Tendovaginitis: causes, symptoms, diagnosis, treatment

Tendovaginitis is a very severe disease of the tendon sheaths (the shell surrounding the tendon), which proceeds with severe pain and a pronounced inflammatory process.

Ineffective treatment, neglected inflammation can provoke necrosis of the tendon, the spread of purulent inflammation throughout the body. Tendovaginitis can result in various injuries (bruises, pricks, cuts), which led to trauma to the walls of tendon sheaths located close to the surface. However, often the disease develops as a result of excessive loads on the tendon, and not as a result of infection. Such loads often have to do with the professional activities of the person (milkmaids, pianists, machinists, etc.).

The disease can affect the wrist, Achilles tendon, forearm, wrist, feet and ankle joint.

Causes of tendovaginitis

Tendovaginitis occurs as a separate, self-induced disease and develop due to any complications after the general inflammatory process of the body.

With such infectious diseases as tuberculosis or syphilis, with a variety of minor lesions, the infection can penetrate into the tendon sheath, which leads to the development of various forms of tenosynovitis (purulent, nonspecific, tuberculous, brucellosis). In addition, infectious tendovaginitis can develop as a result of another inflammatory process in the body, for example, with rheumatism or rheumatoid arthritis.

Nonspecific tendovaginitis is widespread, which usually occurs after long and heavy loads on the tendon. Quite often nonspecific tendovaginitis occurs as a result of professional activity or hobbies, which are associated with frequent repetitive movements. Tendovaginitis in this form refers to occupational diseases. Also occurs posttraumatic tendovaginitis, which most often affects professional athletes, but sometimes develops as a result of domestic trauma.

Degenerative tendovaginitis directly depends on blood circulation in adjacent tissues. When blood flow is disturbed, for example, with varicose veins, the degenerative form of tenosynovitis develops, i.e. There is a change in the vaginal cavity.

[1], [2], [3], [4]

Symptoms of tendovaginitis

In the acute form of tendovaginitis, a strong swelling of the synovial membrane appears, as a result of the flow of blood to the sore spot. In the place of the defeat of the tendons appears swelling, which, with pressure or movement, gives a strong pain. In the acute course of the disease, the movement of the fingers is limited, a characteristic creaking sound occurs with pressure (crepitation), soreness. Limited movement in the acute form of tendovaginitis can be expressed in a strong reduction of the fingers in an unnatural position.

As a rule, when the process is acute, tendons are affected only from the opposite palm or the side of the foot, less often occurs tendovaginitis in the acute form of the fingers of the hand. Usually this kind of inflammatory process flows into a chronic form. In the acute form of tendovaginitis, the forearm or shin may also swell. If the purulent form of the disease begins to develop, the patient's condition worsens with fever (chills, fever, inflammation of the lymph nodes, vessels). In the synovial cavity a serous or purulent filling is formed, which pushes the place connecting the blood vessel to the tendon. As a result, the nutrition of the tissues is disrupted and in the future this can cause necrosis.

Tendovaginitis of chronic form, often caused by the performance of professional duties and appears as a result of frequent and severe loads on the tendons and certain muscle groups, and the disease can be the result of ineffective or incorrect treatment of the acute form of tenosynovitis. First of all, elbow joints and wrists are affected. Chronic tenosynovitis is manifested by weak mobility of the joints, pains with abrupt movements, a characteristic creaking sound or snapping while trying to squeeze the hand. Usually the chronic form of tendovaginitis flows into the vagina of tendons responsible for flexion and extension of the fingers.

Creasing tendovaginitis

Creasing tendovaginitis is one of the most common occupational diseases. As a rule, the disease develops against the background of regular traumatization of tendons, muscles, and also adjacent fiber due to the often repeated monotonous movements of the fingers or feet.

The disease in most cases affects the extensor surface of the forearm (usually the right one), rarely occurs on the Achilles tendon, the anterior surface of the shin.

The disease is accompanied by a swelling over the lesion, soreness and a squeaking sound, similar to the crunch of snow. As a rule, the duration of the disease does not exceed 12-15 days, crepitus tendovaginitis may reappear and often flow into the chronic stage.

