structured rehabilitation program can help restore strength, flexibility, and function to the affected fingers. This may include physical therapy exercises, splinting, and gradual return to activities. The timeline for recovery can vary widely, but many patients can expect to see improvements within a few months post-surgery.

In your case, since you are currently managing symptoms with anti-inflammatory medications and have been advised to consider surgery, it may be beneficial to seek a second opinion or discuss the potential risks and benefits of surgical intervention with your healthcare provider. They can help you weigh the options based on your specific situation, including the severity of your symptoms, your occupational demands, and your overall health.

In summary, while surgery can effectively treat tendonitis in the fingers, it is typically considered a last resort after conservative measures have been exhausted. A thorough evaluation by a specialist, along with a comprehensive treatment plan that includes rehabilitation, is essential for achieving the best possible outcome. Always ensure that you are fully informed about the potential risks and benefits before making a decision regarding surgery.

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