Finger tenosynovitis and tendinopathy
The finger tendons may be affected by overuse or trauma at two main points: where the tendon attaches to the bone in the hand (teno-osseous site) or where the tendons are in sheath as they cross the wrist (tenosynovitis). The patient will complain of pain when the relevant finger is used, either at the tendon’s attachment to the bone or where the tendons cross the wrist. With tenosynovitis the pain will also be noticed when the tendon is being stretched into the opposite direction.
Physiotherapy can help by applying a specific massage technique called frictions across the tender part of the tendon with advice on relative rest to avoid aggravating the problem. Ice and electrotherapy, usually ultrasound, can be used to relieve pain and to promote recovery. If symptoms do not settle an injection of anti-inflammatory steroid can be given either into the area of attachment or between the sheath and the tendon in tenosynovitis.
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