[5], [6], [7], [8], [9]

Stenosing tendonitis

Stenosing tendovaginitis is an inflammation of the tendon-ligament apparatus of the hand. The most common cause of the disease is occupational trauma. The disease proceeds slowly enough, at first there are painful sensations in the region of metacarpophalangeal articulations. Difficulty flexing your finger, often this movement is accompanied by creaking sound (crepitation). You can also feel a tight formation along the tendons.

Purulent tenosynovitis

Purulent tendovaginitis usually develops as a primary disease, due to ingress through microtrauma and damage to bacteria. Less common secondary tenosynovitis with the formation of purulent masses - as a rule, the tendon is affected by the transition of purulent inflammation from adjacent tissues, for example, with phlegmon.

Typically, the pathogens of the purulent process in the tendon are bacteria of Escherichia coli, streptococci, staphylococci, extremely rarely other types of bacteria. When bacteria hit the wall of the tendon sheath, there is swelling, there is a suppuration, which prevents the supply of tissues, resulting in the necrosis of the tendon.

In a secondary disease, usually a purulent inflammation begins in the adjacent tissues, and only then spread to the wall of the tendon sheath. As a rule, with purulent inflammation of the patient, a fever with a high fever and a general weakness is worried. With neglected forms of purulent tenosynovitis, the risk of developing sepsis (blood poisoning) increases.

Aseptic tendovaginitis

Aseptic tendovaginitis is non-infectious, it occurs frequently, mainly in individuals who, in the course of their professional activities, must perform repetitive movements for a long time, usually only one group of muscles is involved in this work, and as a result of overexertion, various microtraumatic tendons and adjacent the inflammatory process begins.

Tendovaginitis brushes are often found in musicians, volleyball players, etc. Skaters, skaters and other professional athletes are more vulnerable to foot damage. The aseptic form of tenosynovitis, which has grown into a chronic stage, can force a person to change his profession.

The development of aseptic tendovaginitis in acute form can be caused by trauma, it is often found in young athletes. Usually a person does not notice how he got injured, because during training he may not even pay attention to a slight crunch in his wrist or foot. At the initial stage of the disease, the pain may not be strong, but with time it increases.

[10], [11]

Acute tenosynovitis

Tendovaginitis in acute form usually occurs as a result of infection. In the acute course of the disease, severe pain in the affected tendon, swelling over the affected area, high fever (often inflamed lymph nodes). An acute process usually develops on the back of the foot or palm. Quite often swelling spreads on the lower leg or forearm.

With tendovaginitis in acute form of motion are constrained, sometimes complete immobility is observed. The patient's condition is worse with time: the temperature rises, chills appear, and soreness increases.

[12], [13], [14]

Chronic tenosynovitis

Chronic tendovaginitis usually does not greatly affect the general condition of the patient. As a rule, with chronic tendovaginitis, the tendon sheaths of the extensor and flexor of the fingers suffer, a swelling appears, the feel is felt in the palpation, the tendon mobility is limited.

The disease begins with the appearance of pain in the affected area (usually in the region of the styloid process). In the course of tendons, a painful swelling appears, the movements of the fingers are hampered by pain, stiffness, and pain can be delivered to the shoulder or forearm.

[15],

Tendovaginitis of the hands

Tendovaginitis of the hands is a fairly common disease, since it is the hands that are placed on the maximum load, they are most susceptible to trauma, hypothermia, which provokes the disease. Typically, tendovaginitis of the hands are affected by people whose work is associated with repetitive motions that only load a certain group of muscles, causing the tendons to become injured and the inflammatory process begins.

From tendovaginita hands often suffer musicians, it is known that some well-known musicians were forced because of pain to abandon their favorite occupation and become composers.

Tendovaginitis of the hand

As already mentioned, the hands are the most vulnerable organ. Frequent hypothermia, minor injuries, excessive loads lead to inflammation of the tendon sheaths. Tendovaginitis of the hands is the most common pathological process, from which musicians, stenographers, typists, etc. Suffer. In most cases, the disease is non-infectious, and related to professional activities. Slightly less often tendovaginitis of the hand develops as a result of infection.

