Tendosinovit

Description:

Tendosinovit - it is a painful inflammation of a synovial vystilka of a sinew. The disease can proceed along with a tendovaginitis.

Reasons of a tendosinovit:

At a tendosinovita of a brush degenerative and dystrophic changes of sinews of an adductor and razgibatel of the I finger of a brush are the cornerstone of process. This defeat occurs preferential at the persons which are carrying out the stereotypic movements with load of brushes (programmers, typists, pianists, seamstresses, etc.).

Symptoms of a tendosinovit:

Pains sharply amplify at the movement and irradiate to the area of forearms and a finger. Palpatorny morbidity, swelling are defined. At the long course of process there can be fibrous changes causing restriction of movements.

On the roentgenogram degenerative changes in the field of an awl-shaped shoot in the form of an osteophyte are noted.

Tendosinovit stop results gradually from influence of physical factors, disturbance of blood circulation, traumatization. The sinew of a long razgibatel of fingers and a front tibial muscle is surprised preferential.

In the beginning patients note moderate pains in the specified joints, mainly when walking. When progressing process of pain sharply there are a swelling, consolidation of sinews that complicates walking. There comes some restriction of movements of fingers of feet because of pains and reduction of the specified sinews.

Sometimes pains develop also in the field of calcaneuses. At the same time in ankle and plusnevy joints of changes does not arise, function of these joints is not broken.

Treatment of a tendosinovit:

Treatment of a tendosinovit depends on a stage of a disease and is conditionally divided into the general and local.
The general treatment is applied in case of the accompanying infectious or noninfectious disease.
Topical treatment includes:
- rest, immobilization of movements;
- shock and wave therapy (it is applied for the purpose of elimination of a pain syndrome, removal of an inflammation and improvement of blood circulation in the affected sinew);
- physiotherapeutic treatment (OUSE, electrophoresis, magnetotherapy, фонофорез, ozokerite);
- physical rehabilitation with gradual increase in loading.
At the untimely begun conservative treatment and hard clinical cases surgical intervention is appointed.