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COPYRIGHT © by Michaelidou Maria
Dr. Maria Michailidou
TENDINITIS
Tendinitis is inflammation, irritation, and swelling of a tendon, which is the fibrous structure that joins muscle to bone. In many cases, tendinosis (tendon degeneration) is also present.
Alternative Names
Calcific tendinitis; Bicipital tendinitis
Causes, incidence, and risk factors
Tendinitis can occur as a result of injury, overuse, or with aging as the tendon
loses elasticity. It can also be seen in persons with body-
Tendinitis can occur in any tendon, but some commonly affected sites include the:
Elbow
Heel (Achilles tendinitis)
Shoulder
Wrist
Symptoms
Pain and tenderness along a tendon, usually near a joint
Pain at night
Pain that is worse with movement or activity
Signs and tests
The health care provider will perform a physical exam and look for signs of pain and tenderness when the muscle attached to the tendon is used against resistance. There are specific tests for specific tendons.
The tendon can be inflamed, and the overlying skin may be warm and red.
Treatment
The goal of treatment is to relieve pain and reduce inflammation.
Rest or immobilization of the affected tendons is helpful for recovery. This may be achieved using a splint or a removable brace. The application of heat or cold to the affected area can help.
Nonsteroidal anti-
Physical therapy that stretches and strengthens the muscle and tendon is essential. This can restore the tendon's ability to function properly, improve healing, and prevent future injury.
Rarely, surgery is needed to physically remove the inflammatory tissue from around the tendon.