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Treatment

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Initial treatment is by rest, but if this fails a local injection of hydrocortisone may be considered under local anaesthetic. Care should be taken with this injection, which should be performed with low pressure, to avoid injecting into the tendon itself.

Disease-modifying antirheumatic drugs (DMARDs) such as glucocorticoids may be additionally helpful in patients in patients who fail a trial of NSAIDs. (2)

Reference

  1. Wagner ER, Gottschalk MB. Tendinopathies of the Forearm, Wrist, and Hand. Clin Plast Surg. 2019 Jul;46(3):317-327.
  2. Hammer HB, Kvien TK, Terslev L. Tenosynovitis in rheumatoid arthritis patients on biologic treatment: involvement and sensitivity to change compared to joint inflammation. Clin Exp Rheumatol. 2017 Nov-Dec;35(6):959-96

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