Understanding Hand Tendonitis
Hand tendonitis is an inflammation or irritation of the tendons in the hand, often caused by repetitive motion or overuse. Tendons connect muscles to bone and bones, and these structures work together to allow movement in the hand and wrist. Tendonitis is a common condition, especially among people who perform repetitive movements or play sports. Tendonitis can also affect related areas like the elbow, thumb, and finger, and joint and joints involvement may occur. Understanding the causes, symptoms, and treatment options is crucial for effective management [1].
Symptoms of tendonitis in the hand may include:
- Pain or tenderness along the affected tendon
- Swelling or warmth over the tendon
- Stiffness or difficulty moving the fingers or wrist
- Weakness in the hand or wrist
- Difficulty grasping or holding objects
- Pain that may move from the wrist to the fingers or thumb
Inflammation of the tendon sheath (also called the tendon sheath) may cause pain, swelling, and difficulty moving the affected finger or thumb. De Quervain’s tenosynovitis is often called “mother’s wrist” and involves the thumb. The pain may feel like a dull ache or sharp discomfort, similar to other overuse injuries. Wrist tendonitis is another common condition, and carpal tunnel syndrome (a nerve compression condition in the tunnel of the wrist) and tunnel syndrome can present with similar symptoms. Symptoms may affect two or more fingers or joints. Symptoms usually improve with rest and proper treatment. Activities like typing or playing sports can increase the risk of developing hand tendonitis, especially if proper technique is not used. Maintaining overall hand and joint health is important in preventing and managing tendonitis.
Repetitive movements or overuse, such as frequent typing or playing a sport, are common causes, causing strain and inflammation in the tendons.
Causes of Hand Tendonitis
- Repetitive hand or wrist movements
- Overuse of hand muscles
- Improper technique in activities or sports
- Direct trauma to the hand
- Age-related wear and tear
- Repetitive activities such as typing or playing sports
- Lifting or gripping objects improperly
Identifying the underlying cause is essential, as activities causing strain—such as improper technique, repetitive typing, playing sports, or lifting objects—can lead to tendonitis and should be addressed for effective treatment and prevention of recurrence [2].
Symptoms of Hand Tendonitis
Symptoms of tendonitis in the wrist or hand may include:
- Tendon pain that worsens with movement
- Pain and tenderness along the tendons in the hand
- Pain or swelling in the joint or joints of the hand, thumb, or finger
- Swelling and warmth around the affected area
- Swelling or tenderness over the tendon sheath
- Stiffness, especially in the morning
- Difficulty moving the fingers or wrist; the pain may cause the person to avoid using the affected area, and it usually affects one or two fingers or the thumb
- Difficulty grasping or holding objects
- Crackling or grating sensation when moving the hand
Symptoms may feel like a dull ache or sharp pain, similar to other repetitive strain injuries.
Inflammation of the tendon sheath may cause pain, swelling, and difficulty moving the affected finger or thumb.
Symptoms of tendonitis usually improve with rest and proper treatment.
Diagnosis
Diagnosing hand tendonitis involves a comprehensive evaluation, including:
- Medical history and physical examination
- Assessment of pain and range of motion
- Imaging studies (e.g., X-rays, MRI) to rule out other conditions. X-rays can reveal bone or joint damage, but may not show tendon injuries.
A doctor may use imaging to rule out other conditions affecting the bones or joints, such as arthritis or carpal tunnel syndrome, which involves compression of the median nerve within the carpal tunnel. Untreated tendonitis may cause long-term joint or bone problems if not properly diagnosed and treated. It is important to consult a doctor for a comprehensive health assessment and to determine if further tests or care may be needed.
Accurate diagnosis is essential for developing an effective treatment plan [3].
Treatments for Hand Tendonitis
Effective management of hand tendonitis involves a combination of treatments tailored to the individual’s needs. Hand tendonitis should be fully treated to restore function and prevent recurrence. If left untreated, tendonitis may cause chronic pain or loss of function. A doctor will recommend the best treatment plan based on the individual’s health and severity of symptoms. Options include:
- Physical therapy: Exercises to strengthen the hand muscles and improve flexibility.
- Pain management: NSAIDs, corticosteroid injections, or topical analgesics.
- Manual therapy: Techniques such as massage or manipulation to reduce tension and improve mobility.
- Lifestyle modifications: Ergonomic adjustments and activity modification to reduce strain on the hand.
- Surgical intervention: Surgery is usually only needed in severe cases where other treatments have failed, and may be necessary to repair damaged tissues.
Prolotherapy
In recent years, Prolotherapy has built its reputation within the medical community for its clinically proven ability to treat hand tendonitis.
Published research has proven its pain-relieving, anti-inflammatory and regenerative benefits.
