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Tenosynovitis: Symptoms and possible causes of the disease that causes a lot of pain

De Quervain’s tenosynovitis is a condition that’s more common in women, especially those over age 40. Hormonal changes during menopause and pregnancy can increase the risk, often due to fluid retention that leads to swelling and tendon stiffness.

Main Symptoms to Watch For

The most frequent symptoms include:

  • Pain along the path of the affected tendon

  • Swelling near the tendon

  • Difficulty moving the affected area as usual

  • Pain with movement

  • Discoloration (often a straight line) along the tendon

Symptoms usually develop gradually and often affect areas that are more prone to injury—such as the hands, feet, or wrists—but any tendon in the body, including those in the shoulder, knee, or elbow, can be affected.

What Causes Tenosynovitis?

Common causes include:

  • Autoimmune diseases: Conditions where the immune system attacks the body’s own tissues can damage the synovial membrane around tendons.

  • Overuse: Repeating the same movement for a long time (overuse syndrome) can lead to tendon irritation and inflammation.

  • Infections: Some infections can spread to the synovial membrane, causing infectious tenosynovitis.

  • Trauma: Injuries or accidents that damage tendons or surrounding tissue.

Management and Treatment Options

Treatment for tenosynovitis depends on the underlying cause and the severity of your symptoms. Options include:

  • Resting and avoiding activities that triggered the condition

  • Wearing a brace or splint to relieve stress on the tendon

  • Applying heat or cold packs to ease pain or inflammation

  • Steroids (oral or injected) to reduce inflammation

  • Hand therapy to decrease swelling and improve movement

  • Surgery if an infection is involved or if tightness restricts tendon movement

Your healthcare provider will recommend the best treatment plan based on your specific symptoms and situation.

Sometimes, small changes or early treatment can help you get back to your normal routine—just like that.

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