Tendovaginitis brush - a disease associated with inflammation of the tendon vagina. It is characterized by an intense inflammatory process and severe pain.
Occurs in the area of the foot, knee and elbow joints, but the most common place of failure is the hand. This type of tendovaginitis will be discussed in the article.
Content
- 1Causes
- 2Types of tendovaginitis
- 3Symptoms
- 4Treatment
Causes
The main factors triggering the disease:
- Infections.
- Penetration of pyogenic microflora in the joint.
- Rheumatism, rheumatoid arthritis.
- Tuberculosis, syphilis.
- Violation of tissue trophism (varicose veins).
- Excessive stress on the joint.
- Contusions.
- Monotone work with a hand (in view of the specialty of the profession).
Tendovaginitis of the wrist joint can arise independently or manifest as a complication of various diseases.
Types of tendovaginitis
Among the main types of this disease can be identified the following: crepitating, stenosing, purulent, aseptic.
Cretering- can appear after long loads on the tendon of the hand. Occurs in people whose profession involves the implementation of monotonous movements with a hand (guitarist, violinist, milkmaid, typist, etc.). Because of these movements, traumatization of muscles, tendons and adjacent tissue occurs.
Stenosing- a kind of tendovaginitis, which is manifested due to injuries to the tendons. It is a common trauma in representatives of all professions related to power loads on the hands.
Purulent- a disease that manifests itself as a consequence of getting into the joint of pyogenic bacteria. Among the pathogens can be isolated E. coli, staphylococcus, streptococci.
AsepticTendovaginitis can also occur with the systematic overstrain of a certain group of muscles and with prolonged monotonous movements. There is a post-traumatic (occurs as a result of trauma) and degenerative (with a violation of the structure of the synovial sheath of the tendon sheath) tendovaginitis of the hand.
According to the clinical course, there are two types of tendovaginitis - acute and chronic. Acute occurs due to damage to the tendons. Chronic, however, occurs gradually because of the characteristics of labor or other occupations of man.
According to the degree of development of the disease, three forms can be distinguished:
- primary- accompanied by a small edema in the region of the synovial vagina;
- exudative-serous- more intense effusion accumulated in the synovial vagina, the appearance of swelling;
- chronic stenosing- the appearance of sclerotic changes in the synovial vagina.
Symptoms
Among the main symptoms can be identified:
- pain when flexing / unbending the hand, with pressure;
- swelling, swelling;
- redness of the skin;
- crepitation (creaking sound) - determined by hearing or palpation;
- chills, fever, inflammation of the lymph nodes (symptoms are typical for purulent tenosynovitis);
- weak mobility of the joints (when the disease is transferred to the chronic stage).
Treatment
The methods of treatment of tendovaginitis brush are divided into general and local.
Common methods include the use of antibacterial, immunostimulating, anti-inflammatory, analgesic drugs and vitamins.
Local therapy includes warming and physiotherapy procedures: dimexid electrophoresis, paraffin and ozocerite applications, UHF, application of Rosenthal paste.
With purulent tenosynovitis, surgical intervention in the form of a puncture is required to drain the tendon of the tendon (puncture and removal of accumulated fluid).
The chronic form of tenosynovitis is treated with electrophoresis, applications, massage and physiotherapy exercises.If the inflammatory process does not stop, an introduction to the synovial vagina of antibiotics and non-steroidal anti-inflammatory drugs is indicated.
Crepotensive tendovaginitis is treated with X-ray therapy, usually one or two sessions are prescribed.
Self-massage is successfully used as an auxiliary method of treatment. You need to massage the area above the sick site. Self-massage consists in an alternation of strokes, squeezing and kneading. The procedure is repeated two to three times a day.
To begin to massage a site of a brush it is necessary easy movements, in the subsequent sessions the force of pressing can be gradually increased.
Before you start self-massage you need to consult a doctor.
With the permission of the doctor, one can resort to traditional methods of treatment. These include ointments, compresses, pastes.
Among them - Rosenthal paste, which is often prescribed by a doctor. It can be prepared independently from iodine (30 mg), paraffin, (15 g), wine alcohol (10 g), chloroform (80 g). The ready-made paste is heated and applied to a sore spot, after which it is insulated.
You can prepare a calendula ointment. To do this, take any cream (for example, a baby) and mix it with crushed flowers and marigold grass. Ready ointment can be bought at the pharmacy and used according to the instructions.
There are means that can be consumed inside, for example, a decoction of St. John's wort or chamomile. For its preparation, pour a tablespoon of herbs with a glass of boiling water, let it brew and drink half a glass twice a day.
In the same way brew and use a solution of calendula, with the difference that this herb is just one teaspoon per glass of boiling water.
A good effect is given by compresses, for example, from medical bile. This drug can be purchased at the pharmacy. The bile is impregnated with cheesecloth or soft tissue, then applied to the right place and insulated. Wear a compress should be at least eight hours a day.
Painful sensations will help to remove the infusion of arnica or therapeutic clay. These funds are also available in pharmacies.
Prevention
The main preventive method is to monitor the state of health in general. It is necessary to identify and timely treat infectious diseases, do not forget to periodically visit a doctor for a routine examination.
If you feel that work, accompanied by physical labor, loads or monotonous movements of hands, causes unceasing uncomfortable sensations or pain, it may be worthwhile to think about changing the profession to save health.
Keep the immune system in order, the general tone of the body, do not forget about strengthening physical exercises, give up bad habits.
