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What is hand tendinopathy?
Hand tendinopathy refers to the inflammation, irritation, or degeneration of tendons in the hand, leading to pain, stiffness, and reduced function. Tendons are the fibrous tissues that connect muscles to bones, allowing movement and flexibility. When these tendons are overused, injured, or strained, they can develop tendinopathy.
This condition commonly affects individuals who engage in repetitive hand movements, athletes, or those with underlying health conditions that affect tendon health.
Types of hand tendinopathy
Hand tendinopathy can manifest in different forms, depending on the affected tendon and underlying causes. The main types include:
- De quervain’s tenosynovitis: Inflammation of the tendons at the base of the thumb, causing pain and swelling. Commonly seen in new parents, gamers, and those performing repetitive thumb movements.
- Trigger finger (Stenosing Tenosynovitis): A condition where a finger becomes stuck in a bent position and may snap when straightened. Caused by inflammation and narrowing of the tendon sheath.
- Extensor tendinopathy: Affects the tendons responsible for straightening the fingers and wrist. Often results from overuse or strain during activities like typing or playing musical instruments.
- Flexor tendinopathy: Involves the tendons that bend the fingers and wrist. Commonly caused by repetitive gripping or heavy lifting.
- Intersection syndrome: Involves pain and inflammation where the tendons of the wrist intersect. Typically seen in rowers, weightlifters, and individuals performing repetitive wrist movements.
- Tendinopathy associated with rheumatoid arthritis: Chronic inflammation in individuals with rheumatoid arthritis can lead to tendon damage and pain in the hand.
Symptoms of hand tendinopathy
Hand tendinopathy symptoms can vary in severity and often worsen with continued use of the affected hand. Common symptoms include:
- Pain: Aching or sharp pain in the affected tendon, often worsening with movement.
- Stiffness: Reduced range of motion and difficulty performing tasks requiring fine motor skills.
- Swelling: Visible swelling or tenderness over the affected area.
- Weakness: Difficulty gripping objects or performing strength-dependent tasks.
- Clicking or Popping: Sensation of snapping or popping during movement.
Causes of hand tendinopathy
Several factors can contribute to hand tendinopathy, including:
- Repetitive activities: Overuse from activities like typing, sewing, or playing musical instruments.
- Injuries: Direct trauma or sudden strain to the hand or wrist.
- Medical conditions: Conditions such as rheumatoid arthritis, diabetes, or thyroid disorders that affect tendon health.
- Aging: Natural wear and tear on tendons as part of the aging process.
- Improper ergonomics: Poor posture or incorrect hand positioning during repetitive tasks.
- Occupational risks: Jobs requiring repetitive hand motions or heavy lifting.
Risk factors for hand tendinopathy
- Occupations involving repetitive hand movements or heavy manual labor.
- Sports activities that involve gripping or wrist motion, such as tennis or rowing.
- Medical conditions like diabetes or rheumatoid arthritis.
- Aging, which leads to decreased tendon elasticity.
- Improper ergonomics or poor posture during work or activities.
How is hand tendinopathy diagnosed?
Accurate diagnosis is essential for effective treatment. The diagnostic process includes:
- Medical history: The doctor will discuss your symptoms, lifestyle, occupation, and any recent injuries to understand potential causes of the condition.
- Physical examination: A thorough examination of the hand and wrist to check for pain, tenderness, swelling, stiffness, and weakness. The doctor may ask you to perform specific movements to assess tendon function and identify areas of discomfort.
- Imaging tests
- X-rays: Used to rule out fractures, arthritis, or other bone-related conditions that may mimic tendinopathy symptoms.
- Ultrasound: Provides detailed images of soft tissues, including tendons, to detect inflammation, tears, or thickening.
- MRI (Magnetic Resonance Imaging): Offers high-resolution images to assess the extent of tendon damage, particularly in complex or severe cases.
- X-rays: Used to rule out fractures, arthritis, or other bone-related conditions that may mimic tendinopathy symptoms.
Hand tendinopathy treatment in Ahmedabad
Non-surgical treatments
a. Rest & Activity modification: Helps reduce inflammation and prevent further damage by avoiding repetitive or strenuous activities.
- Cons: Prolonged inactivity may lead to stiffness and muscle weakness if not balanced with gradual rehabilitation.
b. Splinting or Bracing: Provides support to the affected tendon, reduces strain, and allows healing.
- Cons: Extended use may lead to dependency or reduced mobility in the hand.
c. Physical therapy: Includes exercises tailored to improve strength, flexibility, and overall function of the affected tendons.
- Cons: Progress may be slow, and some exercises can initially increase discomfort.
d. Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroid injections can provide pain relief and reduce swelling.
- Cons: Long-term use of NSAIDs may lead to gastrointestinal issues, and repeated corticosteroid injections can weaken tendons over time.
e. Cold & Heat therapy: Alternating cold packs and heat application can relieve pain, reduce swelling, and improve blood circulation.
- Cons: Temporary relief only; does not address underlying tendon damage.
While these non-surgical treatments can provide relief and support healing, they often serve as temporary measures. For chronic or severe cases of hand tendinopathy, surgical treatment may be necessary to achieve long-term improvement.
Surgical treatments
If non-surgical methods fail to provide relief, surgical intervention may be considered to repair or release the affected tendon. Surgical options include:
a. Tendon repair surgery
- Overview: This procedure involves repairing tendons that have been torn or significantly damaged. The surgeon will carefully suture the tendon back together to restore its integrity and function.
- Procedure: The surgery is performed under local or general anesthesia, depending on the extent of the damage. The surgeon may use fine sutures to reconnect the tendon ends and, in some cases, reinforce the repair with grafts.