Tendovaginitis of the forearm

The forearm (usually the back side) is usually affected by crepant tendovaginitis. As a rule, the disease progresses rapidly. In most cases, the disease begins with aches, increased fatigue of the hand, in some cases there is burning, numbness, tingling. Many patients, even after the appearance of such symptoms, continue their usual work and after a while (usually a few days later in the evening) a strong pain appears in the forearm and the hand, while movements with the hand or with a hand increase the unpleasant sensations in the hand. Tendovaginitis in this case is associated with increased load and fatigue of the muscles of the hand due to monotonous long movements.

In addition, the disease can develop as a result of bruises or injuries to the forearm.

If the bruised hand is not spared, then it can quickly lead to swelling, severe soreness, in addition, there may be a creaking sound. Usually a person sees the appearance of swelling on the forearm, while the appearance of a creaking sound is not paid attention.

But even not tumescence, the appearance of a crunch or severe pains force a person to seek help from a specialist. Usually, when you see a doctor, the patient complains of the inability to fully work due to weakness of the hand, aggravated pain during movement. With kripitiruyuschey tendovaginite swelling has an oval shape (reminiscent of sausage) and focuses on the back of the forearm, along the tendons.

Tendovaginitis of the finger

Tendovaginitis finger at the initial stage of development is difficult to recognize. The specialist diagnoses on the basis of examination, palpation, anamnesis. There are several characteristic features on which it is possible to determine the development of tendovaginitis:

• swelling of the finger, swelling on the back of the hand;
• painful sensations when the probe is pressed down the tendon;
• severe pain when trying to move a finger.

All these signs can manifest themselves separately, or all together simultaneously (with tendovaginitis in purulent form).

A purulent infection can spread quickly, with painful pain, because of which a person can not normally sleep and work, the patient holds a finger in a half-bent position. The swelling spreads to the back of the hand, when you try to unbend your finger, you feel a sharp pain. Against the background of inflammation, the temperature may rise, lymph nodes become inflamed, a person assumes a position in which he unconsciously tries to protect a sick arm.

Diagnosis of the disease can help radiography, which reveals a thickening in the tendon with clear (rarely wavy) contours.

Tendovaginitis of wrist

Tendovaginitis zapryastsya develops on the backbone. The disease affects the tendon, which is responsible for straightening the thumb. A common symptom is pain over the wrist at the base of the thumb. Over time, pain increases with movement and a little calming down while relaxing the arm and rest.

Tendovaginitis of the wrist joint

Tendovaginitis of the wrist joint is manifested, as in other cases, by pain during the movement of the wrist, thumb. With this disease, the tendon responsible for the thumb is affected, and the often affected tendon thickens. Often pain from the wrist is felt in the forearm and even the shoulder.

The most common cause of the development of tendovaginitis in the radiocarpal canal is tedious repetitive movements of the hands, often accompanied by injuries and injuries. Also, an infection can cause an inflammation of the tendons.

More women tend to tendosynamitis of the wrist joint, while the relationship between the disease and excess weight can be traced.

It is noted that women of low stature are more prone to the development of tendovaginitis. Heredity also plays a significant role in the development of the disease.

A characteristic feature of the tendowaginitis of the wrist joint is that the disease is expressed not only by severe pain, but also by numbness or tingling, which is associated with the compression of the median nerve. Many patients are concerned about "naughty" hands, numbness. A tingling sensation appears on the surface of the hand, usually in the area of the index, middle and large fingers, in rare cases tingling occurs in the ring finger. Often a pricking is accompanied by a burning pain which can give in a forearm. With tendinitis of the wrist joint, the pain becomes stronger at night, while the person can feel temporary relief after rubbing or shaking the hand.

Tendovaginitis of the shoulder joint

Tendovaginitis of the shoulder joint is manifested by dull pain in the shoulder region. When you feel, soreness appears. Most often, shoulder joint damage occurs in carpenters, smiths, ironers, grinders, etc. The disease usually lasts 2-3 weeks, occurs in the subacute phase. With tendovaginitis, the pain has a burning character, with muscle tension (during work), pain can repeatedly increase, often there is swelling, creaking sound.

