Post-Chikungunya Tenosynovitis

 Post-Chikungunya Tenosynovitis

Post-Chikungunya Tenosynovitis refers to inflammation of the tendons and their surrounding sheaths, occurring as a complication after a Chikungunya virus (CHIKV) infection. It's a common manifestation of post-Chikungunya chronic inflammatory rheumatism, often causing pain, swelling, and limited movement in affected joints. 

Key aspects of Post-Chikungunya Tenosynovitis:

Inflammation:

The primary characteristic is inflammation of the tendons and their protective sheaths (tenosynovium). 

Location:

It frequently affects the wrists, ankles, and feet, but can occur in other joints as well. 

Symptoms:

Pain, swelling, and tenderness are common, particularly with movement or pressure on the affected tendons. 

Duration:

While the initial acute phase of Chikungunya can last a few days, post-Chikungunya tenosynovitis can persist for months or even years. 

Impact:

It can significantly impair daily activities, affecting mobility and quality of life. 

Association with other conditions:

It can be associated with other post-Chikungunya complications like arthritis, and even Carpal Tunnel Syndrome due to tendon swelling. 

Diagnosis:

Ultrasound and MRI can help visualize the inflamed tendons and surrounding tissues. 

Treatment:

Treatment often involves pain relievers, physical therapy, and in some cases, disease-modifying anti-rheumatic drugs (DMARDs). 

In essence, post-Chikungunya tenosynovitis is a significant musculoskeletal complication of Chikungunya, characterized by persistent tendon inflammation and pain, potentially impacting various joints and daily life