Simple ganglion on the back of the wrist and hand is a prevalent condition and, although treatment is notoriously unsatisfactory, diagnosis appears to be transparently satisfactory. These are soft swelling and do not cause pain in early-stage. Therefore, they do occur and remain unrecognized. Another aspect of the wrist chronic flexor tenosynovitis looks similar to tuberculosis. It is known from its name as the compound palmar ganglion and readily diagnosed. Condition on the dorsum and chronic extensor tenosynovitis might seem like a compound dorsal ganglion.
It is, however, rare and its aetiology less clear-cut, while its documentation is relatively scanty. It is therefore not surprising that in some cases, at first, the true nature of the swelling is missed. Chronic tenosynovitis of the wrist is mentioned in standard British textbooks of surgery. It shows a majority of cases the flexor sheaths for tenosynovitis. It also occurs in connexion with the extensor tendons of the dorsum of the wrist or hand. Sometimes, we can find them in the foot and ankle. It might happen anywhere you have muscles and tendons but it is more affected in places like shoulder, upper arm, forearm (biceps), hands and fingers, knee, etc.
The most probable cause of ganglion cysts in herniation hypothesis, are thought to occur as “an out-pouching” of the weakened portion of a tendon sheath or joint capsule. Some of the other common causes include the following reasons:
- Arthritis and inflammatory diseases
- Inflammation of the synovial lining
- Non-gliding movements of the tendons
- Typing and texting
- Impaired thumb function
- Allergic reaction to medications
- Injury in the arteries of fingers and hand
Some significant causes of Ganglions and Tenosynovitis in people are as follows:
- Age: People between the ages of 30 and 50 have the most chances of developing tenosynovitis.
- Sex: Tenosynovitis is more common in women than in men.
- Pregnancy: De Quervain is also associated with pregnancy.
- Being a parent: The movement involves picking up a child and inked to the development of tenosynovitis.
- Occupations and hobbies: Activities like gardening and playing racket involve repetitive movement leading to tenosynovitis.
- Previous injury: Earlier injuries like scar tissue in the wrist also restrict movement in the tendons.
Sign and Symptoms:
Ganglions and tenosynovitis create inflammation of synovial lining. Some of the associated symptoms are:
- Difficulty in moving a joint and pain.
- Swelling in the joint area of the affected region.
- Stickiness or pain in joint.
- Redness along the length of the tendon.
- Pain along the thumb-side of the wrist.
- Catching or clicking when you use it.
- A fluid-filled cyst may occur at the thumb base.
- Pain may radiate up the arm.
Prevention and Treatment:
- Learn how to lift: Take care when you lift things. Do not overly tight grip if it’s heavy and avoid lifting with one arm or with one side of your body.
- Reduce pain and inflammation: Primary treatment for tenosynovitis is to reduce pain and inflammation. Applying a little heat or cold pack can help a low cure. Resting and keeping the tendons undisturbed are some other treatment options.
- Pain relievers: Using non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can also help to relieve pain and reduce inflammation.
- Surgery: If an infection becomes more challenging, surgery is required to drain the pus around the tendon. Surgery helps to relieve the pressure on muscles and gives a conservative result.
- Corticosteroids: Local injections of corticosteroids into the sheath can suppress the inflammation. It is the only option for patients with tenosynovitis caused by non-infectious.
- Splint or removal of brace: The patient will get relief after removal of pair to reduce movement of ganglionic swelling.
- Diagnosis: The doctor will take pictures of the area by using MRI or ultrasound machine for confirmation of causes.
- Postoperative cure: Keep the surgical place clean and dry. Must cover the area with plastic wrap while bathing. Eating a healthy diet and not smoking will promote healing.