Tendovaginitis of the elbow joint

Tendovaginitis elbow joint is rare. In general, the disease develops as a result of trauma or damage. As in other cases of development of tendovaginitis, the disease proceeds with pronounced soreness in the area of affected joints, swelling, creaking. Usually, at rest, the joint does not bring any unpleasant sensations to the patient, however, when moving, the pain can be quite sharp and strong, which leads to forced immobilization.

Tendovaginitis of the flexor of the fingers

Tendovaginitis of the flexor of the fingers is expressed in the defeat of the tendon-ligament apparatus of the hand. In this case, infringement of tendons is noted, which are responsible for flexion and extension of the fingers. The disease is most common in women. Usually, the development of the disease is related to professional activities related to manual labor. In childhood, you can notice the disease at the age of 1 to 3 years. Most often it affects just the thumb, although there is an infringement of the tendons on the other fingers.

Tendovaginitis of feet

Tendovaginitis stops in the form of pain in the course of the tendons, with the movement of the foot pain intensifies. Simultaneously with pain, redness and swelling appear. With infectious tendovaginitis, there is a temperature, a deterioration in overall well-being.

Tendovaginitis Achilles tendon

Tendovaginitis Achilles tendon develops mainly after increased stress on the Achilles tendon or the muscles of the lower leg. Especially often the disease affects cyclists, both professional and amateurs, runners for long distances, etc. Sign of the disease is the thickening of the Achilles tendon, tenderness in the movement of the foot, swelling, and when the tendon is probed, characteristic squeaking can be felt.

Tendovaginitis of the ankle

Tendovaginitis of the ankle develops mainly in those who experience frequent and heavy loads on their legs. Often, tendovaginitis develops in the military, after committing long-term transitions. Also often athletes (skaters, skiers), ballet dancers, etc. Suffer from an ankle tendovaginitis. In addition to professional tendovaginitis, the disease develops after prolonged hard work.

In addition to external factors, tendovaginitis can develop due to a congenital anomaly of the foot (clubfoot, flat feet).

Tendovaginitis of the knee joint

As in other cases, tendovaginitis of the knee joint develops as a result of prolonged physical stress on the joint, anatomically irregular structure of the body, with a violation of posture, and as a result of infection.

The disease, as a rule, affects people whose lifestyle is associated with increased physical exertion or who, due to their professional activities, are forced to stay in one position for a long time (often in an uncomfortable position). Widespread knee tendovaginitis among basketball players, volleyball players, etc., as frequent jumps lead to an injury to the knee joint.

Classical symptoms of the development of tendovaginitis is the appearance of pain in the affected area, which becomes stronger with time (with the development of the inflamed process). Pain can increase from physical exertion, depend on the weather. In addition to pain, there is limited limb movement, with palpation there is pain, sometimes creaking, you can also feel the formed tendon of the tendon. The affected place blushes and swells.

Tendovaginitis of lower leg

Symptoms of tendovaginitis appear not immediately, and a few days after that, the process of inflammation began. Tendovaginitis of the tibia develops, as in other cases, with increased strain on the shin or infection, as well as in the case of abnormal foot development. On the X-ray, one can see the compaction in the place of the affected tendon.

Tendovaginitis of hip

Quite often, tendonitis of the hip is caused by various injuries, overloads of tendons and muscles. Women are more susceptible to the disease, unlike men. The disease occurs as a result of overloading the legs, after a long and unusual walk, running, after carrying heavy loads. In some cases, the disease develops as a result of damage.

Tendovaginit de Cervena

Tendovaginitis de Kervena flows with a strong inflammation of the ligaments of the wrist, which is characterized by inflammation, pain, limited movements. Many years ago this disease was called "laundress's disease", as it affected mostly women who had to wash their hands daily with a large amount of laundry, but after 1895 it was named after surgeon Fritz de Kerven who first described the symptoms.

Tendovaginitis de Kervena is characterized by painful tendons on the back of the wrist, inflammation of the tendon sheath wall thickens, which can cause narrowing of the canal. Inflammation can lead to the adhesion of tendons. In women, the disease develops eight times more often than men, as a rule, women over 30 years old suffer.

