WRIST TENDINITIS

A healthy tendon moves unhindered through a protective sheath that allows it to travel around joints and across other tendons. The effect of tendinitis is the thickening of the tendon sheath, which restricts the movement of the tendon. The area generally becomes inflamed, making joint movement painful and often difficult. While wrist tendinitis may occur at any point along a tendon, it is most commonly seen at a point of contact with bone or with another tendon.

One frequent example of wrist tendinitis, especially in new mothers, is called DeQuervain's tenosynovitis, an inflammation of the tendon found at the base of the thumb.

Treatment options vary depending on the severity of the case. Using a splint is often the first step. The splint allows the tendon to rest by limiting its movement. In less serious cases, this will decrease swelling and allow the pain to subside. Icing the area intermittently is also recommended.

If this proves to be ineffective, another option is the use of non-steroidal anti-inflammatory medication. These include over-the-counter medications such as ibuprofen or prescriptions provided from your doctor. The effect is a reduction of pain and swelling.

For severe cases, a cortisone injection applied directly to the site of inflammation may ease the symptoms. Cortisone injections are considered safe, but may weaken the tendons of the area over time if injections are done repeatedly. Failing that, surgery is the final option. Surgery is highly effective and can frequently be done in the office under local anesthesia with sedation. The tunnel is widened and Iinflammatory tissue is removed, creating more space for the tendon to move.