Synovitis Lecture

Dr. Gary Kronen will be conducting a lecture on Wednesday, 17 April 2013 from 6:00 p.m. – 7:00 p.m. at the Advocate Christ Hospital to discuss synovitis and tendonitis in the hands and wrists.  This lecture is free to the general public. Dr. Gary Kronen will discuss such topics as:


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  • trigger finger/causes
  • repetitive strain injury
  • rheumatoid arthritis
  • symptoms and treatment options for hand and wrist conditions

What is Tendonitis?

Tendonitis is an inflammation or irritation of a tendon, a cord-like structure that connects muscles to bones. When a tendon in the wrist is inflamed, loss of mobility can occur. This condition is caused by repetitive overuse of the joint, direct trauma, in conjunction with other conditions and injuries, or it can be caused by rheumatoid arthritis.

What is Wrist Synovitis?

Wrist synovitis is the inflammation of the synovial membrane lining the joints in the wrist. It often coincides with carpal tunnel syndrome or in the form of a Ganglion cyst. This condition, too, is often found in patients suffering from rheumatoid arthritis….More at Palos doctor presents community lecture 'Tendonitis and Synovitis in the Hand … – Chicago Tribune

Gary Kronen, M.D. is a hand and upper extremity specialist and orthopaedic surgeon.  His practice is with MidAmerica Orthopaedics and MidAmerica Hand to Shoulder Clinic.

If you would like more information about this lecture or Dr. Kronen, visit: or call 855-469-4263. To register for the presentation, call 1-800-323-8622 and use Event Code 1G71….More at Palos doctor presents community lecture 'Tendonitis and Synovitis in the Hand … – Chicago Tribune


What Causes Tendonitis

Our fingers, hands and wrists are about the first area that symptoms of tendonitis could occur and be most aggrevating.  Think about it.  We use hand, finger and wrist movement pretty much every waking moment of our day.  From brushing our teeth when we first get up to drinking that last cupful of water prior to going to bed.

Common Overuse Injuries:

One of the main causes of tendonitis is from overuse. Hobbies and professions that involve working with the hands are a common contributor of wrist and hand tendonitis.  Below are some common overuse injuries that could occur in the hands and wrist.


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Trigger Finger: Caused by inflammation in the pulley system of the flexor tendons. Commonly seen in diabetic patients and those with thyroid conditions.

De Quervain’s Tendonitis: Occurs in the hand and wrist when tendons and the tendon covering (sheath) on the thumb side of the wrist swell and become inflamed. Commonly seen in new mothers and new grandmothers.

Carpal Tunnel Syndrome: A condition brought on by increased pressure on a nerve (the median nerve) in the wrist. Symptoms may include numbness, tingling, and pain in the arm, hand and fingers. Can be caused by the flexor tendons being inflamed near the nerve….More at Health Matters: Need a hand? Questions and answers about overuse injuries of … – Delco News Network

Read the full story for information on how these injuries can be treated or whether you should see a doctor for these injuries.

What is Wrist Tendonitis?

Wrist tendonitis is caused by the overuse of tendons in the wrist or repetitive motion.  The tendons become inflammed which causes a painful feeling in the area of the wrist.  Here is a more in-depth definition/explanation of wrist tendonitis:

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The forearm comprises of two long bones known as the radius and the ulna. These bones connect with several small bones known as the carpal bones forming the wrist (figure 1). Many muscles of the wrist and hand originate from the radius and ulnar and cross the wrist to insert into the bones of the wrist, hand and fingers via the wrist tendons. These muscles fall into two broad groups known as the wrist and finger flexors (which lie on the palm side of the forearm and wrist) and the wrist and finger extensors (which lie on the opposite side of the forearm and wrist) (figure 2). Generally, the wrist and finger flexors are responsible for bending the wrist and fingers (e.g. making a fist), whilst the wrist and finger extensors are responsible for straightening the wrist and fingers and bending them backwards. Collectively, the muscles are responsible for gripping activity, general movement and use of the wrist and fingers.  This information was taken directly from

Causes of Wrist Tendonitis:

A number of activities can cause tendonitis of the wrist.  Most all of them involve repetitive motion on the wrist.  Some common activities that cause this type of tendonitis are the ones that use the hands–carpentry, painting, sewing crocheting, working at a computer, gymnastics or activities that require gripping action such as in golf or racquet sports.

Wrist tendonitis can develop quite suddenly, especially if you fall on an outstretched hand or due to a heavy gripping force of the wrist.  If you have a history of shoulder, neck or back injury, you are also susceptible to wrist tendonitis.