Prolotherapy involves injecting a natural regenerative solution with tiny needles. This has been shown to stimulate the production of collagen cells, the small cells needed to help with hand tendonitis.
As prolotherapy is helping to treat the root cause of hand tendonitis, it is deemed to be a permanent fix, preventing the symptoms from returning.
Disclaimer: The information provided in this section is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Prolotherapy may not be suitable for everyone, and outcomes can vary. Always seek the guidance of a qualified healthcare professional regarding your specific medical condition or treatment options. Never disregard professional medical advice or delay seeking it because of information you have read here.
Recovery and Rehabilitation After Hand Tendonitis Treatment
Recovery and rehabilitation are essential steps in regaining full function and mobility in the hand and wrist after tendonitis treatment. The primary focus during this phase is to reduce pain and inflammation, restore range of motion, and strengthen the affected area to prevent future injuries. A healthcare provider may recommend a tailored rehabilitation plan that includes both physical therapy and occupational therapy, depending on the severity of the condition and the patient’s daily activities.
Physical therapy is a cornerstone of recovery, helping to improve flexibility, reduce stiffness, and rebuild strength in the hand and wrist muscles. A physical therapist will guide patients through specific exercises and stretches designed to promote healing and restore normal movement. These exercises may be continued at home to support ongoing recovery and help prevent the recurrence of symptoms.
Occupational therapy also plays a vital role, especially for those whose work or daily routines involve repetitive movements or tasks that put strain on the hands and wrists. An occupational therapist can provide practical strategies to modify activities, recommend ergonomic tools, and teach proper techniques to minimize stress on the affected area. This approach helps patients safely return to work and daily life while reducing the risk of further injury.
In addition to therapy, patients are encouraged to take regular breaks, rest the hands and wrists, and avoid activities that may aggravate the condition, such as heavy lifting or repetitive gripping. Using proper body mechanics and maintaining good posture during activities can further help reduce strain and support recovery.
The timeline for recovery varies from person to person, depending on the extent of the injury and the effectiveness of the treatment plan. Most people notice significant improvement in pain and mobility within a few weeks to a few months. However, it is important to continue with recommended exercises and follow professional advice to ensure a complete recovery and minimize the risk of future tendon problems.
Last reviewed on 12/08/2021, the approaches to treating and rehabilitating hand tendonitis continue to advance, offering patients better outcomes and shorter recovery times. By working closely with healthcare professionals and adhering to a comprehensive rehabilitation program, individuals can expect to regain strength, reduce pain, and return to their normal activities with confidence. Taking steps to address risk factors—such as repetitive movements, certain sports, and previous injuries—can also help prevent hand tendonitis from developing or recurring.
Case Study: Prolotherapy for Hand Tendonitis
Patient: John, 50, experienced chronic hand pain due to repetitive work activities.
Treatment: After limited relief from physical therapy and medications, John received a series of prolotherapy injections at ProHealth Clinic.
Outcome: Within three months, John reported a 70% reduction in pain and improved hand function, allowing him to return to work comfortably. His results were maintained at 12-month follow-up.
Frequently Asked Questions
What is the best treatment for hand tendonitis?
A combination of physical therapy, lifestyle modifications, and prolotherapy is often recommended for hand tendonitis. In severe cases, surgical intervention may be necessary.
Can hand tendonitis be cured?
While some cases of hand tendonitis can be resolved with treatment, others may require ongoing management. A combination of therapies can significantly improve symptoms and prevent recurrence.
How effective is prolotherapy for hand tendonitis?
Clinical studies and patient experiences suggest prolotherapy can significantly reduce pain and improve function in hand tendonitis, especially when other treatments have failed. It works by stimulating the body’s natural healing response and repairing damaged tissues [4].
How can I prevent hand tendonitis from recurring?
Maintain good posture, use ergonomic tools, strengthen hand muscles, and avoid repetitive strain. Early intervention and regular exercise can help prevent recurrence.
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References
- Khan KM, et al. “Tendonitis: clinical features and treatment.” BMJ. 2002;324(7338):626-629. BMJ
- Maffulli N, et al. “Overuse tendon conditions: time to change a confusing terminology.” Arthroscopy. 1998;14(8):840-843. ScienceDirect
- Speed C. “Tendonitis: clinical features and treatment.” Rheumatology. 2004;43(8):939-947. Oxford Academic
- Hauser RA, et al. “A systematic review of prolotherapy for chronic musculoskeletal pain.” Clin Med Insights Arthritis Musculoskelet Disord. 2016;9:139-159. SAGE Journals
- Rabago D, et al. “Prolotherapy in primary care practice.” Prim Care. 2010;37(1):65-80. PMC