Treatment of Wrist Tendonitis
 Description
Tendonitis is a painful condition
that affects the wrist and hand. It happens when a tendon in the
elbow, forearm, or hand becomes irritated. The can cause pain,
burning, discomfort, or tingling in the area or around it. Although
the irritation is often caused by a repetitive motion, it also sometimes
happens without an obvious cause.
Treatments
Mild, temporary cases may improve with resting the hand, avoiding
overuse, and over-the-counter anti-inflammatory medications. If the
symptoms do not disappear, patients may be sent for evaluation by a surgeon
with expertise in hand surgery. In some cases, a steroid injection
is used for relief of the symptoms. However, many patients do not
improve with these injections. The most effective treatment for
tendonitis is surgery to "release" the irritated tendon.
Procedure
Surgery for tendonitis is usually done under local anesthesia,
with an anesthesiologist present to give intravenous sedation. General
anesthesia may also be used based on patient or surgeon's preference.
There is no need for hospitalization. In this procedure, the doctor numbs
the appropriate area, then makes a small incision in the
area of the tendon and releases the swollen area to allow easy movement of
the tendon. The procedure takes about 30 minutes.
 Advantages
Tendonitis release is the most effective way of treating this condition and
ensuring lasting results. Unlike patients treated by medications
or with steroid injections, the symptoms rarely return after surgery.
Recovery
Only a light gauze bandage is used, and no cast or splint is made.
Patients are encouraged to begin using their fingers and hand soon after
surgery. The stitches are removed in the office 3 weeks after the
procedure. Some mild pain and discomfort is common after the
procedure, but it is uncommon to have any serious limitations.
Results
Overall, surgery is very successful, but the results will depend
partly on how long the condition
has existed and how much damage has been done to the tendon before the
operation. For this reason,
it's a good idea to see a doctor early if you think you may have
tendonitis symptoms.
Risks
As in any surgical procedure, there is a risk of complications, including
anesthesia reaction, bleeding, infection, and nerve or tendon injury. The
likelihood of a complication following trigger finger release is very low.
It is very important that your doctor be trained and experienced in hand
surgery techniques.
 
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Reza Momeni, MD, is a Yale trained plastic &
reconstructive surgeon serving the New York & New Jersey metropolitan area.
Dr. Momeni combines medical and surgical experience with honesty, a personal touch, and respect for his patients. He offers
advanced treatment techniques and superior
training in this and many other procedures. This web site describes Dr. Momeni's general opinions, and recommendations.
Since all patients are unique, but must not be
used by readers for treatment without personal consultation. Readers who are not patients
in Dr. Momeni's practice are advised to consult their physicians.
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(908) 277-8759
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