Traditional Culture Encyclopedia - Weather forecast - How about tenosynovitis? How to prevent it? An article will explain it to you.
How about tenosynovitis? How to prevent it? An article will explain it to you.
Tendon sheath, the first fibrous sheath on the dorsal wrist has two tendons, namely abductor pollicis longus tendon and extensor pollicis brevis tendon. After passing through the narrow sheath, the two tendons form a certain angle with the sheath and stop at the base of the first metacarpal bone and the base of the proximal phalanx of the thumb respectively. When the wrist and thumb have a larger range of motion, the bending angle of tendon increases. Over time, local synovium inflammation and thickening, tendon thickening, fibrous sheath wall thickening, subcutaneous hard nodules appear at the styloid process of radius, making the tendon difficult to slide in the sheath, causing pain and other symptoms.
Due to the endocrine changes of lactating and menopausal women, synovial involvement is easy to cause tenosynovitis, which is the main reason why this disease is more common in women. It is also the reason why tenosynovitis is also commonly known as "mother hand".
Cold can also cause tenosynovitis, and it is easier for the palms to be exposed to cold weather to frostbite the joints, thus causing tenosynovitis. Studies have proved that patients with other arthritis diseases are more likely to suffer from tenosynovitis. If you have diabetes, rheumatoid arthritis and infectious diseases, it is likely that the inflammation of these diseases has induced tenosynovitis.
For people in the office, tenosynovitis is also an occupational disease that should be prevented, because frequent use of computers and mice and finger tapping will increase the friction of tendons, thus causing tenosynovitis. For video game anchors and e-sports athletes, tenosynovitis is more likely to occur.
In addition to the above reasons, according to the related literature reports at home and abroad, there are many anatomical variations that are easy to cause this disease. For example, the greater omentum of palmaris longus or extensor pollicis brevis is too low, and part of the greater omentum also enters the sheath; There are many vagal tendons in the sheath, which significantly increases the number of tendons, some as many as ten. There is also a hard, thick and tough fibrous membrane in the first sheath of the dorsal carpal, which makes the original spacious sheath narrower and the tendon is easy to incarcerate. These anatomical variations make the patients younger, and conservative treatment is difficult to work.
For novice mothers and housewives, gloves can be worn when touching cold water in winter. When cooking, washing clothes, knitting sweaters, cleaning and other housework, you should know the correct posture of your fingers and wrists, and you should not bear too much weight. Holding a child should use the strength of the arm, not the strength of the wrist.
For office workers who work at their desks for a long time, they should adopt correct working posture, balance their hands, place their wrists reasonably and rest regularly to avoid excessive joint strain.
For tenosynovitis that has already occurred, conservative treatment such as immobilization, physical therapy or local closure can be used when the symptoms are mild at first. If there is no obvious improvement or recurrence of symptoms after non-surgical treatment, surgical treatment can be used.
To sum up, the best way to prevent tenosynovitis is to arrange the rest time reasonably and make clear the correct action.
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