Understanding Tendonitis

A Comprehensive Guide to Tendon Inflammation and Treatment

Orthopedics

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Last updated: Mar 24, 2025

What is Tendonitis?

Tendonitis (also spelled tendinitis) is the inflammation or irritation of a tendon, the thick fibrous cords that attach muscles to bones. This condition causes pain and tenderness just outside a joint.

Common Types

  • Rotator Cuff Tendonitis: Affects the shoulder
  • Tennis Elbow: Lateral epicondylitis
  • Golfer's Elbow: Medial epicondylitis
  • Achilles Tendonitis: Affects the heel area
  • De Quervain's Tenosynovitis: Affects the thumb side of the wrist

Symptoms

  • Dull, aching pain
  • Tenderness to touch
  • Mild swelling
  • Pain that worsens with movement
  • Stiffness in the morning
  • Restricted range of motion

Causes

Primary Factors

  • Repetitive motion
  • Sudden injury
  • Age-related degeneration
  • Poor posture
  • Sports activities

Risk Factors

  • Age (more common over 40)
  • Certain occupations
  • Sports participation
  • Poor training techniques

Treatment Options

Conservative Treatment

  1. Rest (RICE Protocol):

    • Rest
    • Ice
    • Compression
    • Elevation
  2. Medications:

    • NSAIDs
    • Topical anti-inflammatory gels
  3. Physical Therapy:

    • Stretching exercises
    • Strengthening exercises
    • Manual therapy

Advanced Treatment

  • Corticosteroid injections
  • Platelet-rich plasma therapy
  • Surgery (in severe cases)

Prevention

  • Proper warm-up before exercise
  • Use of correct techniques during activities
  • Regular stretching
  • Ergonomic workspace setup
  • Adequate rest between activities

When to See a Doctor

  • Pain persists beyond a few days
  • Severe pain or swelling
  • Unable to move the affected joint
  • Pain interferes with sleep or daily activities

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