Hand tendon inflammation

A tendon inflammation of the hand is a reaction of a hand tendon to overuse. The tendon becomes irritated. As a result of this irritation, the tendon swells and becomes painful. Moving and using the hand therefore becomes more difficult.

What causes a tendon inflammation of the hand?

A tendon inflammation of the hand is usually the result of overuse of the hand muscles. The rise of smartphones and other technological developments presents a rapidly increasing risk of hand injuries.

Examples of a tendon inflammation in the hand are a trigger finger and a mallet finger. A trigger finger is originally an inflammation of the tendon tunnel, the tube through which the flexor tendon runs from the hand into the finger. The tendon becomes thickened and passage through the tendon tunnel is hindered. In a mallet finger, the extensor tendon of the fingertip is torn. This causes an inflammatory reaction.

There are many different tendons in the hand that can become inflamed. The tendons that extend and flex the fingers are often involved.

What are the symptoms of a tendon inflammation of the hand?

With a tendon inflammation of the hand, pain is one of the most common signs. This may be accompanied by swelling and/or local redness and warmth. Even if this is not clearly visible or palpable, it may still be present.

In the case of a trigger finger or mallet finger, extension of the finger will also cause problems. Extension will then be jerky or sometimes the finger remains in a flexed position and it is not possible to extend it independently.

How is the diagnosis of a tendon inflammation of the hand made?

A tendon inflammation of the hand is only difficult to recognise in rare cases. Usually the signs are superficial and can be diagnosed well by the GP or physiotherapist. A physical examination, if necessary supplemented with specific hand and/or finger tests, will form a clear picture of the complaints.

In case of doubt, the GP can refer for additional examinations in the hospital. An ultrasound scan will, in all likelihood, provide sufficient additional information for the diagnosis of a tendon inflammation of the hand.

How is a tendon inflammation of the hand treated?

The first treatment goal in a tendon inflammation of the hand is to reduce the signs of inflammation such as pain, swelling, warmth and stiffness. Taking sufficient rest and moving within the pain threshold are of great value here.

A physiotherapist is ideally suited to guide this recovery process. In addition, he or she can be of value with possible treatment options such as massage, taping or frictions of the tendon. In a trigger finger, fitting a (night) splint can give the tendon a little more rest.

If the result is insufficient, there is also the possibility of further treatment by a specialist in the hospital. This might include an injection with anti-inflammatories or an operation.