The New York State workers compensation board has developed these guidelines to help physicians, and other healthcare professionals provide appropriate treatment for Tendinitis / Tenosynovitis
These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients withTendinitis / Tenosynovitis.
The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.
Description / Definition
Inflammation of the lining of the tendon sheath or of the enclosed tendon. Usually occurs at the point of insertion into bone or a point of muscular origin. Can be associated with bursitis, or calcium deposits or systemic connective diseases.
Mechanism of Injury
May be caused by extreme or repetitive trauma, strain, or excessive unaccustomed exercise or work.
Specific Physical Findings
Involved tendons may be visibly swollen with possible fluid accumulation and inflammation; popping or crepitus; and decreased range of motion.
Diagnostic Testing Procedures
Not Recommended – diagnostic testing procedures for Tendinitis/Tenosynovitis are rarely indicated and thus is not recommended.
Non-Operative Treatment
Rest/restricted activity, off-loading with crutches or cane, NSAIDS, APAP, that may be followed by active and/or passive therapy, including ergonomic changes at workstation(s), NSAIDs, therapeutic injections.
Recommended- in select patients as clinically indicated.
Surgical Indications
Suspected avulsion fracture or severe functional impairment unresponsive to conservative therapy.
Operative Treatment
Rarely indicated and only after extensive conservative therapy.
Recommended – in very select patients.
Indications: Suspected avulsion fracture or severe functional impairment unresponsive to conservative therapy.
Post-Operative Therapy
Recommended – in select patients as clinically indicated.
