Certain common tendinitis conditions that occur in the hand and wrist are caused by entrapment of the tendon under tight structures. These structures, known as pulleys, normally function to hold the tendon in the correct place and allow it to glide smoothly. For a variety of reasons, these pulleys may tighten and cause the tendon to become restricted, resulting in the pain, swelling, and decreased motion seen with tendinitis (See DeQuervain’s and Trigger Finger). Often, tendinitis will respond to non-operative management such as rest, splints/orthoses, activity modification, anti-inflammatory medications, and specific exercises targeting the involved structures. When non-operative management fails to control your symptoms, your doctor may recommend surgery to release the tight pulley and allow the underlying tendon to glide more smoothly and without pain.