URGENT CARE

  APPOINTMENTS

717-299-4871

 

Tenosynovitis

Tenosynovitis refers to inflammation of the synovium, a protective sheath that covers your tendons and produces a fluid to help keep them lubricated. 

Tenosynovitis most commonly involves the tendons of the hands, wrists, or feet. Tenosynovitis inflammation is commonly caused by infection or repetitive use over time. Because of this, athletes, gamers, and those engaged in clerical occupations are at high risk. 

Common symptoms tend to be gradual, while those associated with infection can develop rapidly. Infectious tenosynovitis can be extremely tender to the touch with warmth and swelling. Pus or fluid draining from the surrounding skin and a high fever may also be present. 

Our specialists at Lancaster Orthopedic Associates of Lancaster are expertly trained to care for your tendons and their surrounding structures. Schedule an appointment for an orthopedic evaluation.

Symptoms

  • Joint pain
  • Localized swelling
  • Stiffness or decreased function when using affected joint
  • Redness overlying the affected area
  • Infectious tenosynovitis can be extremely tender to the touch with warmth and swelling. Pus or fluid draining from the surrounding skin may be present. A high fever may also be an indication.

Causes

  • Infectious - due to trauma and entrance of bacteria from cut or puncture to the tendon. Infection may also spread from nearby structures or due to bloodstream infection.
  • Noninfectious - overuse, chronic repetitive stress over time, prolonged physical activities
  • Cause can be unknown

Risk Factors

  • Participating in sports that involve repetitive jumping, running, or throwing
  • Occupations requiring repetitive motions such as clerical positions, carpenters, and factory workers
  • An impaired immune system that may make you more susceptible to infection
  • Conditions such as rheumatoid arthritis, diabetes, scleroderma, and gout, among others 

Diagnosis

  • Physical examination of the area
  • X-ray to evaluate bone condition 
  • MRI to evaluate muscle and soft tissue health
  • Aspiration of joint fluid may be performed for analysis and identification of bacteria

Treatment Options

  • RICE therapy: Rest, Ice, Compression, Elevation
  • Nonsteroidal, anti-inflammatory medications for pain relief
  • Physical therapy
  • Immobilization via brace, splinting, or tape
  • Antibiotics to treat infectious tenosynovitis
  • In infectious tenosynovitis, surgical repair may be necessary to drain pus and cut away dead tissue