Tendinitis or tendinosis? Tendon pain has different causes

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Whether an elbow, shoulder, hip, knee or ankle - a painful tendon is an unpleasant state that can affect almost anyone. An inflamed tendon is probably known as tendinitis, but have you ever heard of tendinosis? However, very few patients know the difference between these two illnesses. Important distinction The pain in the case of a tendon problem can gradually occur and intensify over time, or they can occur suddenly and violently. Tendinitis is an acute inflamed, swollen tendon that has no microscopic tendon damage. The reason for tendinitis is inflammation. ...
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whether elbow, shoulder, hip, knee or ankle - a painful tendon is an unpleasant state that can affect almost any. An inflamed tendon is probably known as tendinitis, but have you ever heard of tendinosis? However, very few patients know the difference between these two illnesses.

important distinction

The pain in the case of a tendon problem can gradually occur and intensify over time, or they can occur suddenly and violently.

A tendinitis is an acute inflamed, swollen tendon that has no microscopic tendon damage. The reason for tendinitis is inflammation.

A tendinosis , on the other hand, is a chronically damaged tendon with disorganized fibers and a hard, thickened, scarred and rubber -like appearance. The underlying cause of tendinosis is degeneration.

It is important to distinguish between the two, since the final treatment can be very different.

This distinction is made by a very simple ultrasound examination of the movement apparatus, which can be carried out in the doctor's office. Ultrasound easily shows the swelling and inflammation of tendinitis or the chronic degenerative changes in a tendinosis.

where tendon problems occur

tendinitis and tendinosis are particularly common in these areas:

  • The common stretch tendon on the outside of the elbow - also known as a tennis arm
  • The tendons of the rotator cuff in the shoulder
  • The patella tendon that connects the kneecap with the shin
  • The gluteal muscle tendons on the outside of the hip
  • The Achilles tendon on the back of the heel

treatment

Treatment of tendinitis or tendinosis consists in the treatment of the underlying problems, i. h. the inflammation or wear.

in tendinitis:

  • calm, avoiding repetitive movement that originally caused the pain
  • Short -term intake of over -the -counter anti -inflammatory means such as ibuprofen
  • A tennis brain can be used for the elbow; There are various other types of straps and ligaments for patella tendons and Achilles tendons

give these home remedies about four to six weeks to help. However, if the pain stops, you should consult your doctor because an ultrasound examination of the tendon may be necessary.

If ultrasound shows tendinitis, corticosteroid injection can be the right treatment to reduce inflammation and relieve the symptoms. Together with a physiotherapy program, this can be all you need to live a normal life again.

at tendinosis:

A physiotherapy program for stretching the tendon and strengthening the surrounding muscles
When the pain stops, the next step can be an injection of plaistic plasma (PRP) from your own blood to stimulate a healing reaction.

if the pain does not subside

If you have a tendinosis that lasts pain for more than three months and has helped nothing else, we may recommend a new, minimally invasive procedure approved by the FDA, the percutaneous tenotomy with ultrasound.

Ask your orthopedic surgeon for this new type of treatment

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