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Trigger fingers and tenosynovitis in the hand and wrist can require: Partial release of tight tunnels Partial flexor tendon excision (removal) in the finger Tenosynovectomy to prevent tendon ruptures Joint Rebalancing In the early stages of rheumatoid arthritis, joints, especially the small joints of the hands and fingers, can become loose and unbalanced, causing deformities and contractures (when the tissue becomes stiff, constricted, and/or shortened) that interfere with function

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Common symptoms include: Shoulder pain with overhead activities or reaching behind the back Night pain, especially when lying on the affected side Weakness in lifting or rotating the arm Clicking or popping sensations during movement Stiffness or loss of range of motion If left untreated, tendinopathy can progress to partial or full-thickness tendon tears and contribute to chronic shoulder instability