Difference between wrist tenosynovitis and carpal tunnel syndrome

The difference between wrist tenosynovitis and carpal tunnel syndrome is where the disease occurs and what the symptoms are. Tenosynovitis affects the tendons on the back or palm side of the wrist, while carpal tunnel syndrome is caused by compression of the median nerve in the carpal tunnel. Treatment for tenosynovitis includes rest, ice, and anti-inflammatory medications, while carpal tunnel syndrome requires wrist immobilization, medication, or surgery.

1. The onset site is different. Tenosynovitis usually occurs in the tendon sheath on the dorsal or palmar side of the wrist, and is common in people who frequently use their wrists, such as typists or athletes. Carpal tunnel syndrome is caused by compression of the median nerve in the carpal tunnel, and is common in people whose wrists are in a state of flexion or compression for a long time, such as those who use computers for a long time.

2. Different symptoms. Tenosynovitis is mainly manifested by localized pain, swelling, and limited mobility in the wrist, especially when performing certain movements. Symptoms of carpal tunnel syndrome include numbness, tingling, or burning sensations in the palms and fingers. Symptoms may worsen at night and may lead to muscle atrophy in the hand in severe cases.

3. Different treatment methods. The treatment of tenosynovitis includes rest, ice compress, oral nonsteroidal anti-inflammatory drugs such as ibuprofen, naproxen or local steroid injection. The treatment of carpal tunnel syndrome includes wrist immobilization, oral neurotrophic drugs such as vitamin B6 or surgical decompression, and the surgical methods include endoscopic carpal tunnel release or open carpal tunnel release.

4. Different preventive measures. Prevention of tenosynovitis includes avoiding overuse of the wrist, maintaining correct wrist posture, and regularly stretching the wrist. Prevention of carpal tunnel syndrome includes adjusting work posture, using ergonomic keyboards and mice, and regularly performing wrist and finger relaxation exercises.

Although wrist tenosynovitis and carpal tunnel syndrome have similar symptoms, their causes and treatments are different. Targeted treatment after a clear diagnosis can effectively relieve symptoms and prevent recurrence. If symptoms persist or worsen, it is recommended to see a doctor as soon as possible to avoid further deterioration of the condition.