How Do I Treat a Swollen Wrist?

Wrist tendon sheath cyst is a kind of swelling, which refers to a benign mass containing jelly-like mucus that occurs near the joint capsule or tendon sheath. It is mostly single-room or multi-room. Tendon sheath cysts are not cancerous and will not spread, although they may expand in size, they will not spread to other parts of the body. The symptoms of wrist tendon sheath cysts are obvious, and there will be a slight soreness in the affected area. When the cyst fluid becomes more, it will become hard and tender. If the affected area is on the wrist, it will also be accompanied by wrist weakness, discomfort or soreness, radiation pain, and if it is severe, it will cause certain functional dysfunction.

Western Medicine Name: Wrist tendon sheath cyst
English name: Thumb tenosynovitis
Affiliated Department: Surgery-Orthopedics
Disease site: Wrist, elbow

The main symptoms: Flexion and extension dysfunction
Main cause: Injury, excessive strain, osteoarthritis, infection
Contagious: Non-contagious
Whether to enter health insurance: Yes

Causes of wrist tendon sheath cyst disease

The cause is unknown. The main reason is that the connective tissue on the joint capsule, ligaments, and tendon sheaths is related to local malnutrition, degenerative mucus degeneration, or local chronic strain. Its clinical manifestations are mainly hemispherical masses ranging from wrist beans to thumbs, which appear on the back of the wrist, the palms of the wrists, the elbows, or the back of the feet. They are firm, elastic, fixed base, and tender.

Clinical features of wrist tendon sheath cyst

The disease most often occurs on the dorsal side of the wrist, followed by the radial side of the palmar surface of the wrist, and can also occur on the palms, fingers, elbows, and back of the feet. A few occur near the knees and elbows; more commonly in young and middle-aged people There are more women than men; most occur gradually or occasionally and grow slowly. Very few cases,

Wrist tendon sheath cyst Cysts can be absorbed by themselves, but for a long time. Most cases were treated non-surgically, with good results. Very few cases require surgical resection with good results.

Common symptoms of wrist tendon sheath cysts

1. Local swellings on the back of the wrist, palms, elbows, or back of feet, slow growth, and rarely pain or discomfort. Individual cases that occur in the carpal tunnel or the palm of the hand can compress the median nerve or ulnar nerve, resulting in corresponding sensory and motor disorders.

2. The mass is hemispherical, pea to thumb size, generally no more than 2cm, smooth and full surface, non-adhesive to the skin, hard to touch, elastic, cystic, fixed, and sore or painful when pressed.

2. Patients with wrist tendon sheath cysts will feel obvious morning stiffness after getting up every day. Usually, the morning joint stiffness is most obvious after getting up and the symptoms will not be significantly relieved with frequent activities. The affected joints will swell and even Popping, promoting blood circulation and eliminating stasis.

Diagnosis of wrist tendon sheath cyst

1. Hemispherical, smooth surface, and high tension cystic masses appear on the dorsal side of the wrist, palm, elbow or instep.

2. The lump grows slowly, it has soreness or pain, and the base is fixed.

3. X-ray film showed no changes in bones and joints.

Acupuncture treatment of wrist tendon sheath cyst

Governing Law: Activating blood to disperse knots, and dredge menstrual tendons (guarding tendons at tendons).

Wrist tendon sheath cyst western medicine treatment

1. Tendon sheath cysts can sometimes resolve on their own, but they are longer and painful.

2. Superficial cysts can be crushed, broken, crushed or punctured with a needle, and the cyst wall can be cured by its own absorption, but easy to relapse. After the external force is crushed, the wrist will have a very uncomfortable swelling feeling. If the fluid is not absorbed, the cyst will slowly re-form.

3. Under local anesthesia, puncture with a thick needle, try to draw out the gelatinous solution, inject, and pressure bandage, once a week, heal 2-3 times in a row, and often relapse.

4. Surgical treatment. Surgery must carefully remove all cystic wall along with surrounding normal tendon sheath and aponeurosis. Recurrence rarely occurs after surgery. Recurrence can still be resected. But it is easy to relapse, and the treatment is expensive.

Evaluation of the effect of wrist tendon sheath cyst

1. Cure: The cyst disappeared, no symptoms, no adhesion of tendons, no recurrence, and functional recovery. The wound healed after the operation.

2. Improved: Symptoms reduced and function improved.

3. Unhealed: Symptoms and signs have not improved.

Tendon sheath cyst medication principles

The disease generally does not require medication. For intravesical injection, hydrocortisone acetate or prednisolone can be selected.

2. Those who need surgery should choose appropriate antibiotics after surgery. Some hospitalized patients also need to replenish fluids.

Wrist tendon sheath cysts daily attention

Wrist tendon sheath cysts are benign masses that often occur on the back of the wrist, on the palm or on the back of the foot. Therefore, if painless hemispherical masses appear on the wrist or the back of the foot, this disease should be considered and should be distinguished from epidermoid cysts, sebaceous adenomas, or lipomas to avoid misdiagnosis.

The disease generally has little effect on the human body and very few can go away on their own. Although there are many ways to treat this disease, most cases still have the possibility of recurrence. If the cyst is small, asymptomatic, and does not affect the appearance, you can leave it alone and watch for changes. If the cyst is large and has symptoms, non-surgical treatment is feasible. Relapses can be treated again.

Patients with wrist tendon sheath cysts should pay more attention to the protection and observation of the affected area, and eat less spicy food. When using the computer for a long time, you should rest for 5 to 10 minutes every hour. During the break, do indoor exercise and move your joints. This will alleviate the symptoms of wrist tendon sheath cysts or prevent wrist tendon sheath cysts.

Wrist tendon sheath cyst food therapy

[Composition] Glauber's salt 60 g, garlic 60 g.

[Usage] A total of pounds like mud for future use. For those with cysts in the swollen joints and back of the hand, the weight of thenardite is greater than that of garlic (6: 4), and those of the cysts and knee joints have less thenardite than garlic (4: 6). When using it, first apply a layer of Vaseline on the skin to prevent damage, and then apply the medicine to the swollen area and bandage it. If the skin feels fever and pain after 2 to 4 hours, take the medicine and wipe away the Vaseline, and then apply it after half an hour .

Indications Tendon sheath cyst cold phlegm wet stasis type.

[Composition] 10 grams each of cinnamon and safflower, 2 grams of borneol, moderate amount of honey.

[Usage] The first three flavors are finely ground, and the honey is turned into a cake. Put it on oil paper, about 0.5 cm thick, and apply it to the affected area.

Rice bran And bandaged and fixed, the next day Yuyu: times, usually 3 to 5 days to see results.

[Indications] Forearm flexor extensoromysitis.

[Composition] 120-180 grams of sorghum rice bran, appropriate amount of liquor.

[Usage] Steam on the pot for half an hour, mix the wine thoroughly, apply the affected area hot once a day, pay attention to scalding.