Tendinitis

Tendinitis elbow

Last Updated February 20th, 2019

Overview of Tendinitis

Overuse injuries are common among professional athletes. According to one recent statistics, every year, nearly 5-10% of the athletes suffer from some of the other forms of musculoskeletal injuries. A common overuse injury that is found in both athletes and non-athletes is “Tendinitis”. It arises due to the tremendous stress occurring in the muscles and joints on a regular basis.

 

What is Tendinitis?

Tendinitis handsTendinitis usually occurs due to rigorous and repetitive movement of the tendons in the shoulders, hands, wrists, and elbows. Due to the swelling of the tendons surrounding a joint, the motion of this joint becomes limited.

As a result of repetitive strain and friction, the tendons develop wear and tear and may eventually lead to immobility. The normal gliding motion of the tendons is disturbed in this disease.

Tendon problems may develop suddenly or may occur progressively over several years. In the cases of extreme severity, medical intervention is always necessary.

 

What causes Tendinitis?

Tendinitis is an overuse injury. The common precipitating factors of the disease are as follows-

  • Damage of the tendons due to overuse and injuries
  • A build-up of calcium along the length of the tendons
  • Presence of bone spurs (sticking out bony structures) on the heels
  • Presence of very tight calf muscles
  • Sports activities, leisure activities or occupational hazards that require a lot of running and jumping
  • A sudden increase in the amount of exercise or physical activity
  • Tendinitis elbowRunning on hard and rough surfaces (especially without proper footwear)
  • Improper holding and handling of sports equipment such as golf club or tennis racquet
  • An incorrect angle of a strike during any sports activity
  • Using sports equipment that is very heavy or defective
  • Taking part in sports or physical activities without warming up properly
  • Sudden lifting of extremely heavy loads (usually one that is beyond one’s capacity)
  • Rigorous training schedule for sports continuously for long hours
  • Not taking breaks between training sessions or physical activities (causes insufficient healing of the muscles and tendons)
  • Physical activities or exercise in very cold temperature
  • Poor postures during sleeping, standing, walking or running
  • Sitting or standing for a long time (exerts strain on the tendons and muscles)
  • Obesity or overweight condition that creates pressure on the joints and tendons
  • The weakness of muscles, loss of muscle tone and elasticity due to aging or some existing diseases (Eg: Gout, Arthritis, Diabetes)
  • Loose joints
  • Birth defects like malformed joints and tendons
  • Past injury to the joints and muscles
  • Certain medications that affect the muscle and joint health

 

Symptoms of Tendinitis

The identifiable symptoms of Tendinitis are as follows-

  • Pain and inflammation of the muscles of the elbow, shoulder, forearm or legs
  • Muscle stiffness and immobility
  • Limited movements of the affected joints
  • A weakness of muscles and joints
  • Tenderness and warmth of the overlying skin
  • Redness of the affected region

 

Shoulder Tendinitis

Shoulder Tendinitis is a common injury in case of sports like tennis, badminton, basketball, and swimming. A repetitive overhead motion of the hands occurs in this case. This exerts a compressive force on the tendons and bursa (cavities present at the joints), which leads to inflammation and swelling. The pain usually starts at the uppermost tip of the shoulder. Then it gradually spreads to the lower portions of the arm. The pain worsens on twisting and bending the arms.

Shoulder tendinitis has the following subtypes-

  • Overuse tendinitis: Damage of the bursa and tendons occur during overhead throwing, lifting and golfing. Excessive compressive stress is exerted on the rotator cuffs, causing bruising and inflammation of the tendons.
  • Calcific tendinitis: This results due to the accumulation of excess calcium in the rotator cuffs.
  • Impingement tendinitis: It occurs due to the narrowing of the space between the coracoacromial arch and the rotator cuff. Sharp pain occurs due to the pressure exerted by the humerus.
  • Rotator cuff tear: Severe wear and tear of the rotator cuff tendons occurs in this case due to repeated striking and injuries.

 

Achilles Tendinitis

Tendinitis feetAchilles Tendinitis is an overuse injury that causes pain and swelling along the back portion of the leg near the heel. Injury to the Achilles tendon which connects the heel bones to the calf muscles causes tendinitis.

Achilles Tendinitis is of two types-

  • Insertional Achilles Tendinitis: It occurs at the lowermost part of the heel, at the region of attachment of the tendons and the heel bone. Bone spurs often result due to calcification of the damaged tendon fibers.
  • Non-insertional Achilles Tendinitis: It affects the fibers present in the middle portion of the tendon. Wear and tear of the tendons develop. This results in thickening and swelling of the tendons.

 

Patellar Tendinitis

It is also known as “Jumper’s knee” disease. Inflammation of the tendon that connects the shinbone (tibia) to the kneecap (patella) occurs in this disease. A very common complication of this disease is “Chondromalacia Patella” in which cracking sounds are produced due to friction during knee movements.

