When is wrist tendonitis surgery used?
Tendonitis is an inflammation of the tendons. Tendons are strong cords of fibrous tissue that connect a muscle to the bone, so that the bone is pulled or pushed when the muscle contracts, and there is movement in the corresponding joint. Tendonitis can occur for various reasons, and some typical reasons include overuse (like in sports injuries, when a high level on stress is exerted on the tendon) or repetitive stress injury, when small amounts of stress affects the tendon over long periods of time.
Generally, tendon inflammation is treated conservatively. The tendon is allowed to rest (activity that caused the inflammation should be avoided, which may include giving up a hobby, an activity, or taking some time off the job) and anti-inflammatory drugs and painkillers are administered if recommended. Physical therapy can be used to strengthen the muscle to which the inflamed tendon belongs and to stretch and exercise the tendon. If these methods fail to bring improvement, then immobilizing devices such wrist splints or braces are used. Cortisone injection is the last line of defense against pain. Its effect will wear off eventually, and if all mentioned methods failed to do any good, surgery becomes an option.
Surgical procedure includes making incision in the skin and exposing the inflamed tendon. The inflamed and scarred sections of the tendon are scraped off, along with some healthy tendon. surgery methods for wrist tendonitis include (classical) open surgery with large incisions and laparascopic surgery, where everything is done with as little and as small incisions as possible, like building a model ship in a bottle. Still, problem with surgery is that it does not cure the cause, but, tries to remove the consequence. Also, recovery time from the surgery is very slow. The catch is that tendons have a poor blood supply and therefor heal (rebuild) very, very slowly. It could take months or years before the tendon that has been tampered with is back to its old self.
As noted, it takes a long time for the tendon to heal. Immediately after the operation, for a few days, according to the surgeon's advice, you might be using painkillers and anti-inflammatory medicines to dull the pain in the cut tissue. The cut tissue must heal and should be resting for some time, so that the newly built connections in the tissue are not torn. Your level of activity should gradually increase, and you should exercise constantly, in order to return strength and flexibility to both the muscle and tendon. Success rate of this surgery is high, but unfortunately there are people who will need to repeat the surgery as the symptoms may return after some time.