Inflammation can be caused by some damage to the first canal of the back ligament, for example, after various damage to the radius. The disease can provoke frequent inflammation, trauma, muscle strain (especially caused by hard work involving one muscle group). However, for the most part, it is not possible to establish the exact causes of the disease.

Tendovaginitis is manifested by pain along the radial nerve, which can increase with tension or movement (most often when trying to grab something). Above the first canal of the back ligament of the wrist appears a painful swelling.

Diagnosis of tendovaginitis

Based on the research (palpation, compaction, tenderness, stiffness of movements) and the characteristic localization of inflammation, a specialist will be able to diagnose tendovaginitis. Radiography will distinguish tenosynovitis from arthritis and osteomyelitis, in which the picture shows a change in bones and joints.

Ligamentography (X-ray with contrast material of ligaments and tendons) is appointed to exclude stenosing ligament. In addition, the specialist should exclude general diseases that can provoke tendovaginitis (brucellosis, tuberculosis).

[16], [17]

Treatment of tendovaginitis

The main principle of successful treatment of tendovaginitis is timely qualified care and effective treatment. First of all, it is necessary to create peace of the sick limb, in some cases the doctor may consider it necessary to impose a plaster or a tight bandage.

Experts suggest several stages of treatment of tendovaginitis, first of all the patient is released from work, novocaine is injected (for relief of severe pain) and, if necessary, impregnated with gypsum.

After 2-3 days, if the patient continues to suffer pain, you can repeat the blockade with novocaine. A few days later, warm compresses, warming, UHF therapy are attributed. As a rule, for effective treatment, 4 - 6 paraffin applications are necessary. Over time, the patient's limb increases the passive load, then remove the gypsum and increase the movement. If after the passed course of treatment all unpleasant symptoms disappear, the patient is discharged, while giving a recommendation to observe light labor for a while.

Which doctor treats tendovaginitis?

If there was a suspicion of tendovaginitis (they began to worry about soreness, swelling, redness over the sore spot), you should consult a rheumatologist who, after the first examination, will prescribe the necessary tests and an additional examination.

Treatment with alternative means

Tendovaginitis can be treated in combination with alternative medicine methods, which will improve the effectiveness of treatment. Alternative agents should always be used as an auxiliary therapy. Before starting treatment, it is better to consult a specialist to exclude other diseases with similar symptoms.

Treatment with alternative medicine is mainly local, using lotions, ointments, compresses. It helps to cure the inflammation of the tendons ointment from the flowers of calendula. Which you can cook yourself. This will require the flowers of marigold, which can be purchased at the pharmacy. A tablespoon of dried flowers should be crushed thoroughly to make a powder (you can use a coffee grinder), which is mixed with a tablespoon of the base. As a basis, you can take Vaseline or any baby cream. Let the mixture infuse for several hours, after which it can be used as an ointment or compress. Apply the ointment best before bed.

Good anti-inflammatory properties have tincture of chamomile, St. John's wort or marigold. For cooking, 1 tbsp. A spoon of dried flowers of chamomile or St. John's wort, if you use calendula, it will take 1 tsp. The grass is poured a glass of boiling water and insisted for half an hour. Then tincture is filtered and used inside for half a cup for two weeks.

Home Treatment

Treatment of tendovaginitis at home will help to increase the effectiveness of traditional treatment, help to remove inflammation and accelerate the process of recovery.

Pretty effective remedy for the treatment of tendovaginitis is the Rosenthal paste, which can be purchased at the pharmacy. The paste contains 10 g of alcohol, 80 g of chloroform, 15 g of paraffin 0.3 g of iodine. Before use, the ointment should be slightly warmed (to a pleasant body heat), then the product is applied to the affected area, after hardening, the cotton wool is applied from above and everything is fixed with a bandage. Pasta should be applied before bedtime. Before using any alternative remedy, it is best to consult a specialist to avoid possible complications.

Treatment with ointments

Tendovaginitis in any form is treated with medications that are used depending on the causes of the disease and the complexity of the inflammatory process. The most commonly used anti-inflammatory drugs, compresses, ointments, in some cases require antibiotics. Practically for any type of tendovaginitis of the affected limb, complete rest should be ensured.

