Medicine Information

"Get Rid of Tendonitis ? Now!" Advice From An Expert?


Tendons are ropes of fibrous tissue that connect muscles to bones. It is this connection that permits joint motion. When muscles contract, they pull on the tendons which cause the bones to move. In order for tendons to glide they move inside a lubricated sheath of tissue that is lined with synovial tissue. This synovial tissue is the same type of tissue that lines the inside of joints. Tendonitis refers to a condition where the sheath through which a tendon glides becomes inflamed. This leads to severe pain. The pain usually gets worse with use of the affected joint. However, when tendonitis becomes severe, there may be pain at rest.

Since muscles and tendons surround most joints, tendonitis is rather common. The diagnosis of tendonitis is relatively simple for the experienced clinician. Genrally, the diagnosis is made by history and physical examination. In difficult diagnostic cases, magnetic resonance imaging is helpful in confirming the diagnosis.

Some of the more common types of tendonitis are:

Shoulder tendonitis. The tendons in the shoulder that are most often affected are the rotator cuff and the biceps tendon. The rotator cuff consists of four tendons that sit on top of the upper arm bone. The location of these tendons and the muscles they attach to are what give the shoulder such an expansive range of motion. Rotator cuff tendonitis may occur as a result of repetitive activity or tendon degeneration. Pain is felt with most movements and is located on the outside part of the shoulder. The biceps tendon allows the arm to be flexed at the elbow. Biceps tendonitis also occurs due to repetitive activity and pain is felt in the front of the shoulder. Shoulder tendonitis can be treated successfully with anti-inflammatory medication, physical therapy, and occasionally glucocorticoid injection.

Tendonitis in the elbow is usually located either on the outside and is called lateral epicondylitis or tennis elbow. It may also occur along the inside part of the elbow- medial epicondylitis. This is called golfer's elbow. Treatment consists of physical therapy, stretching and strengthening exercises, splints, and injections. Rarely, surgery is required.

Tendonitis in the wrist arises because of repetitive motion. A special type of tendonitis, called Dequervain's tendonitis, is felt on the out side of the thumb. Tendonitis in these areas is managed with glucorticoid injections and immobilization with a splint. Other physical therapy modalities may be helpful. Sometimes surgery is required. Tendonitis in the fingers can lead to catching of the fingers. This is termed "trigger finger." Trigger finger usually responds to injection but may require operative intervention.

Tendonitis in the knee may affect the patellar tendon. This is the tendon that connects the knee cap to the tibia (lower leg bone). Patellar tendonitis usually occurs because of excessive jumping and is actually called "jumpers knee." This is treated with rest, anti-inflammatory medications, and physical therapy.

Tendonitis in the ankle can occur along the outside of the ankle (peroneal tendonitis), the inside of the ankle (posterior tibial tendonitis), or at the back of the ankle (Achilles tendonitis). The tendonitis that occurs along the outside or inside of the ankle can occur because of trauma or because of mechanical instability. Another potential cause is an underlying arthritis condition. Achilles tendonitis often occurs as a result of excessive stress and repetitive trauma. The Achilles tendon is the thick cord at the back of the ankle that connects the heel bone to the calf muscle. Treatment involves rest, elevation of the heel to take the tension off the Achilles tendon, and physical therapy. Glucocorticoid injection should be avoided because of the danger of Achilles tendon rupture. Anti-inflammatory medication may be helpful.

Dr. Wei (pronounced "way") is a board-certified rheumatologist and Clinical Director of the nationally respected Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine and has served as a consultant to the Arthritis Branch of the National Institutes of Health. He is a Fellow of the American College of Rheumatology and the American College of Physicians. For more information on arthritis and related conditions, go to: http://www.arthritis-treatment-and-relief.com


MORE RESOURCES:
This RSS feed URL is deprecated, please update. New URLs can be found in the footers at https://news.google.com/news


New York Post

Venezuelans with transplants live in fear as medicine runs out
New York Post
After years leading normal lives, they now live in fear as Venezuela's economic collapse under President Nicolas Maduro has left the once-prosperous OPEC nation unable to purchase sufficient foreign medicine or produce enough of its own. Some 31 ...
PETRO's backing (from Whitepaper) - El PetroEl Petro
Venezuela: 82.4M Units of Petro Cryptocurrency AvailableteleSUR English

all 177 news articles »


#MeToo in medicine: Women, harassed in hospitals and operating ...
NBCNews.com
In a months-long investigation, NBC News spoke with nearly a dozen women and experts who described widespread misconduct in hospitals and health care.

and more »


OncLive

Gastrointestinal Cancers Entering Age of Precision Medicine
OncLive
He: We had 4 excellent faculty who talked about the updates to pancreatic and hepatobiliary cancer treatment, treatment of neuroendocrine tumors (NETs) of the GI tract, and precision medicine. Molecular profiling has been identified as a very important ...



The Courier-Journal

University of Louisville takes its medicine and starts healing process | Tim Sullivan
The Courier-Journal
There's never a wrong time to do the right thing. There's rarely a point where a public institution is better served by technicalities than truth. The University of Louisville has paid a high price for coming clean with its dirty laundry, with self ...

and more »


MyNorthwest.com

Ayurveda: a 5000 year old tradition of eating where food is medicine
MyNorthwest.com
Singer songwriter Nicki Bluhm is the latest guest on my podcast, Your Last Meal. For her last meal she wants a classic steakhouse dinner, complete with scalloped potatoes and creamed spinach. But in her daily life, she follows an Ayurvedic diet; a 5 ...



גלובס

Globes English - Vaica reminds patients to take medicine - גלובס
גלובס
The Israeli company adapts its reminders to the patient's age and the type of medicine.

and more »


VentureBeat

4 ways AI could help shape the future of medicine
VentureBeat
At times, progress occurs so quickly that it's difficult to separate science fiction from real life. Just five decades ago, computers were massive, unwieldy machines running on punch cards and primitive circuits. Today, a single smartphone has more ...



PR Newswire (press release)

Personalized Lifestyle Medicine Institute to Host 2018 Thought Leaders Consortium in Tucson
PR Newswire (press release)
SEATTLE, Feb. 20, 2018 /PRNewswire/ -- The Personalized Lifestyle Medicine Institute (PLMI) will host the Sixth Annual Thought Leaders Consortium Oct. 12-13, 2018 at the Westin La Paloma Resort and Spa in Tucson, Arizona. The title of the 2018 ...

and more »


Equities Focus

Loxo Oncology Will Fulfill The Promise Of Precision Medicine
Seeking Alpha
Based in Stamford, Connecticut, Loxo Oncology is dedicated to developing precision medicines against genetically defined cancers. Its highly selective drugs in the pipeline will shift the paradigm of cancer treatment from the traditional "one-size-fits ...
Financial Newsletter - ZacksZacks
Loxo Oncology, Inc. - LOXO - Stock Price Today - ZacksZacks

all 39 news articles »


Huntington Herald Dispatch

UCD School of Medicine scores high in NIH research funding
Davis Enterprise
For the first time, UC Davis School of Medicine has ranked in the top 20 percent of institutions in the country for research funding from the National Institutes of Health. “The proportion of NIH funding is an important measure of research excellence ...
National Institutes of Health guests visit School of MedicineHNN Huntingtonnews.net

all 3 news articles »

Google News

home | site map | Dr. Thad Thomas
© 2006