What is Tendinitis?
Tendinitis is an inflammation of the tendon, most likely caused by repeated movements but it can also be a result of infection or rheumatic disease. A tendon is a tissue that attaches a muscle to the bone. The tendons and muscles work together to create a pulling force that moves your skeletal components.
What is Tendinitis? Locations
Tendinitis can cause tenderness and pain in the elbow, wrist, finger, knee, thigh, and other places in your body.
What is Tendinitis? Types
- Pаtеllаr Tendinitis: This injury involves the tendon that attaches your kneecap to your tibia (shin bone). The inflammation usually is the result of overuse from running, walking, kicking or jumping.
- Achilles Tendinitis: This tendon joins the calf muscle to your heel. Tenderness and pain can be the result of poorly fitting shoes or caused by rheumatoid arthritis.
- Supraspinatus tendinitis: The tendon at the top of the shoulder becomes inflamed and can restrict movement, especially upwards. This can lead to rotator cuff syndrome if other tendons in the shoulder are also inflamed.
- Tennis or Golfer’s Elbow: Officially known as epicondylitis, the inflammation occurs on either side of the elbow. The pain can shoot from the elbow to the wrist.
- De Quervain’s Stenosing Tenosynovitis: When the covering of the tendon that joins the thumb to the wrist becomes thick and swollen, pain is experienced when the thumb is moved.
- Trigger Finger or Thumb: Your finger or thumb makes a clicking sound when straightened or is stationary in a bent position. The tissues are enlarged and do not allow the tendon to move smoothly.
- Tendinitis of the Wrist: Badminton players and people who perform a repeated movements of the wrist for work (typing on a keyboard or using a mouse) develop inflammation in the tissue which causes pain.
What is Tendinitis? Symptoms
The area is tender or painful, especially when moved. There is swelling, the area feels hot, and the skin can be red. When the joint is moved, it is not a smooth movement, but the feeling is as if there is something grating in the joint. In more severe cases, a lump may occur along the tendon. Sometimes there is a tear in the tendon making movement extremely difficult.
What is Tendinitis? Causes
Usually, the cause is related to repeated movements that irritate and inflame the tendon. It may also be as a result of an injury in which the area has suffered a trauma such as in a car accident or fall. The movement may be as a result of job requirements or for certain sports. However, people with a chronic illness such as diabetes and rheumatoid arthritis do develop tendinitis. As you get older, your tendons are not as supple and are more prone to injury.
What is Tendinitis? Types of Medical Assistance
A rheumatologist will diagnose and treat individuals for any condition relating to joints, muscles, bones, tendons, and other tissue in the area. They treat physical injuries as well as various types of arthritis, lupus and fibromyalgia.
An orthopedic surgeon performs surgery to repair injuries and alleviate diseases of the bones, joints, ligaments, tendons, muscles and nerves. Often the surgeon will specialize in different parts of the body such a knees, hips, shoulders or digits.
An osteopathic doctor specializes in the musculoskeletal system, including nerves, muscles and bone.
A physical therapist treats people who suffer from pain from a variety of reasons or who are recovering from surgery. They use massage, stretching, heat, ice, ultrasound, and specific exercises to reduce the pain and increase your ability to move.
A pain medicine specialist uses oral medications and injections to treat pain from surgery, injury, nerve damage and many other diseases.
Refrain from the movement that caused the initial inflammation, ice the area, elevate the limb, and take over the counter pain and anti-inflammatory medications. Braces for knees, wrists, and elbows are often useful in reducing the pain or protecting the area from more damage. Compression bandages can be very soothing as well. If the problem does not subside within a week, it is time to seek medical assistance from a pain doctor in New York or a pain doctor in New Jersey. You want to take care of your health concern, whether it affects your wrist, shoulder, knee or any other area of your body before the injury becomes chronic and more difficult to treat.
At the Pain Treatment Clinic, the well-informed physicians will diagnose your issue from many perspectives. First, they will gather a history of your lifestyle, examine a record of your medications and then carefully observe the area of your pain. The pain doctor in NY and the Pain doctor in NJ will select non-invasive treatment options first to alleviate your suffering. Only if these methods are unsuccessful, will they resort to surgical procedures.
Your physical therapist will first assess the range of movement and type of pain or tenderness that you are experiencing. Then she or he will provide you with some exercises to strengthen your muscles and improve flexibility in the area. Over time the tendonitis pain will usually subside. You can prevent further injuries by continuing the exercises that were part of your therapy to continue to build muscle tone and flexibility in the area of injury. A brace for the injured area can provide protection from further damage.
Two types of injections that can help with tendinitis: corticosteroids and lubricants. Your experienced pain doctor at the Pain Treatment Clinic will analyze the condition of your injury and discuss the best options for your situation.
Corticosteroids: This type of injection is very common for tendinitis. One advantage to the treatment is that your doctor can administer the injection in the office. The medication is applied directly to the inflamed area. First your doctor will clean the area with an alcohol or iodine-based solution. Then a numbing lotion or spray is applied before the injection. Afterwards a small bandage covers the area. Often an anaesthetic medication accompanies the corticosteroid, so that you receive immediate relief from the pain. When the anaesthetic wears off you may feel pain until the anti-inflammatory properties of the corticosteroid takes effect. You will need to rest the area for 24 hours. This condition will improve over the next days. If you suffer from any stomach issues this may be preferable to anti-inflammation drugs that you take orally. If you are diabetic your doctor may suggest lubricant injections, as corticosteroids can increase your insulin level.
Lubricants: The lubricant that is injected is similar to your body’s own lubricant. It consists of hyaluronic acid. This strategy may be used if the corticosteroid inject is not effective or if you have diabetes this type of injection is preferred as it does not raise blood sugar levels.
When the pain from tendinitis persists, despite any of the previous medical treatments, surgery is an option, especially if your injury interferes with your daily activities. In cases where the tendon has torn or is no longer attached to the bone, the surgeon can repair the damage. This repair will prevent chronic weakness and further damage to the area. The surgery is usually accomplished using local anesthesia so that you can go home afterward, instead of remaining in the hospital for recovery. There are several methods for tendon repair depending on the location of the injury. Often the surgeon makes an incision close to the area to access the tendon. Then using specialized instruments, the surgeon will stitch the torn tendon together with thread. If the tendon is no longer attached to the bone, it will be necessary to attach the tendon to the bone by inserting a small plastic anchor into the bone and using thread to pull the tendon to the bone. The initial cut is closed with stitches.
Your expert pain specialist will explain the surgical procedure in detail as the location and extent of the injury determine what needs to be accomplished.
How Do You Find A Pain Doctor Specialist?
At the Pain Treatment Clinics throughout New York, New Jersey, and Florida are many extensively-educated doctors who specialize in the treatment of tendinitis. The intent of the treatment is to provide the most non-invasive options first to alleviate your pain. Only after exhausting all alternatives is surgery a solution.
- Tendinitis is an inflammation or tearing of tendons.
- Tendons join muscles to bones.
- Tendinitis can occur in the fingers, thumbs, wrists, elbows, knees, and thighs.
- The most likely cause is repeated movements due to work demands or favoured sport activities but may be caused by an underlying chronic health condition.
- Home remedies include cessation of the activity, rest and elevation for the area, cold packs, compression, and braces.
- If your pain last for more than a week despite your care, it is time to seek professional help.
- Professional medical treatment may consist of physical therapy, injections and lastly, surgery.
- Pain doctors will review your circumstances to determine the least invasive method to relive your discomfort.