Do You Hand Tendonitis? What are the Symptoms?

Wrist tendonitis is an inflammation of the tendons that attach your forearm muscles to your hand’s bones. It could hurt when lifting things, making a fist, or using your wrists repeatedly.

What exactly is wrist tendinitis?

Tendonitis, also known as wrist tendinitis, is an inflammation of the hard tissues that link the bones in your hand with the muscles in your forearm near the wrist. Your wrist has roughly six tendons that work together to provide you control over your wrist, writing, and fingers. These tendons are susceptible to irritation and wrist discomfort from overuse or injuries like sprains.

De Quervain’s tendinitis is one of the most prevalent wrist tendonitides. The tendons next to your thumb are affected. Ulnar tendinitis, which causes inflammation of the tendons on the pinkie side of your hand, is another condition that can occur.

Who is prone to wrist tendonitis?

Tendinitis is a condition that can affect those who engage in wrist-stressing activities (tendonitis). This ailment, sometimes known as “mommy’s wrist” or de Quervain’s tendinitis, is prevalent in new moms and daycare providers who raise and hold infants for several hours daily.

The following are additional risk factors for wrist tendonitis:

  • Being born with the feminine gender.
  • Being over 40 years old.
  • Having a history of lateral epicondylitis or tendon injuries (pain on the outside of your elbow).
  • Becoming a cake decorator or hair stylist, operating heavy machinery, or using a keyboard all need repetitive wrist motions.
  • Having an ailment like gout, diabetes, osteoarthritis, or rheumatoid arthritis.
  • Possessing certain infections.
  • Playing an activity that puts a lot of stress on your wrists, like basketball or gymnastics.
  • Incorrect arm, wrist, or hand positioning when typing, texting, or performing other tasks.
  • Smoking.
  • Doing a new activity before your wrists have had time to recover.
  • Enduring discomfort as it arises

How prevalent is tendinitis in the wrist?

De Quervain’s tendinitis is an uncommon form of wrist tendonitis. About 0.5% of males and 1.3% of women experience it.

SIGNIFICANCE AND CAUSES

What causes tendinitis in the wrist?

The tendons in your wrist are frequently subjected to repeated tension, which results in wrist tendinitis (tendonitis). Your tendons are surrounded by a tendon sheath, a layer of lubricated tissue. Overuse can irritate the sheath, causing swelling and irritation. As a result, it becomes more difficult for your tendons to pass easily through the sheath, leading to compression on your tendon and painful wrist and finger motions.

What are the signs and symptoms of wrist tendinitis?

Wrist tendonitis symptoms could include:

  • Difficulty completing specific actions, such as opening jars, turning doorknobs, or picking up dogs, young toddlers, or newborns.
  • Feeling of “catching,” “stiffness,” or “popping” when moving your fingers or wrist.
  • Swelling at the base of your fingers or around your wrist.
  • Pain in the wrist, particularly at the thumb or pinkie finger on the side of the wrist.

TESTS AND DIAGNOSIS

How is tendonitis in the wrist diagnosed?

Your doctor will examine you physically and go through your symptoms. To check for swelling or soreness, they may palpate (push) on specific areas of your forearm, wrist, hand, or fingers. Additionally, so they can pinpoint the cause of your discomfort, your healthcare practitioner can ask you to make a fist or rotate your wrist.

Wrist tendinitis (tendonitis) symptoms might occasionally resemble those of other illnesses that affect the wrist and fingers, such as:

  • Your joints will swell and become inflamed painfully if you have arthritis.
  • Compression of a nerve in your wrist, known as carpal tunnel syndrome, can cause tingling and numbness.
  • When tendons get inflamed, it might result in a trigger finger, which keeps your finger locked in a bent posture.
  • Broken wrist bones are referred to as wrist fractures.
  • To rule out certain illnesses, your healthcare professional can request imaging tests like an X-ray, MRI, or ultrasound.

CONTROL AND TREATMENT

How is tendonitis in the wrist treated?

Most patients have wrist tendon pain alleviation after combining many conservative (nonsurgical) therapies. Your doctor could advise you to:

Nonsteroidal anti-inflammatory medicines (NSAIDs) help lessen pain and inflammation. In rare circumstances, your doctor could advise getting steroid injections near the joints in your wrist or fingers.

