Monday, July 8, 2013

Tendonitis

Originally posted on FilipinoDoctors.org on July 6, 2013

So, you have been diagnosed with tendonitis of the wrist, or fear you might develop it, and it is time to look at treatments. Preventative methods for tendonitis of the wrist are part of a comprehensive treatment program and should be exercised during and after recovery.

Tendonitis can be caused by repetitive or acute trauma or a combination of the two. Treatment for tendonitis is the same whether it developed as a repetitive stress injury or not.

Finding the Cause of Tendonitis

The first step in treating and preventing tendonitis of the wrist is understanding what caused it. Many general causes of repetitive stress injury can be contributing factors for tendonitis of the wrist. Performing repetitive finger and wrist motions or using vibrating equipment also heightens your risk of developing tendonitis in that area.

Use the method outlined in Things to Do if You’ve Been Diagnosed with a Repetitive Stress Injury to identify the tasks causing the pain. Using a Visual Analog Pain Scale will help pinpoint the major and minor causes.

Stopping the Stress

The next step in your treatment and prevention of tendonitis of the wrist is to stop performing those tasks or correct your body mechanics when you do. If it is working at a computer, set up an ergonomically sound computer work station. If it is another tool or setup follow sound ergonomic principles ensuring you keep a natural wrist position when working and take frequent breaks. If vibration is a factor use a vibration absorbing pad or glove or change the grip on the tool to one that better fits your hand.

Maintain a Healthy Wrist

The next step in treating and preventing tendonitis of the wrist is to use proper body mechanics in all wrist related activities. These Tips to Prevent Wrist Repetitive Stress Injury are a good basic guide to maintaining a healthy wrist.

Playing with different muscles than those you work with can also provide relief to an ailing wrist.

You also need to stay healthy and fit. Maintain a healthy weight and good cardiovascular health. Strong bodies are more resilient against the stressors that cause these conditions.

Home Treatment

Home treatment options for tendonitis include:
  • Icing the wrist to reduce inflammation and increase blood flow
  • Using over the counter, non-steroidal anti-inflammatory drugs to decrease the swelling and manage pain (Warning: only use pain medication at times of rest to reduce the chance of further injury)
  • Exercise to strengthen the injured area once symptoms have been reduced
Professional Treatment

When preventative and home treatment measures are not enough your health care professional may recommend these treatments. Only follow these treatments when instructed to by a health care professional. Treatments include:
  • Icing the wrist to reduce inflammation and increase blood flow
  • Wearing wrist splints to immobilize the wrist and reduce repetitive trauma
  • Using non-steroidal anti-inflammatory drugs to decrease the swelling and manage pain
  • Ultrasound therapy to reduce swelling and fluid build up
  • Cortisone injection to treat the inflammation
  • Physical therapy and exercise to strengthen the injured area
Surgery

Surgery is a last option for treatment of tendonitis in the wrist. Removal of soft tissue around the problem area can give the tendon more room to move without irritation. Surgery is also a viable option if an anatomical feature is causing the problem. If the tendon does not have a smooth spot to move over then surgery can smooth it out or realign the tendon.



Word List:
  • repetitive: repeated many times
  • vibrating: to move or make something move from side to side very quickly and with small movements
  • pinpoint: to be able to give the exact reason for something or to describe something exactly
  • ergonomic: designed to improve people's working conditions and to help them work more efficiently
  • ailing: ill/sick and not improving
  • resilient: able to feel better quickly after something unpleasant such as shock, injury, etc
  • splint: material or a device used to protect and prevent a body part from moving
  • viable: that can be done; that will be successful

Pronunciation List:
= tendonitis
= repetitive
= vibrate
= pinpoint
= ergonomic
= ailing
= resilient
= inflammation
= immobilize
= splint
= cortisone
= viable