Patient: 1. Congenital tenosynovitis, the child is more than 2 years old, and the thumb joint is very bent and hard to press. Is it very unlikely that this condition can be treated conservatively? 2.If surgery is necessary, what are the necessary pre-operative tests that need to be done? 3.I heard that there is another treatment method called needle therapy, which is less invasive, is it suitable for my son’s case? 4.If anesthesia is administered for the surgery, how much will it affect the child? 5. Is anesthesia like what the internet says, giving the child a shot first to make him fall asleep, and then under local anesthesia? This should be less damaging than general anesthesia, right? 6.How can the child metabolize the anesthesia faster after the operation? 7.About how long is the postoperative recovery period? Doctor：The following are the answers one by one: 1. Conservative treatment takes a long time and the efficacy is not certain, while the efficacy of surgery is immediate, so, nowadays, everyone suggests surgical treatment. 2.Pre-operative preparation is mainly blood check. 3.Small needle knife treatment should not be used for pediatrics, easy to damage the finger nerve. 4, anesthesiologists believe that general anesthesia has no effect on children in theory, which is recognized in the international anesthesia community. However, in practice, even some of the doctors in other departments feel that they may be a little bit affected in this way or that way after their own experience, just as you feel, but there is no theoretical basis for this feeling. 5, at present, hospitals for pediatrics mostly take this method, that is, first give a little basic anesthesia, and then a brachial plexus. However, since this procedure is very short, it may be that just basic anesthesia is sometimes enough. 6, Consultation with the anesthesiologist may be necessary regarding the metabolism of the anesthetic. 7, In fact, after surgery, the pediatrician is encouraged to start moving his thumb, but not to get wet, and after the sutures are removed 2 weeks after surgery, he can return to his normal life.