Understanding the condition

In most workplaces there are employees suffering from aches and pains, and in some cases, there are workers experiencing more severe conditions like tenosynovitis and tendonitis. Tendonitis is the inflammation of a tendon, the thick cord of tissue that attaches muscle to bone. Tenosynovitis, on the other hand, affects the sheath surrounding that tendon, a thin protective layer designed to reduce friction as the tendon glides back and forth. Together, they form part of a complex system that keeps the hands typing, arms lifting and legs walking throughout a busy working day.

Exploring the causes

When inflammation takes hold in the tendon or its sheath, everyday tasks can quickly become very difficult. Most workers only realise how much they rely on their tendon or its sheath when something goes wrong. And when inflammation takes hold, everyday tasks can quickly become very difficult. Although tenosynovitis and tendonitis can appear suddenly, they often develop slowly, influenced by how a person works.

Repetitive movement is one of the most common triggers. Repeating the same motion can place continuous strain on a tendon. Over time, this strain may lead to microscopic tears or irritation. However, repetitive activity alone is rarely the full story. A sudden impact or injury can cause inflammation in the tendon. Poor posture, awkward wrist or arm positioning and vibration exposure from tools can all contribute. Even non-workplace factors such as a new exercise routine or a sudden bout of heavy lifting at home can tip the balance.

When these everyday pressures combine, the body’s ability to repair small strains becomes overwhelmed, and painful inflammation begins to take hold. It is often at this stage that a worker first seeks help or starts to question why a regular task has suddenly become more difficult.

What can workers do

When symptoms first appear, workers might feel unsure whether to keep pushing through the discomfort or to stop altogether. The first step is often a conversation with a manager, occupational health team or GP. Workers sometimes delay seeking support because they worry about being seen as unable to cope or fear taking time away from tasks. In reality, early reporting is one of the best ways to prevent a minor issue from progressing into a long-term condition.

The earlier the cause is identified, the more opportunities there are to modify tasks and protect long-term health. Small adjustments, such as changing hand position, altering grip strength or pacing tasks more evenly across the day, can bring relief. Many people also find that gently resting the area during breaks or after work allows inflammation to settle.

Treatment options

When tendonitis or tenosynovitis becomes more pronounced, a range of treatments may help ease inflammation and restore comfortable movement. Many people begin with conservative approaches such as applying ice to the affected area or using over-the-counter medication recommended by a pharmacist. This can reduce swelling and ease symptoms while allowing the body to begin healing.

Physiotherapy often plays a central role in recovery. A physiotherapist may guide the worker through stretching and strengthening exercises designed to support surrounding muscles and reduce strain on the inflamed tendon. As mobility improves, these exercises help reduce the risk of further flare-ups. In some cases, a brace or splint may be advised to reduce repetitive stress during healing.

When symptoms are more persistent, healthcare professionals may explore further options such as targeted injections or, in rare cases, surgical intervention. These decisions are usually made collaboratively after a thorough assessment, ensuring the treatment chosen reflects both the individual’s symptoms and the demands of their role. Throughout the process, workers often find that maintaining open communication with occupational health services helps them navigate their options and return to work safely and comfortably.

How employers can provide support

For employers, supporting workers with tenosynovitis or tendonitis is not simply about meeting legal obligations, it is about creating a working environment where health and productivity can coexist. So how can employers provide this support?

Ergonomic assessments can identify tasks, processes or equipment that present a risk to employees. This helps employers prevent cases of tenosynovitis and tendonitis before the begin. Training programmes on safe working techniques, also reinforce the message that prevention is paramount.

Equally important is cultivating a workplace culture in which workers feel safe to raise concerns before symptoms reach a critical point. Encouraging open dialogue, offering regular check-ins and ensuring managers understand the early signs of strain create an atmosphere in which issues can be addressed quickly.

Employers who demonstrate flexibility, perhaps through temporary modifications or phased returns to work, give employees the best opportunity to stay healthy. When workers feel supported, they are more likely to engage in the recovery process and return to tasks with confidence and comfort.

Bringing it together

Tenosynovitis and tendonitis may sound complex, and their impact on daily working life is very real, but preventing them can be easier than you think. By prioritising ergonomics, being flexible with work arrangements and ensuring that workers have access to health support, we can create work environments where everyone can succeed.