Symptoms of tendonitis

Written by Na Hong Wei
Orthopedics
Updated on September 04, 2024
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The symptoms of tendonitis basically come down to three points. First, pain or a fixed tender point, generally located around joints or nearby areas, with severe cases possibly exhibiting numbness or tingling. Second, dysfunction, which is due to the stiffness of the joint associated with pain which limits joint movement, and occasionally there is mild swelling of the joint. Furthermore, if the tendon pain reoccurs from the originally damaged site and continues for a long time or recurs, it can lead to stiffness in the joint, subsequently resulting in limited joint mobility. The third point is the inflammatory response; tendonitis has specific signs of inflammation, including redness, swelling, heat, pain, and dysfunction.

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How to treat tendinitis and synovitis?

How to treat tendinitis and synovitis? Generally, the current approach is to first start with conservative treatments for tendinitis and synovitis. Conservative treatments include acupuncture, massage, physical therapy, topical ointments, and oral medications, all of which can help alleviate the symptoms of tendinitis and synovitis. However, if there is no improvement after more than six months of treatment, or if the symptoms, such as increasing pain, worsen, then a minimally invasive surgery might be necessary to provide relief.

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How to treat the symptoms of tendinitis

The symptoms of tendinitis firstly include pain, which develops from mild to severe and can be alleviated by rest. However, the pain reoccurs or escalates with physical activity or increased intensity of movement. Additionally, the greater the activity, the shorter the relief period. The second symptom is restricted movement primarily due to pain. Pain causes limitations when moving the limb in certain ways or directions, increasing the pain and thereby causing movement restrictions. Typically, tendinitis presents a fixed tender point usually located at the site of injury, with possible radiating pain around the tender point. Swelling is generally not prominent; the primary characteristic of tendinitis is severe pain, with no significant changes in the skin and minimal or very light swelling. As for treatment, conservative approaches are commonly chosen, such as standard treatments involving immobilization, rest, and protecting the affected area. Oral non-steroidal drugs might be used along with localized treatments, or physical therapies like microwave and shockwave therapies, which are quite effective. If symptoms do not improve or worsen despite rigorous conservative treatment, surgical intervention may be necessary. The specific surgical techniques vary and are determined by the surgeon.

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Can tendinitis heal on its own without treatment?

Tendinitis is a sterile inflammation of the tendon, manifested as localized fatigue damage to the tendon, which may involve tension, spasm, and adhesion of the tendon. Generally, there is some sterile exudation, and there may be some edema and swelling. Generally, patients with tendinitis are advised to rest initially. Some patients with milder conditions may heal on their own after resting, without treatment. However, for more severe cases, recovery may be slow and less effective if they only rest without treatment. In such cases, treatments like acupuncture, moxibustion, electrotherapy, and application of medicated plasters along with immobilization can generally achieve good results.

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What should not be eaten with tendinitis?

Patients with tendinitis should be cautious with their diet, avoiding spicy and stimulating foods such as chili peppers and black pepper, as well as high-fat and high-calorie foods like fatty meats and barbecue. They should also avoid foods with a high sugar content, such as sweets that are rich in sugar. These types of foods are detrimental to overall health. Patients with tendinitis should appropriately supplement their diet with foods that are rich in high-quality protein and vitamins. These include milk, eggs, beans, chicken, fish, fresh vegetables, and fruits, all of which are beneficial for health.

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The difference between tendinitis and gout

The difference between tendinitis and gout is significant; these are two completely different diseases, although their symptoms are similar, including redness, swelling, heat, pain, and functional impairment. Tendinitis generally involves the muscles and tendons and is a type of aseptic inflammation caused by various reasons. In contrast, gout is due to abnormal metabolism of purines in the body, leading to the accumulation of gouty tophi in the joints, producing inflammatory symptoms. Therefore, tendinitis and gout are fundamentally different diseases.