As a rule, with tendovaginitis, anti-inflammatory, anesthetic ointments are prescribed. Also, effective care for traditional methods of treatment can be provided with an ointment prepared independently. To do this, it is necessary to thoroughly mix 100g of pork fat and 30g of wormwood, then put it on low heat for a few minutes. After the ointment has completely cooled down, it can be used. Ointment is applied a thin layer on the affected area, from above can be covered with a tissue and fixed with a bandage.

Treatment of crepitic tendovaginitis

If suspicion of creping tendovaginitis is necessary, completely stop any load on the damaged limb to avoid involuntary movements, a tight bandage (gypsum) is applied for 6-7 days. After that, warm compresses, anti-inflammatory drugs are prescribed.

Return to work is necessary after the swelling and crunching in the affected tendon completely subsides.

Treatment of crepitic tenosynovitis of the wrist

Tendovaginitis brush modern medicine is treated in the vast majority of cases successfully. The main principle of effective treatment is the timely recognition of the diagnosis and appropriate therapy. When creping tendovaginitis of the hand shows physiotherapeutic procedures that are highly effective in the early stages of the disease, in addition, the patient is assigned maximum rest and fixation of the affected limb.

Before the appointment of treatment it is necessary to determine the cause of the disease (trauma, regular exercise, infection). In case of getting into the tendon of bacteria, the doctor prescribes a course of antibacterial therapy. If the process of inflammation has gone far enough, suppuration has begun, surgical intervention is necessary. The danger of purulent tenosynovitis is that pus can break into adjacent tissues (bones, joints, circulatory system), which threatens with sepsis (blood poisoning).

Treatment of tendovaginitis of the wrist

Effective treatment of tendovaginitis depends on the cause that caused the disease. If the inflammatory process in the tendon began as a result of a common disease (rheumatism, tuberculosis, etc.), primarily treatment is directed to the underlying disease.

With severe pain in the wrist, a plaster tire is applied, which fixes the arm in one position, ensuring maximum rest to the diseased tendons. After this, medication and physical therapy are prescribed, as a rule, there is no need for hospitalization of the patient. If the process of inflammation in the tendons has gone too far, pus appeared, the tendon rupture, then the patient is sent for surgical treatment.

Treatment of tendovaginitis of the tendon

Tendovaginitis of tendons in acute form is treated with local and general procedures. If the disease has a nonspecific character, then the treatment is aimed at fighting infection in the body (antibacterial drugs, immunostimulants).

With tendovaginitis, which arose against the background of tuberculosis, use specific anti-tuberculosis therapy.

With non-infectious tendonitis, anti-inflammatory drugs (butadione) are used.

Local treatment with any form of tendovaginitis is the application of a gypsum tire and warming compresses. After the inflammation of the tendons begins to subside, a number of physiotherapeutic procedures are prescribed (UHF, ultraviolet, ultrasound, etc.), as well as therapeutic gymnastics.

If the process of inflammation has acquired a purulent form, the affected tendon sheath should be opened and cleaned of pus accumulation as early as possible.

The chronic form of tendovaginitis in addition to all the above treatment methods includes paraffin or mud compresses, massage, electrophoresis. If a chronic tendovaginitis is observed, the infection process is intensified, then a puncture is taken from the synovial vagina for detailed study in the laboratory. Also, a directional antibiotic is introduced into the tendon vagina, the patient is prescribed anti-inflammatory therapy. To reduce pain in the tendon, a novocain blockade is introduced. If the chronic process continues to progress, then an x-ray therapy session is prescribed.

Treatment of tendovaginitis of the wrist joint

With a disease such as tendosynovitis of the wrist joint, the patient's hand needs first and foremost in complete rest, it is best to apply a tight bandage or gypsum to maximally immobilize the diseased tendons. A blockade with novocaine, kenalog, etc., has a good effect, which quickly removes strong pain sensations. Also used are anti-inflammatory drugs (voltaren, nimesil, etc.), physiotherapy procedures.