- Recovery: Post-surgery, the patient will undergo a rehabilitation program, including physical therapy, to regain strength and flexibility.
b. Tendon release surgery
- Overview: This surgery aims to relieve pressure on the affected tendon by releasing or cutting the constricted sheath surrounding it.
- Procedure: Under anesthesia, the surgeon makes a small incision over the affected area and carefully releases the tightened sheath or scar tissue impinging on the tendon.
- Benefits: This procedure helps improve tendon movement and reduce pain, especially in cases like trigger finger or De Quervain’s tenosynovitis.
- Recovery: Patients typically experience significant symptom relief and can resume light activities within a few weeks, with complete recovery taking several months.
c. Arthroscopic surgery
- Overview: A minimally invasive technique that uses a small camera (arthroscope) and specialized instruments to address tendon damage or inflammation.
- Procedure: Small incisions are made around the affected area, and the arthroscope is inserted to provide a clear view of the tendons. The surgeon removes damaged tissue, repairs the tendon, or relieves inflammation.
- Benefits: Minimal scarring, shorter recovery time, and reduced risk of complications compared to open surgery.
- Recovery: Most patients recover faster than with traditional surgical methods, with physical therapy aiding in restoring full function.
Recovery after treatment
Recovery depends on the severity of the condition and the chosen treatment. Post-treatment care often includes:
- Gradual resumption of activities with proper ergonomics.
- Physical therapy to restore strength and flexibility.
- Regular follow-ups to monitor progress.
Prevention of hand tendinopathy
- Ergonomics: Maintain proper posture and hand positioning.
- Frequent breaks: Avoid prolonged repetitive activities without rest.
- Hand exercises: Regular stretching and strengthening exercises.
- Protective gear: Use gloves or braces during activities that strain the hands.
- Healthy lifestyle: Manage medical conditions like diabetes and maintain overall health.
What makes us the best hospital for hand tendinopathy treatment in Ahmedabad?
We are dedicated to providing exceptional care for hand tendinopathy and other hand-related conditions. Here’s why we are the top choice for patients seeking expert treatment in Ahmedabad:
Expertise of Dr. Karn Maheshwari
He is a highly skilled hand & wrist surgeon specialized in treating hand tendinopathy. His specialized knowledge ensures that you receive the most effective treatment tailored to your individual needs.
Personalized treatment plans
We believe that no two patients are the same. Dr. Maheshwari tailors each treatment plan based on your specific symptoms, lifestyle, and preferences, ensuring you get the most effective and least invasive care possible.
Minimally invasive surgery
When surgery is necessary, we use the latest techniques to reduce scarring, shorten recovery times, and get you back to your daily activities faster.
Comprehensive physiotherapy
Our in-house physiotherapy team, led by Dr. Maheshwari, provides targeted rehabilitation exercises post-surgery to ensure optimal recovery and restore hand function as quickly as possible.
State-of-the-art facility
Our hospital is equipped with modern medical technologies, ensuring precise diagnostics and advanced treatment options for every patient.
Patient-centric care
From your first consultation to your follow-up care, our team is dedicated to providing a comfortable, compassionate experience. We prioritize open communication, answering all your questions and keeping you informed every step of the way.
Awards & Achievements
What our patients say about their hand tendinopathy treatment
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FAQs about hand tendinopathy
We offer comprehensive services for hand tendinopathy, including diagnosis, non-surgical treatments like physical therapy, ice therapy, and medication, as well as advanced surgical procedures for severe cases. Our goal is to alleviate pain, restore function, and enhance quality of life for our patients.
You can schedule an appointment by calling our hospital directly or booking online through our website. Our team is ready to assist you in setting up your consultation and answering any preliminary questions.
During your initial consultation, Dr. Karn Maheshwari will conduct a detailed assessment, including a physical examination and review of your medical history. Depending on your symptoms, additional diagnostic tests like X-rays or MRIs may be recommended to confirm the diagnosis and develop a personalized treatment plan.
Please bring any relevant medical records, previous imaging reports (if available), and a list of current medications. It would also be helpful to mention any recent hand injuries or repetitive activities that could have contributed to your symptoms.
Yes, we accept various insurance plans. Please contact your insurance provider to confirm the coverage details for consultations, diagnostic tests, and treatment options related to hand tendinopathy.
Recovery time depends on the severity of the condition and the treatment approach. For mild cases treated with physical therapy and rest, recovery may take a few weeks. Surgical interventions may require a longer recovery period, with full rehabilitation usually occurring within a few months.
Yes, physiotherapy plays a key role in the treatment of hand tendinopathy. Our physiotherapists design customized rehabilitation programs to improve strength, flexibility, and function, ensuring optimal recovery and long-term tendon health.
For many patients, non-surgical treatments such as physical therapy or splinting can begin immediately. However, surgical procedures require additional planning and scheduling, so these would be performed at a later date.
Wait times for surgery depend on factors such as the complexity of the case and the availability of our surgical team. We will provide you with a clear timeline during your consultation so you know when to expect the procedure.
We offer a range of diagnostic tests, including physical examinations, X-rays, ultrasounds, and MRIs, to accurately assess the condition of your tendons and tailor your treatment plan accordingly.
It is generally advised to avoid smoking, alcohol consumption, and blood-thinning medications before surgery, as these factors can affect healing. Our surgical team will provide you with detailed pre-operative instructions to ensure a smooth and successful procedure.
We prioritize patient safety by following strict surgical protocols, including pre-operative assessments, sterile techniques, and continuous monitoring during and after surgery. Our experienced team ensures that all procedures are performed with the utmost care to minimize risks and achieve the best outcomes.
Most hand tendinopathy surgeries are performed on an outpatient basis, allowing you to return home the same day. However, in more complex cases or if you require additional monitoring, an overnight stay may be recommended for your safety and comfort.
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