Wrist Tendonitis Symptoms:

There are a number of symptoms you could experience if you have this type of tendonitis.  Some common symptoms are stiffness of the wrist, weakened grip in the wrist area when carrying groceries, working at a computer of even a simple procedure like opening a jar.  Pain is usually more intense in the morning and evening because the tendons are not warmed up.  Pain may also be more prominent when the wrist tendons are firmly touched, a mere handshake can send a sharp and painful sensation in the wrist area.



You could also experience a pins and needles sensation in the fingers which can lead to frequently dropping objects.  This usually happens because of a weak grip and lack of feeling in the wrist and fingers.

Treatment for Wrist Tendonitis:

First is to refrain from performing the activity that caused your wrist tendonitis issue in the first place.  Second is to use the “RICE” method:

  1. Rest the wrist
  2. Ice the affected area
  3. Compress the wrist, i.e.,use a wrist brace or splint
  4. Elevate the wrist

Do not go by the old “No pain, no gain” theory.  Performing the activity through chronic or increased pain could lead to a more serious injury or condition.

Massaging the wrist, as well as increasing the range of motion by flexibility and stretching exercises will also help play a part in recovery.  Once the pain has subsided substantially, then you can go back to a regular routine.


Causes of Tendonitis

Did you know that the act of cleaning may increase your chances of developing various types of tendonitis such as wrist tendonitis or carpal tunnel?  Has housework caused you to experience chronic and painful tendonitis symptoms such as numbness and tingling in your fingers and hands?  Well, just the simple act of wring out mops, dish towels, pressure in the movement of your hands as you clean can cause you to suffer.  All these things can contribute to the chronic and painful condition known as tendonitis.


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Treatment for Tendonitis

There are remedies available to ease your symptoms of tendonitis.  You could wear a wrist splint to ease the pain, perform hand and finger exercises to increase mobility and the over-the-counter pain medications may help you.  If your causes of tendonitis are so disturbuing you could opt for tendonitis surgery.  This should be the last option, however.  

Pain Relief

If you aren't quite ready for surgery, and you have tried every imaginable solution to relieve the pain of your tendonitis, perhaps you should try this all-natural herbal remedy.  Visit http://www.tendonitistypes,com/realheal for more information on this amazing product.




Surgery for Wrist Replacement

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How much pain are you really in?  Is it so bad that you would consider having a wrist replacement?  Wrist replacement surgery may be an option for you if you have severe pain, non-surgical remedies have offered no relief, pain keeps you awake at night, or you cannot perform the normal daily tasks in your life.

Are you a good candidate for a wrist replacement?

The best candidates for wrist replacement surgery are those who suffer with rheumatoid or osteo arthritis but others have benefited from this type of surgery.

Wrist arthroplasty involves removing damaged bone or joints and replacing them with artificial, or prosthetic, joints. The artificial joints provide patients with a better range of motion and more stability. This makes everyday tasks like writing much easier….More at Pain Level is main factor in opting for wrist replacement – Sioux City Journal

Wrist Pain Surgery

Right before stitches got removed

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How did you injure your wrist?  There are several causes of wrist pain.  Some of the main reasons are:

  • wrist tendonitis
  • arthritis
  • sprain or strain
  • carpal tunnel syndrome
  • ganglion cysts

Pain Relief Treatment

Is your chronic wrist pain so bad that you are debating whether to have wrist surgery?  Before you go to such an exterme measure, you may want to try a less expensive way to deal with the pain with an all-natural herbal pain relief remedy like prior to making that drastic decision to have any type of surgery.


Wrist Pain Causes

More and more people are experiencing severe and chronic pain from symptoms of tendonitis – usually in the wrist.  It is important to determine why you are having these painful symptoms.  It could be prompted by a multitude of reasons.  Here are just a few.

Reasons for Wrist Pain

Borken wrist. Potholes and small wheels...

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Some of the reasons for wrist pain are usually:

Tendonitis: Inflammation and discomfort within the wrist can be caused by wrist tendonitis. This is brought on as a result of irritation within the tendons. Typically this doesn't require hand surgery.

Sprain: Wrist sprains are generally triggered when the ligament near the wrist is harmed. It's a quite common issue which does, causes wrist pain. This may not need hand surgery.

Carpal tunnel syndrome: This is triggered due to the dysfunction of your nerves around the hand. Median nerve in the wrist will probably be squeezed in the carpal tunnel syndrome and then causes wrist discomfort.

Arthritis: This is the most usual reason for wrist pain in many people and it has many treatment options and it brought on by numerous factors. Therefore, it should be diagnosed properly and treated keeping that in mind….More at Is It Necessary to Undergo The Hand Surgery for Wrist Pain – (press release)

To eliminate the painful symptoms of tendonitis, carpal tunnel and other pain-related problems, visit and start getting the relief you need.