Tendonitis in the Hand and Wrist

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Tendonitis occurs when tendons—fibrous tissues that connect muscles to bones, enabling movement—become inflamed due to overuse or repetitive motions. This condition causes a range of symptoms, including (but not limited to) pain and swelling. Treatment can help manage these symptoms and improve function for those dealing with tendonitis of the hand or wrist.

Symptoms

Tendonitis in the hand and wrist can cause the following symptoms:

Pain
Swelling
Decreased grip strength, which makes it difficult to hold objects or perform fine motor tasks
Difficulty performing repetitive hand movements (e.g. typing, playing piano)

If you experience any of these symptoms, early diagnosis and treatment are crucial to preventing long-term damage and maintaining hand and wrist function.

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Treatments

Treatment for tendonitis in the hand and wrist focuses on reducing inflammation, relieving pain, and restoring normal function. Early intervention is crucial to prevent further damage.

Rest and Immobilization: Resting the affected hand and wrist can help reduce strain on the tendons. Immobilization with a splint or brace may be recommended to prevent movement for a while so that the tendons can heal.
Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to reduce inflammation and relieve pain. In some cases, for example severe inflammation, corticosteroid injections may be recommended to provide temporary relief.
Physical Therapy: A physical therapist can guide patients through specific exercises to strengthen the muscles and improve flexibility in the hand and wrist so that there is less strain on the tendons. PT may also include techniques to improve ergonomics and prevent recurrence of tendonitis.
Lifestyle Modifications: Adjusting daily activities to avoid or minimize repetitive motions, as well as using ergonomic tools, can help manage symptoms and prevent future episodes of tendonitis.
Surgery: In rare cases where conservative treatments fail, especially in cases of chronic or severe tendonitis, surgical intervention may be necessary. Surgery typically involves removing inflamed tissue or repairing damaged tendons.

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Frequently Asked Questions

What causes tendonitis in the hand and wrist?

Tendonitis is often caused by repetitive motions or overuse of the hand and wrist. Common activities that may cause tendonitis include typing, playing an instrument (piano, violin, etc.), or performing manual labor. Other contributing factors include poor ergonomics, sudden increases in activity, and underlying health conditions, such as rheumatoid arthritis or diabetes.

How is tendonitis diagnosed?

A thorough physical examination is usually the first step in diagnosing tendonitis. Your doctor may assess your range of motion, tenderness, and swelling in the affected area. In some cases, imaging tests such as ultrasound or MRI may be used to confirm the diagnosis and rule out other conditions.

Can tendonitis be prevented?

Not all cases of tendonitis can be prevented, but you can reduce your risk by practicing proper ergonomics, taking regular breaks from repetitive tasks, and performing wrist and hand exercises to strengthen the tendons and surrounding muscles.

How long does it take to recover from tendonitis?

The recovery time for tendonitis depends on the severity of the condition and the type of treatment. Mild cases may resolve within a few weeks with rest and conservative care, while more severe cases may require surgery and months of physical therapy.

Will I need surgery for tendonitis?

Surgery is rarely needed for tendonitis. Surgical intervention is typically reserved for severe or chronic cases that do not respond to treatments like physical therapy and medications.

How can I manage tendonitis at home?

Managing tendonitis at home can include applying ice or heat to the affected area, taking over-the-counter anti-inflammatory medications, and avoiding activities that exacerbate symptoms. Wearing a brace or splint and practicing gentle stretching exercises may also help alleviate symptoms.

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