Occupational or physical therapy: You can get your wrist and fingers’ strength, mobility, and range of motion back with the aid of therapists. Additionally, they may demonstrate how to type and lift items without experiencing wrist pain.

Rest: In most cases, rest is the most effective therapy for wrist tendonitis. Never force yourself to type, move heavy objects, or rotate your wrist while it hurts; these actions will prevent your tendons from healing.

RICE approach: RICE (rest, ice, compression, and elevation) is a home remedy that helps reduce wrist discomfort and swelling. You should freeze your wrist for about 20 minutes every two hours while keeping it raised over your heart. To avoid skin damage, lay a cloth between the ice and your skin.

Splinting: A splint is an immobilizing and stabilizing support that stabilizes and immobilizes your wrist and, occasionally, your fingers. You can use an over-the-counter splint, or your healthcare practitioner may advise a bespoke one.

Will wrist tendinitis (tendonitis) require surgery?

Surgery for wrist tendinitis may be necessary if your symptoms don’t go away after several months of nonsurgical therapies (tendonitis). There are several strategies for wrist tendon surgery; however, the majority include the following:

Separating the tendon sheath from the injured tissue.

Releasing your tendon and allowing it more space to move by making minute incisions in the tendon sheath.

You probably won’t need to spend the night in the hospital after having wrist tendon surgery because it is often performed as an outpatient operation. Local, regional, or general anesthesia are all options. Your wrist will be wrapped or bandaged, and sutures usually fall out within two weeks.

What are the dangers of having surgery for wrist tendinitis?

The treatment of wrist tendonitis is risk-free and unlikely to result in problems. However, it does come with some concerns, such as the following:

  • Infection.
  • Nerve harm.
  • Your wrist or fingers may be uncomfortable or experience “pins and needles.”
  • incomplete or poor wound healing
  • scar tissue development.
  • Subluxation of a tendon (tendon moves out of place).

PREVENTION

How can I avoid developing wrist tendinitis?

Prevention advice for wrist tendon discomfort includes:

  • Avoid overusing the tendons in your hand or wrist.
  • Give up smoking.
  • Be sure to warm up your wrists before any exercise.
  • Take frequent pauses if you type a lot or engage in other activities that stress your wrists.
  • Use a wrist brace or splint for protection if your doctor advises it.

PERSPECTIVE / PROGNOSIS

How likely is it that someone with wrist tendonitis will recover?

Most patients respond to therapy quite well and don’t experience any long-term discomfort or wrist injury. Physical or occupational therapy might help you regain wrist strength and mobility once it has healed. Therapists can also demonstrate how to go on with your favorite hobbies while putting less pressure on your wrists.

You are more prone to damage the tendon again after a previous injury. Pay extra attention to protecting your wrists when engaging in repeated motions, such as playing sports. Most crucial, don’t endure discomfort. Listen to your body when it communicates with you via pain.

Living with Tendonitis:

What time should I call my doctor?

If you:

  • Unable to move your fingers or wrist.
  • Cannot grab anything or create a fist.
  • You frequently misplace the things you’re holding.
  • Have sharp, abrupt pain in your fingers, wrist, or hand.
  • Observe any swelling or discoloration of the skin near your wrist.

Cleveland Clinic’s statement

Inflammation in the tendons that join your lower arm to the bones in your fingers is known as wrist tendinitis (tendonitis). It might hurt when you hold and raise items, move your wrist or fingers, or have the condition. Rest, drugs, injections, or splinting are often effective treatments for wrist tendon discomfort. However, some people require surgery. Make frequent breaks to relax and extend your wrists if your profession or activity requires repeated wrist motions. Speak with your healthcare practitioner to get the correct diagnosis and treatments.

Resources

5 Common Golf Injuries and How to Prevent Them. https://nyboneandjoint.com/blog/5-common-golf-injuries-and-how-to-prevent-them/

Wrist Bursitis: Causes, Symptoms, Treatment & Prevention – pt Health. https://www.pthealth.ca/conditions/bursitis/wrist-bursitis/

PRIMARY MYELOFIBROSIS (PMF) – MPN Research Foundation. https://www.mpnresearchfoundation.org/primary-myelofibrosis-pmf/

5 Common Golf Injuries and How to Prevent Them. https://nyboneandjoint.com/blog/5-common-golf-injuries-and-how-to-prevent-them/