Tendinitis OR Tendonitis


What is Tendinitis OR Tendonitis?

Tendinitis, also known as tendonitis, is the inflammation of a tendon. Tendons are tough, flexible, fibrous bands of tissue that connect muscles to bones. When tendons become inflamed, irritated, or suffer microscopic tears, the condition is called tendonitis. Tendinitis causes acute pain and tenderness, making it difficult to move the affected joint. It is normally linked to an acute injury with inflammation. It often affects the elbow, wrist, finger, thigh, and other parts of the body. Tendinitis can occur at any age, but it is more common among adults who do a lot of sport. Older people are also susceptible because the tendons tend to lose elasticity and become weaker with age. Different types of tendinitis affect different parts of the body.


Achilles tendinitis: The Achilles tendon is between the heel and the calf muscle. Achilles tendinitis is a common sports injury. It may also be caused by shoes that fit badly or do not properly support the foot. It is more likely among patients with rheumatoid arthritis.


Supraspinatus tendinitis: With supraspinatus tendinitis, the tendon around the top of the shoulder joint becomes inflamed, causing pain when the arm is moved, especially upwards. Some patients may find it painful to lie on the affected shoulder at night. If other tendons in the same area are also affected, the patient may have rotator cuff syndrome.


Tennis or golfer’s elbow: A common symptom of lateral epicondylitis, commonly known as tennis elbow, is pain on the outer side of the elbow. It may radiate down towards the wrist. Medial epicondylitis or golfer’s elbow is pain on the inner side of the elbow, and it is more common among golfers. Pain is more acute when trying to lift against a force. The pain sometimes radiates down to the wrist.


De Quervain’s stenosing tenosynovitis: The sheath that surrounds the thumb tendons, between the thumb and wrist, becomes inflamed. With the thickened sheath and swelling in the area, it becomes painful to move the thumb.


Trigger finger or thumb: The finger or thumb clicks when straightened out. It becomes fixed in a bent position because the tendon sheath in the palm of the hand is thickened and inflamed and does not allow the tendon to move smoothly. Sometimes a nodule forms along the tendon.


Tendinitis of the wrist: This can affect badminton players and production line workers, who repeatedly use the same motion with their wrist. Tendinopathy is another type of injury that affects the wrist tendons. This is a degenerative condition rather than an inflammation.


What are the Symptoms of Tendinitis OR Tendonitis?

In general, tendonitis causes pain in the tissues surrounding a joint, especially after the joint is used too much during play or work. In some cases, the joint may feel weak, and the area may be red, swollen, and warm to the touch. When tendonitis is caused by an infection such as gonorrhea, there may be other symptoms, including rash, fever, or a discharge from the vagina or penis. Other symptoms vary according to which tendon is affected:  


·Rotator cuff tendonitis – Usually dull, aching shoulder pain that can't be tied to one location. It often radiates into the upper arm toward the chest. The pain is often worse at night and may interfere with sleep.  


·Tennis elbow – Pain in the outer side of the elbow. In some cases, the painful area extends down to the forearm and wrist  


·Golfer's elbow – Pain in the inner side of the elbow  


· Jumper's knee – Pain below the kneecap and, sometimes, above it  


·De Quervain's disease – Pain at the back of the wrist, near the base of the thumb  

·Achilles tendonitis – Pain at the back of the heel or 2 to 4 inches above the heel  

What are the causes of Tendinitis OR Tendonitis?

The most common cause of tendonitis is repetitive action. Tendons help you make a certain movement over and over. You may develop tendinitis if you frequently make the same motion while playing sports or working. The risk increases if you perform the motion incorrectly. Tendinitis can also result from:


  • Injury
  • Aging
  • Certain diseases, such as diabetes or rheumatoid arthritis
  • Certain antibiotics (quinolones such as Levaquin) 

Athletes who participate in certain sports, such as tennis, golf, bowling, or basketball, are at a higher risk of tendinitis. You may also be at a higher risk if your job requires physical exertion, overhead lifting, or repetitive motions or tasks.

What are the causes of Tendinitis OR Tendonitis?

A physician will ask about symptoms and carry out a physical examination. When the doctor attempts to move the tendon, a creaky sound may be heard. This happens because the tendon sheath has become thicker and inflamed. If there is tenderness at one specific point in the tendon, this can indicate tendinitis.

If the problem does not go away with rest, ice, and over-the-counter (OTC) medications, the doctor may recommend some tests. An x-ray can show up calcium deposits around the tendon, which may help confirm a diagnosis. Other imaging tests, such as ultrasound or MRI, may reveal swelling of the tendon sheath.

Treatment of Tendinitis OR Tendonitis?

The goals of tendinitis treatment are to relieve the pain and reduce inflammation. Often, taking care of tendinitis on your own — including rest, ice, and over-the-counter pain relievers — may be all the treatment that you need.


Medications: For tendinitis, the doctor may recommend pain relievers as these may relieve discomfort associated with tendinitis


Corticosteroids(Duly Prescribed by the Practitioner). Sometimes your doctor may inject a corticosteroid medication around a tendon to relieve tendinitis.


Ultrasonic treatment. This minimally invasive procedure uses a small incision to insert a special device that removes tendon scar tissue with ultrasonic sound waves.


Surgery. Depending on the severity of your tendon injury, surgical repair may be needed, especially if the tendon has torn away from the bone.


Physical therapy: Like other forms of inflammation, the main objective is to reduce irritation to the tendon.  Common first-line remedies include Rest, Ice Packs, stretching, and topical/oral NSAID use. When symptoms continue, physiotherapy can be a very beneficial modality in reducing irritation to the ligament. Most cases of tendinitis can be successfully treated with physical therapy.

Eccentric strengthening has been shown to be very effective for chronic tendon issues, and manual therapy such as certain types of massage can help promote healing. Your physical therapist may even suggest using Dry Needling, which can help reduce muscle tightness around the involved tendons. Education is also an important part of tendinitis treatment in order to correct body mechanics, form and posture to help reduce the strain on a tendon is under stress from daily or repetitive activities.