Treating Hand & Joint Inflammation:

Tenosynovitis, Epicondylitis, Bursitis & More

Hand and joint inflammation can significantly impact daily activities and quality of life. Early recognition of symptoms and proper medical intervention can help prevent long-term complications and chronic pain conditions.

At Macomb Hand Surgery, Dr. Uzma Rehman routinely treats patients suffering from various inflammatory conditions affecting the hand, wrist, and arm. But while many people have heard the term “bursitis” used as a catch all term for inflammation of the joints, tenosynovitis and epicondylitis are also inflammatory conditions of the joints in the hand and arm.

Understanding these conditions and their proper treatment is crucial for optimal outcomes and preventing chronic problems.

Joint Inflammation: Tenosynovitis

Tenosynovitis occurs when the protective sheath surrounding tendons becomes inflamed. This condition commonly affects the wrist and fingers, particularly in De Quervain’s tenosynovitis, which impacts the thumb side of the wrist. According to recent medical studies, this condition affects women eight to ten times more frequently than men.

The inflammation often results from repetitive movements or overuse, such as extensive smartphone use or computer work. Symptoms typically include pain, swelling, and difficulty moving the affected joint. Dr. Rehman employs various diagnostic techniques, including physical examination and ultrasound imaging, to confirm the diagnosis and assess severity.

Treatment for tenosynovitis typically begins with conservative measures such as rest, ice, and anti-inflammatory medications. Custom splinting helps reduce tendon irritation while maintaining function. More severe cases may benefit from corticosteroid injections or, in persistent cases, minimally invasive surgical intervention.

Joint Inflammation: Epicondylitis

Epicondylitis, whether lateral (tennis elbow) or medial (golfer’s elbow), represents a common form of tendon inflammation affecting the elbow. Despite its names, these conditions frequently occur in non-athletes, particularly those whose work involves repetitive arm movements.

Recent research indicates that epicondylitis affects approximately 1-3% of the general population. The condition develops when tendons attaching to the epicondyles become damaged and inflamed from overuse or improper mechanics. Early intervention significantly improves outcomes and prevents chronic tendon degeneration.

Dr. Rehman’s comprehensive treatment approach includes activity modification, specialized exercises, physical therapy, and when appropriate, advanced treatment modalities. This multi-modal approach helps ensure optimal healing and prevention of recurrence.

Joint Inflammation: Bursitis

Bursitis refers specifically to inflammation of the small fluid-filled sacs (bursae) that cushion joints, tendons, and muscles. Bursitis is commonly found in the hands, and in the upper extremity, this condition commonly affects the elbow and shoulder. Occupational activities requiring prolonged pressure on joints or repetitive movements often contribute to its development.

Bursitis typically causes pain, swelling, and reduced range of motion in affected joints. Dr. Rehman’s diagnostic approach includes careful physical examination and, when necessary, imaging studies to rule out other conditions. Early treatment helps prevent chronic inflammation and joint damage.

Treatment options range from conservative measures like rest and ice to more advanced interventions such as corticosteroid injections. Dr. Rehman also emphasizes prevention through proper ergonomics and activity modification to reduce future episodes.

Other Common Inflammatory Conditions

Carpal tunnel syndrome, while primarily a nerve compression disorder, often involves significant inflammation of surrounding tissues. This condition affects up to 5% of the adult population, with higher prevalence in women and certain occupational groups.

Trigger finger (stenosing tenosynovitis) represents another common inflammatory condition where tendon sheaths in the fingers become constricted, causing catching or locking of the affected digit. Early treatment can prevent progression and the need for surgical intervention.

Dr. Rehman also treats inflammatory arthritis conditions affecting the hands and wrists, working closely with rheumatologists when systemic treatment is needed. This collaborative approach ensures comprehensive care for complex cases.

Preventing & Managing Joint Inflammation

Preventing inflammatory conditions of the joints involves proper ergonomics, regular stretching, and especially paying attention to early symptoms. Dr. Rehman provides detailed guidance on workplace modifications and activity adjustments to reduce risk factors for these conditions.

Long-term management of joint inflammation often requires a combination of approaches, including regular exercise, proper body mechanics, medication, physical therapy, and periodic check-ups to monitor condition progression. Patient education plays a crucial role in preventing recurrence and maintaining optimal joint function.

If you’re experiencing symptoms of hand or joint inflammation, seeking early evaluation and treatment is crucial. Dr. Rehman’s expertise in diagnosing and treating these conditions can help prevent chronic problems and maintain optimal hand function. Contact Macomb Hand Surgery today to schedule a consultation and begin your journey to recovery.

Joint Inflammation Specialist | Macomb Hand Surgery

If you are suffering from an injury or pain in your fingers, wrist, elbow or arm, contact board certified hand surgeon Doctor Rehman for a comprehensive evaluation and consultation. When it comes to joint inflammation, early detection, awareness, and a prevention or treatment plan is the most effective way to alleviate pain, improve joint function, and prevent long term damage or complications including loss if mobility.

Doctor Rehman will assess your individual situation, and prescribe the treatments that are best for your condition.

Macomb Joint Inflammation Specialist: 248.940.5233