Tendinitis of the Wrist Information

Tendinitis of the Wrist Information

 

Tendinitis is irritation and inflammation to one or more of the extensor or flexor tendons that pass the wrist.

 

Symptoms Of Wrist Tendinitis

*Tenderness and pain at the back or front of the wrist (depending on which tendons are affected).
* Wrist range of motion may be limited, as well as the finger or thumb that the affected tendons extend into.
* Pain may be more intense when bending the wrist.
* Localized swelling and redness.
* The area may be warm to touch.

 

 

 

 

 

 

Tendinitis of the Wrist

 

The wrist tendons are among those most frequently injured. Even when the body is at rest from work and exercise activities, our wrists are often still being used in leisure activities - from handling a remote control or picking up drink to operating hand-held games. There are several important tendons crossing the wrist. When one or more of these tendons become irritated and inflamed, it’s called tendinitis of the wrist.

Anatomy As It Relates To The Wrist

Tendons are bands of strong, smooth, and elastic fibers. They attach muscle to bone. As you activate your muscle, it pulls upon its side of the tendon, thereby transferring the force from the muscle to the bone side of the ligament to produce the desired movement.

The tendons crossing the wrist actually begin as part of the forearm muscle fibers and extend into the fingers and thumbs of the hand. The tendons crossing the palm side of the wrist are called the flexor tendons, as they serve to bend the wrist and curl the fingers and thumbs toward the palm of the hand. These tendons are held in place by the transverse carpal ligament, thereby preventing the tendons from bowing outwardly when the fingers, thumb, or wrist are flexed. There are also tendons that superficially cross the back of the wrist. These are called the extensor tendons and they have a tendon sheath (membrane surrounding the tendon) at the wrist area. The extensor tendons travel through a series of tunnel-like compartments at the wrist. These compartments are lined with a lubricating substance called tenosynovium. The slippery substance helps the extensor tendons smoothly glide through their compartment as they are pulled back and forth.

What Is Tendinitis Of The Wrist?

Tendinitis is irritation and inflammation to one or more of the extensor or flexor tendons that pass the wrist. Note that when a tendons’ sheath is also inflamed, then the term tenosynovitis is used. The most common forms are:

1. De Quervain's Tenosynovitis
2. Intersection Syndrome
3. Flexor Carpi Radialis (FCR) Tendonitis
4. Flexor Carpi Ulnaris (FCU) Tendonitis

What Causes Tendinitis Of The Wrist?

Inflammation is a localized response when tissue in the body is injured. Tendinitis of the wrist may occasionally be due to a sudden direct trauma to the wrist, such as a blow to the wrist during a fall, vehicle accident, or otherwise direct blow. However, the inflammation is most often the result of prolonged and/or forceful wrist motion that causes a mechanical stress greater than the tendon can withstand. This produces tiny microscopic injuries or fraying to the tendon and causes it to be become inflamed. The tendons in the wrist may also become irritated if they are compressed as they pass over bone or if their already tight compartment spaces further narrows. Irritation and inflammation can also be caused if the lubricating system malfunctions and leaves the tendons subject to friction as they pass through their compartments.

Of course, with prolonged and frequent episodes of tendon inflammation, the tendon may become less elastic, thickened, and irregularly shaped. These structural changes further contribute to the tendinitis and tenosynovitis.

Certain occupations, such as assembly line work or manufacturing; certain activities, such as playing the piano, knitting and gardening; and certain sports that involve throwing, catching or griping, such as baseball, bowling, and racquet sports involve repetitive wrist motions and increase the risk of developing wrist tendinitis.

 

Strengthening Exercises

These Wrist Exercises are ideal to build strength and flexibility.

Massage Treatment

These Wrist Massage Techniques are of great value in pain relief; circulation stimulation; dispersing blood and fluid accumulations; swelling reduction; and relaxing muscle spasms, especially when used alongside the Sinew Therapeutics liniments and soaks.

 

ACUTE STAGE SYMPTOMS AND TREATMENT

 

This stage is characterized by swelling, redness, pain, and possibly a local sensation of heat, indicating inflammation. If coolness makes your pain feel better, then the Acute Stage Treatment is recommended.

 

ACUTE STAGE SYMPTOMS:

 

The acute stage starts the moment an injury occurs and lasts until the swelling and inflammation are gone. The swelling is the result of the blockage of blood, tissue fluids and circulation in the wrist because their normal movement has been disrupted by the force of the injury. Just like cars back up behind a traffic jam, causing congestion, exhaust and overheating; blood and fluids back up behind the injured wrist, causing pain, inflammation, lumps and swelling.

