Tendons are strong, flexible cords of connective tissue that attach muscles to bone. They allow the hand, wrist, and elbow to bend, straighten, and perform precise movements needed for daily activities. When tendons in these areas become irritated, inflamed, or injured, pain and loss of function can significantly impact work, sports, and quality of life.
At Towson Orthopaedic Associates, our orthopaedic specialists diagnose and treat a wide range of tendon disorders affecting the upper extremity. We focus on relieving pain, restoring movement, and preventing recurrence through individualized treatment plans.
Common Tendon Disorders of the Hand, Wrist, and Elbow
Tennis Elbow (Lateral Epicondylitis) – Inflammation or degeneration of the tendon attachments on the outside of the elbow, often from repetitive gripping or wrist extension.
Golfer’s Elbow (Medial Epicondylitis) – Tendon irritation on the inside of the elbow from repetitive wrist flexion or forearm rotation.
De Quervain’s Tenosynovitis – Inflammation of the tendons along the thumb side of the wrist, causing pain with gripping and twisting.
Trigger Finger (Stenosing Tenosynovitis) – Tendon thickening in the fingers that causes catching, locking, or stiffness during movement.
Flexor and Extensor Tendon Injuries – Lacerations or ruptures that limit the ability to bend or straighten fingers and wrist.
Intersection Syndrome – Pain and swelling where forearm tendons cross near the wrist, often from repetitive motion.
Causes and Risk Factors
Repetitive use in sports or work-related activities
Sudden injury or trauma
Poor ergonomics or improper equipment
Age-related tendon wear and reduced elasticity
Inflammatory conditions such as rheumatoid arthritis
Symptoms of Tendon Disorders
Localized pain and tenderness
Swelling or thickening along the tendon
Weakness or difficulty gripping
Stiffness, especially in the morning or after inactivity
Snapping or catching sensations during movement
Non-Surgical Treatment
Many tendon disorders respond well to conservative care, which may include:
Activity modification and rest
Anti-inflammatory medications
Bracing, splinting, or compression
Physical or occupational therapy to improve strength and flexibility
Corticosteroid or platelet-rich plasma (PRP) injections for persistent inflammation
Surgical Treatment
If symptoms do not improve with non-surgical methods or if tendon damage is severe, surgery may be recommended. Surgical procedures may involve:
Tendon repair or reconstruction
Release of constricted tendon sheaths
Debridement of degenerated tissue
Reattachment of torn tendons to bone
Our surgeons use advanced open and minimally invasive techniques to restore tendon function while minimizing recovery time.
Recovery and Prevention
Rehabilitation is an essential part of recovery. Our team works closely with certified hand therapists to guide patients through exercises that restore range of motion, strength, and endurance. Preventive strategies, such as ergonomic adjustments, stretching, and sport-specific training, can reduce the risk of recurrence.
If you are experiencing pain, swelling, or weakness in your hand, wrist, or elbow, contact Towson Orthopaedic Associates to schedule a consultation and discuss your treatment options.
