How long does a tendosynovitis last?

If an acute tendon sheath inflammation is present in any area, it usually takes 1-2 weeks before it subsides. The exact duration of the healing phase depends on the extent to which the affected body part is immobilized or spared. However, if the acute tendosynovitis is not sufficiently treated and if the tendons in this area continue to be overstressed, it may develop into a chronic inflammatory disease that can last for many weeks or months.

Even if in the case of chronicity, usually only an operation can remedy the symptoms, the chances of recovery are generally good. In order to prevent an immediate relapse after the tendosynovitis has subsided, the triggering movements should generally be avoided and regular visits to a physiotherapist should be considered. Physiotherapy helps to strengthen, stretch and loosen the muscles, e.g. of the affected arm/leg, through massages and to minimize incorrect posture or stress in everyday life through posture correction or support measures.

Prophylaxis

Tendons run from the muscles on the forearm to the hand and fingers. They are surrounded by tendon sheaths that protect the tendons and guide them like splints to their destination. These tendon sheaths can become inflamed in the area of the wrist.

An inflammation of the tendon sheaths can be noticed on the wrist in a similar way as on the rest of the hand. In the foreground are pulling or stabbing pains during forearm and hand movements. In pronounced cases, pain may also occur at rest.

In addition, redness and swelling along the affected tendons are often noticeable. It is also possible that movement may cause a palpable crunching and rubbing of the tendon on the wrist. In the case of chronic tendosynovitis of the wrist, nodular thickening of the affected tendon can also occur.

The cause is usually a high, monotonous strain on the wrist, often at work or during sports. A non-ergonomic workplace or incorrect technique in sports can also contribute to tendon sheath inflammation in the wrist. Of course, bacterial infections in the context of accidents or injuries can also be a possible cause of tenosynovitis in the wrist.

A rheumatic disease can also be the trigger for such an inflammation. During treatment, the wrist should be protected and immobilized, e.g. with a splint. In addition, the use of painkillers such as ibuprofen or diclofenac can reduce the pain and stop the inflammation.

Analgesics can be used either in tablet form or as an ointment. In cases of severe pain or inflammation, the insertion of cortisone directly into the tendon sheath can also be used for treatment. In the case of chronic inflammation, however, these measures are usually of little help, and surgery must often be considered. Of course, each measure only brings long-term improvement if the cause of the tendon sheath inflammation in the wrist is eliminated.