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My right shoulder hurts all the time. Is it tenosynovitis?
Yes, as long as the right medicine is prescribed, it will be fine! Hello! First of all, I wish you a speedy recovery! Let me tell you about tenosynovitis. Tendon sheath is a double-layer sleeve-like closed sliding membrane tube covering the tendon, which is the synovial sheath that protects the tendon. It is wrapped around the tendon in two layers, and a cavity between the two layers is synovial cavity, which contains synovial fluid of tendon sheath. The inner layer is close to the tendon, and the outer layer is lined in the tendon fiber sheath, which is combined with the bone surface to fix, protect and lubricate the tendon from friction or oppression. Tendon sheath has the function of maintaining normal flexion and extension of fingers and tendon sliding. When the hand is fixed in a certain position and repeatedly moves excessively, friction often occurs between tendon and tendon sheath, resulting in edema and fibrosis, causing lumen stenosis. Because the tendon moves in the tendon sheath, its path is narrow, which leads to pain and dyskinesia. This is tenosynovitis, also known as stenosing tenosynovitis. 2) Tenosynovitis can be treated by hyperthermia, massage and full rest for about 3 weeks, especially by reducing physical labor that causes the disease. Local blocking therapy can relieve tenosynovitis at an early stage, with weekly blocking 1 time. When the above treatment fails or recurs, tendon sheath incision should be done and finger flexion and extension exercise should be done early after operation to prevent tendon adhesion. Manual labor was avoided within 1 month after operation. 1. Reduce finger movements at an early stage, so that the local area can have a rest. 2. Both massage and acupuncture have certain curative effects. 3. Injecting 0.25ml hydrocortisone acetate, triamcinolone acetonide acetate or prednisolone acetate into the tendon sheath for local blocking has a good effect. 4. Take non-steroidal anti-inflammatory drugs, such as aspirin and ibuprofen, to relieve inflammation and pain. But don't use paracetamol. This anti-inflammatory drug is suitable for headaches. 5. The highly effective therapeutic drugs are bone peptide tablets and Gucining tablets. 6. For those who have a long course of disease and recurrent attacks, and the above treatment is ineffective, the narrow tendon sheath can be cut in parallel and partially removed, so that the tendon sheath no longer squeezes the tendon, which can achieve the goal of radical cure. 3) Family treatment measures 1. Wash your hands with warm water form the habit of washing your hands with warm water after work. It is not advisable to use cold water, exercise your hands in time and massage yourself. If you have this disease, it is important to treat it as early as possible so as not to delay it into a chronic disease. 2. Turn your wrist When the stabbing pain begins, you can do some gentle hand movements to relieve the pain. Turning the wrist is one of the simple exercises. Turn your wrist for about 2 minutes. It can exercise all muscles of the wrist, restore blood circulation, and eliminate wrist bending posture that often causes wrist pain and other symptoms. 3. Raise your arm, raise your hand over your head, and rotate your wrist while rotating your arm. This helps your shoulders, neck and upper back to adjust their positions and relieve stress and tension. 4. Take a break while rotating your head, put your hands on the table and rotate your head for 2 minutes. Bend your neck forward and backward, point your head at your shoulders, twist your neck, and look at your left and right shoulders. It is important to exercise regularly and relax all sore muscles every day, even if you don't feel pain. The local exercises mentioned above should be practiced at least 4 times a day. 6. Ice can reduce swelling. Don't apply a hot compress bag to your wrist to avoid the swelling area expanding. 7. Raise your hands at rest and avoid putting your hands under your shoulders. Support your elbow with a desktop, or lean your elbow against the handle of the chair. Hands up. This is a good rest posture. 8. Do a fist exercise. Hold your fist gently, then open and straighten your fingers. Repeated practice like this helps to relieve the sting. 9. Avoid sagging arms. When sleeping, keep your arms close to your body and your wrists not bent. If you let your hands hang over the bed, it will increase the pressure on your hands. 10. Use tools carefully. When using tools, don't concentrate pressure on the root of your wrist. Try to use elbows and shoulders. 1 1. Eat more fruits and vegetables, such as rape, green vegetables and celery, and eat more foods rich in protein and calcium, such as lean meat, chicken, eggs and soybean milk. You can eat some oranges, apples, pears and hawthorn to supplement vitamins and balance nutrition. 12. According to the product label, vitamin B6 (a VB nutrient) is helpful to relieve wrist pain. 4) Prescriptions and remedies 1. Take 50 grams of Eupolyphaga Seu Steleophaga, 35 grams of Pinellia ternata, 5 grams of safflower/kloc-0, and 0 grams of scorpion/kloc-0. Grind into fine powder, soak in rice wine for 2 weeks, and apply to the affected area, with local fever as the degree. This recipe promotes blood circulation and detumescence. Suitable for tenosynovitis. 2. 25g of Saccharomyces cerevisiae, 20g of Trichosanthes kirilowii root and pangolin scales, 0/5g of Bupleurum chinense, 0/5g of Angelica sinensis, 0/5g of Glycyrrhiza uralensis Fisch. Decoct with water. This recipe promotes blood circulation, removes blood stasis, reduces swelling and relieves pain. Suitable for tenosynovitis. 5) Ointment+Baking First, clean and dry the affected area with hot water, paste an ointment (such as Shangshi Zhitong Ointment and Musk Zhuanggu Ointment) with functions of relaxing tendons and promoting blood circulation, and bake it with an infrared lamp immediately. Change the ointment 1 time every day, bake for 30 minutes each time, and now bake at a discount. The intensity and position of the infrared lamp can be adjusted at will, so that it can bear heat without burning. After 3-4 months of treatment, tenosynovitis can be cured. 6) Pay attention to danger signals. Wrist and hand pain is not entirely the result of tenosynovitis, but may also be a sign of more serious diseases. When exercising your wrist, be careful if there is a crack. This is not a sign of tenosynovitis, but it may be a symptom of arthritis. Should be examined by a doctor. Love tip: please consult the local regular Chinese medicine hospital for the above prescriptions, and select the prescriptions according to their own physiological characteristics and different pathological changes.