How To Treat Tendonitis: 9 Steps

Tendonitis occurs in tendons, which are the ends of muscles that attach to bones. Tendons move whenever muscles contract and bones move, so they are easily overloaded, for example, with repetitive movements at work. Tendonitis can theoretically affect any tendon, but is most common in the wrist, elbow, shoulder, hip, and Achilles tendon. [1] X Research Resources Tendonitis is quite painful and causes limited movement, but usually goes away on its own after a few weeks, especially with home treatment methods. However, in some cases it can become chronic and require medical intervention.

How to treat tendonitis at home

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Stop straining the muscles/tendons. Inflamed tendons can be caused by a sudden injury, but these are usually small repetitive movements that add up over days, weeks, or even months. The repetitive motion of the tendon is stressful and causes small tears and local inflammation. Therefore, it is necessary to find out which movement is causing the inflammation and rest for at least a few days or find another movement to replace it. If you have work-related tendonitis, tell your boss and ask them to temporarily change your job description. When it comes to exercise, you may be exercising too hard or not exercising properly – consult a personal trainer.

Tendonitis is common in people who play tennis a lot. This is a common complication of tennis elbow.

Acute tendonitis usually goes away on its own with adequate rest, but chronic tendonitis is much more difficult to treat.

Jak léčit zánět šlach: 9 Kroků (s obrázky) – wikiHow

Place an ice pack on your inflamed tendon. The pain you feel from tendonitis is primarily due to inflammation, which is the body’s attempt to heal and protect damaged tissue. However, this body reaction is usually too strong and generally worsens the problem, so it is important to relieve the symptoms. Place an ice pack on the affected tendon to reduce inflammation and pain. Use an ice pack every few hours until you relieve the pain and the inflammation subsides.

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If the inflammation occurs in a tendon of a smaller surface, such as the wrist or elbow, apply an ice pack for 10 minutes at a time. For larger tendons/muscles, such as the hip or shoulder, you can leave the compressor running for up to 20 minutes.

If you’re freezing an inflamed tendon, consider elevating and bandaging your limb—both methods are effective at fighting inflammation.

At least wrap the ice in a towel before placing it on your body to avoid frostbite and burns.

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Take anti-inflammatory drugs. Another way to get rid of tendonitis is to take over-the-counter medications for inflammation and pain. These medications, such as aspirin, ibuprofen, or naproxen, help regulate the body’s inflammatory response, allowing you to relieve swelling and pain. However, this is a medication that has a negative effect on the stomach (as well as the kidneys and liver), so you shouldn’t take it for more than two weeks each time you get injured.

You can also use an anti-inflammatory gel instead of medication to relieve your pain. Apply the gel directly to the inflamed tendons, especially the superficial tendons where the gel is easily absorbed and has a greater effect.

Do not take a pain reliever (acetaminophen) or a muscle relaxant (cyclobenzaprine) because these drugs do not affect inflammation.

Immediate treatment

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Gently stretch your inflamed tendon. Mild cases of tendonitis and muscle strain respond well to stretching because it relieves tension, improves circulation, and improves flexibility and mobility. Stretching can be used for acute tendonitis (if you are not experiencing severe pain and inflammation), chronic tendonitis, and to prevent tendonitis. While stretching, perform slow, long movements and hold the extreme position for 20-30 seconds. Repeat the exercise 3-5 times a day, especially before and after intense activity.

For chronic tendinitis or to prevent tendinitis, apply moist heat to the tendons before stretching to relax the tendons and muscles.

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Be aware that tendinitis pain usually gets worse at night and after exercise or intense activity.

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Get an orthosis. If you have tendonitis in your knees, elbows, or wrists, you can wear a flexible neoprene brace or a stronger nylon brace that protects your area and limits your mobility. When wearing an orthosis, you should always remember that you should not overload your limbs while working or playing sports.

However, it is not advisable to limit mobility altogether, as chess, muscles, and joints must remain mobile to maintain circulation and allow injuries to heal properly.

In addition to the orthosis, you should pay attention to the ergonomics of your work surface and find out if the height and proportions are right for you. If necessary, adjust the height of the chair, keyboard and work surface to avoid unnecessary stress on your joints and tendons.

Consult a doctor if necessary

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Talk to your doctor. If you can’t get rid of the tendonitis and rest and home treatments don’t help, see a doctor for a check-up. Your doctor will assess the severity of your condition. You may need an MRI or ultrasound scan to determine your treatment. If your tendon has torn from your bone, you will need surgery to repair your tendon. In less severe cases, rehabilitation and/or steroid injections are usually sufficient.

Most tendon sheath surgeries are performed arthroscopically, which means a tiny camera with a miniature instrument is inserted into a small incision near the joint.

For chronic tendinitis, scar tissue aspiration is performed, a minimally invasive procedure that removes damaged tissue from the tendon without irritating healthy tissue.

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Get your rehab determined. If you have chronic tendinitis that is less severe, your doctor will likely recommend rehabilitation, e.g. B. Physiotherapy. The physical therapist will show you specific stretching and strengthening exercises that will allow you to strengthen and heal the damaged tendon and surrounding muscles. For example, eccentric strengthening, which involves stretching the muscles/tendons in a stretch, is a very effective treatment for chronic tendinitis. . Physiotherapy usually needs to be done 2-3 times a week for 4-8 weeks to achieve the desired effect.

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Physical therapists can also treat tendonitis with therapeutic ultrasound or microcurrents, methods that have been shown to reduce inflammation and speed healing.

Some physical therapists (and other doctors) use low-energy (infrared) light waves to reduce inflammation and pain associated with mild to moderate muscle injuries.

Jak léčit zánět šlach: 9 Kroků (s obrázky) – wikiHow

Get a steroid shot. If your doctor decides that an injection is right for you, they may give it to the site with the inflamed tendon. Steroids like cortisone are very effective at treating inflammation in the short term, which can reduce pain and restore mobility (at least in the short term), but unfortunately have risks. In rare cases, corticosteroid injections can weaken the damaged tendon and cause it to tear. Therefore, repeated steroid injections are not recommended for tendonitis lasting more than three months because of the increased risk of tendon rupture.

There is evidence that steroid injections provide short-term pain relief, but are unlikely to have long-term effects.

In addition to weakening of the tendons, side effects of steroid injections include infection, localized muscle atrophy, nerve damage, and impaired immune function.

If steroid injections do not cure the tendonitis, especially when indicated in conjunction with physical therapy, surgery is necessary.

Jak léčit zánět šlach: 9 Kroků (s obrázky) – wikiHow

Ask your doctor about platelet plasma therapy. This treatment is relatively new and still under research, but basically involves taking a blood sample and separating platelets and other healing factors from blood cells. The plasma mixture is then injected into chronic tendonitis where it reduces inflammation and promotes tissue healing.

When effective, this therapy is a much better alternative to corticosteroid injections because it has no side effects.

However, as with any invasive procedure, there is a risk of infection, bleeding, and other scarring.

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