The sensation of heat is due to the warming action of the blood and fluids overheating in the injured wrist as they back up and accumulate. Stiffness and decreased mobility are due to spasms in tendons and ligaments that have contracted reflexively beyond their normal range from the impact of the injury.

As ligaments and tendons stretch and tear, blood from ruptured blood vessels becomes trapped in the local tissues. As the trapped blood clots up, it sticks the tissues together creating adhesions. Adhesions cause pain, inflammation and restricted movement because the layers of tissue that used to slide smoothly across one another now adhere and snap which interferes with normal functioning. It is essential to break up clotted blood as quickly as possible to prevent adhesions and scar tissue from forming.

During the acute stage it is very important to restore normal circulation to the wrist, break up clotted blood and stagnant fluids, reduce swelling, and reduce the redness and heat associated with inflammation. By restoring the flow of blood, fluids, and circulation in the wrist, then pain is relieved, damaged tissues can regenerate with healthy functional tissue, and the wrist can strengthen and regain it's mobility.

 

ACUTE STAGE TREATMENT:

 

1. Apply the Sinew Herbal Ice on your wrist to reduce redness, swelling, and inflammation while dispersing accumulated blood and fluids to help restore normal circulation to the wrist. This first-aid treatment is used in place of ice to significantly speed up the healing process. It reduces the swelling and inflammation more effectively than ice, allowing you to more quickly regain range of motion. Acute Sinew Liniment can be used in-between applications.

Ice is not recommended because it does not help repair damaged tissues and keeps everything in the injured area frozen, causing the stagnation of blood and fluids and the contraction of muscles, tendons and ligaments. In Chinese sports medicine ice is not used and is considered a culprit in injuries that donít heal well.

2. Massage your wrist with Acute Sinew Liniment to relieve pain, reduce swelling and inflammation, break up clotted blood and stagnant fluids, and stimulate circulation of blood and fluids to help cells quickly repair damaged tissues. Sinew Herbal Ice can be used in-between applications.

3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.

 

 

CHRONIC STAGE SYMPTOMS AND TREATMENT

 

This stage begins once the swelling and inflammation are gone, but you still feel pain, stiffness, weakness, and/or sensitivity in cold and damp weather. If heat makes your pain feel better, then the Chronic Stage Treatment is recommended.


CHRONIC STAGE SYMPTOMS:

 

The chronic stage begins once the swelling and inflammation are gone, but you still feel aching pain and stiffness. This is because there are still accumulations of stagnant blood and fluids in your wrist that are blocking circulation and blood supply to damaged tissues, creating residual pain, stiffness and weakness. You may actually feel hard nodules like sand in the tissue, indicating accumulation, calcification, and adhesions, which all cause pain, stiffness, and joint instability.

Your wrist may feel more sensitive to the cold and ache in cold and damp weather due to impaired circulation. When you move your wrist you may hear a clicking or popping sound from the tendons and ligaments slipping very slightly in and out of their natural alignment indicating weakness and joint instability, causing chronic pain and a cycle of reinjury. These symptoms are often the result of failure to treat the injury properly from the outset and overicing.

Increasing circulation and blood supply to the damaged tissues is very important in treating chronic injuries because tendons and ligaments do not have an extensive direct supply of blood. That is why chronic injuries can be slow to heal. Increasing local circulation also prevents cold and dampness from penetrating the injured area, preventing pain and stiffness.

During the chronic stage it is very important to break up remaining accumulations of blood and fluids, and increase circulation and blood supply to the damaged tissues. By increasing circulation and blood flow in the wrist, then pain and stiffness is relieved, and the tendons and ligaments can strengthen to restore stability.


CHRONIC STAGE TREATMENT:

 

1. Massage your wrist with Chronic Sinew Liniment to relieve pain and stiffness, strongly stimulate circulation and blood flow to damaged tissues, and promote the healing of overstretched tendons and ligaments. The Sinew Relaxing Soak can be used in-between applications.

2. Soak your wrist with the Sinew Relaxing Soak to relax muscles and tendons that are in spasm, ease joint pain and stiffness, and improve range of motion. The Sinew Relaxing Soak is particularly useful if you feel restricted mobility in your wrist. Chronic Sinew Liniment can be used in-between applications.

3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.