Treatment of tendovaginitis of the forearm

As with other types of tenosynovitis, it is necessary to create all conditions for maximum rest in the patient's arm. Also, blockade can be prescribed in the tendon with pain medications, in case the pain does not pass, it is recommended to repeat the procedure in a few days. After 3-5 days from the beginning of treatment, warming compresses can be used, if necessary, the doctor can supplement them with special physiotherapy (paraffin baths, UHF). In a week, when the fixing bandage or plaster is removed, the doctor can resolve the slow soft movements of the fingers, over time, the load on the arm should be increased. With proper treatment, after 10-15 days recovery comes, but for about two weeks the patient is recommended to save his hand from heavy loads and engage in easy work.

Treatment of tendovaginitis of foot

In the early stages of the disease, antibacterial therapy combined with physiotherapy is sufficient. Purulent tendovaginitis is treated promptly by opening the abscess and cleaning (such treatment is necessary for the prevention of fistula and puncture of pus in adjacent tissues).

Stop immediately after diagnosis should be tightly fixed (gypsum, elastic bandage, tight bandage, etc.). To reduce inflammation in the tendons, anti-inflammatory therapy (reopyrin) is prescribed. Compresses with dimexide, electrophoresis with novocaine also have a good therapeutic effect. It helps to heal the blockade pain with hydrocartisone, after the pain subsides, you can compress with ozocerite. After 7-10 days from the beginning of treatment the doctor can prescribe therapeutic gymnastics, during which the load on the foot will increase with time.

Treatment of tendovaginitis of the ankle joint

Tendovaginitis of the ankle, as well as other types of disease, is expressed by severe pain in the place of the affected tendons. Treatment of the inflammatory process in the tendon is to ensure rest, anti-inflammatory, antibacterial therapy, in the course of time special gymnastics is added to the treatment, aimed at restoring the efficiency of tendons, muscles and joints.

Treatment of tendovaginitis does not always occur in a hospital. In the early stages of the disease, treatment can be carried out at home. Do not engage in self-medication, as tendovaginitis can acquire a purulent form that can provoke a common infection of the body. Alternative therapies are well used as aids to traditional medicine to accelerate the recovery process.

Treatment of Achilles tendon tendovaginitis

When inflammation of the Achilles tendon, the foot should provide maximum rest. In some cases, a soft liner placed under the heel helps to reduce the pain. With severe pain, a specialist can prescribe non-steroidal anti-inflammatory drugs, physiotherapy. If the pain does not subside, then a gypsum tire is applied to the foot for 10-15 days. Very rarely there is a need for surgical treatment of tendons.

Experts recommend athletes who have regular physical exertion on the feet (runners, skaters, etc.) to do special stretching tendons exercises, and after training for a while to apply to the Achilles tendon ice pack.

Prophylaxis of tendovaginitis

Infectious tendovaginitis can be prevented, if you observe personal hygiene, in time to disinfect various damages to the skin. With strong or open wounds, to avoid getting bacteria, it is best to impose an antiseptic bandage.

For prophylaxis of professional tenosynovitis it is necessary to do regular breaks in work, at the end of the working day it is good to carry out massage of legs, forearms, hands. Also, warm baths for the hands (legs) are well relaxed.

Prognosis of tendovaginitis

In most cases, if tenosynovitis has been identified at an early stage and timely and effective treatment is prescribed, the prognosis is favorable. Approximately two weeks after the onset of the disease, recovery comes, and after two weeks the person becomes fully able-bodied. However, if a person's activity is associated with regular workloads, injuries, the probability that the disease will return and will continue to be chronic is quite high.

If tendovaginitis was leaked in purulent form, and the tendon was surgically opened, then there is a great risk that the functions of the foot or hand will be violated.

Tendovaginitis is a fairly severe inflammatory disease that affects the tendon sheath. Progression of the disease can lead to severe complications (suppuration, fusion or necrosis of tendons, sepsis, etc.).

ICD Code 10

ICD stands for International Classification of Diseases and is a special document that uses assessments of the general health of the population, in medicine, epidemiology. This handbook is necessary for the observation and control of diseases and their prevalence, as well as a number of other health problems. Every ten years the document is subject to revision.

In modern medicine there is a classifier of the tenth revision (ICD 10).

Tendovaginitis in the ICD 10 is code M 65.2 (calcifying tendenitis).