 

Diagnosis

The following laboratory tests are recommended by doctors-

  • Selective tissue tension test (to detect if the tendon is causing the pain)
  • Blood/Fluid Test
  • X-ray
  • MRI scan

 

Treatment and precautions

Make sure that you go to the doctor in case you have any pain in your – shoulder, elbow, knee, wrist or knee. Don’t ignore the pain. Undergo proper and complete physiotherapy. Use heat compression or cold packs treatment, use any ibuprofen if necessary and splint the affected area.

Preventions –

  • Take your exercise routine slowly. Do not exert yourself too much in one go as it can affect the muscle and the tendon.
  • Strengthen tendons and balance muscles can be done to prevent tendinitis. This can be done by doing light weight training to improve the strength of the tendons and muscles.
  • Ensure that you warm up before any activity as it helps prevent any sudden pressure on the tendons and muscles.

Facts

  • A condition in which the tissue (tendon) connecting the bones becomes inflamed.
  • This condition is most often caused due to the repetitive and minor impact on the affected area or due to a sudden injury.

Facts

  • Though this condition can occur in any tendon in the body, it is most commonly found in – shoulders, elbow, wrist, knee, and heel.
  • According to the U.S. bureau of labour statistics, tendinitis is the reason more than 70,000 people miss work each year.

Facts

  • As people get older, their tendons get weaker making them susceptible to this injury.
  • According to the American family physician, those with overused tendinitis, about 80% of them fully recover with 3-6 months.

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Dos and Don'ts

Dos
  • Warm up before doing your task.
  • Mix up your warm-up schedule. Keep changing it, as your muscles would get used to being stretched in the same way repetitively.
  • Use an ice pack if you are in pain.
Don'ts
  • Exert yourself too much. Take a lot of rest.
  • Strain the affected area.
  • Put any sudden pressure on your muscles.

 

 

 

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How to correctly perform nasal irrigation using a Neti Pot? Neti pot has been a part of Ayurveda since centuries. This ancient tool is extremely effective in treating…
Oxalates: How healthy greens can sometimes be bad news for your kidneys Oxalates are compounds present in a majority of healthy foods. However, at times an overconsumption of these could…
SIBO Diet: The important dos and don’ts of this gut-healing diet A SIBO diet is a diet that works by eliminating certain sugars from your diet and adding fibers…
11 unbelievable health benefits of thyme you didn’t know! Thyme is a herb that has been used in alternative medicine.It is a well known seasoning in the…
Coffee Enema: Turn your favorite morning beverage into a powerful colon cleanser The wonders of coffee are not just limited to waking you up every morning. You can now use…
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
iron deficiency profile
Iron Deficiency Profile An iron deficiency profile is a battery of blood tests which are performed in order to determine the…
ureteroscopy
Ureteroscopy Ureteroscopy is the diagnostic procedure which is used for the detection of the kidney stones in addition to…
eating disorder anorexia
Eating Disorders: Lifestyle choice or a psychological condition? Is eating disorder just a harmless bad habit? Or does it represent grim psychological disorders? Do you want…
quinoa salad
Quinoa : A prodigious superfood you need to include in your diet today! Quinoa - what is so special about this native South American grain that has taken the world by…
L-theanine attention
L-Theanine: Better sleep, higher focus, and many other benefits Did you know that L-theanine found in green tea can make you sleep better and be focused at…
improve digestion weight loss
Power up your gut: 8 proven steps on how to improve your digestion Did you know you have a colony of bacteria in your gut that help you in digesting food?…
avocado benefits
Avocado: 15 reasons why this fruit should be a staple in your diet Did you know that the word avocado literally means "testicles". Don't get grossed out as this power-packed fruit…
bananas exercise
10 health reasons why you should go “bananas” over bananas! Bananas:The world's most popular fruit comes with a host of unbelievable health benefits. Find out how you can…
Coconut sugar: What is it and is it healthier than table sugar? In the long list of things that the wonderful coconut gives us, coconut sugar is another remarkable addition.…
The right way to prepare Alfalfa sprouts at home Alfalfa or lusan ghas is not just a nutritious animal fodder. This flavonoid-rich herb has some amazing health…
How to scrub away stress and fatigue with an Epsom salt bath? Epsom salt is a popular home remedy for many skin ailments. Though there is a lack of scientific…
reflexology massage
Top reasons why you should go for a reflexology massage today Reflexology involves the application of pressure to your feet and hands to encourage self-healing. Could this be beneficial…
C-Reactive Protein Test A CRP or c-reactive protein blood test is an important diagnostic tool used to determine the risk of…
thyroid_scan
Thyroid Scan Thyroid scan is a diagnostic procedure that aims to view the thyroid gland and detect any growths or…
anoscopy
Anoscopy Anoscopy is an invasive diagnostic procedure where a small device known as anoscope will be inserted in the…
vdrl test syphilis
VDRL Test The VDRL test is a blood test that is used to diagnose sexually transmitted or venereal diseases, primarily…
shoudler exercises
Keep your shoulders pain-free with these shoulder exercises Shoulder exercises are important in order to prevent chronic back and neck pain. Learn more about how you…
sugar toxic health
Sugar: 7 new shocking truths revealed about the sweet poison Can drinking soda bring you closer to death? Is sugar slowly poisoning you and your family? You would…