The difference between tendinitis and gout

Written by Na Hong Wei
Orthopedics
Updated on September 13, 2024
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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.

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Written by Na Hong Wei
Orthopedics
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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.

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Written by Na Hong Wei
Orthopedics
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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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Written by Na Hong Wei
Orthopedics
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How to treat tendonitis and strains?

How to treat tendinitis and strain? That is, in cases with tendinitis that have also resulted in acute injury, the approach should align with treating acute injuries associated with tendinitis. Firstly, rest and immobilization. Resting helps to prevent further injury, and immobilization allows joints or tendons time to relax, rest, and repair. Secondly, apply ice. Ice should be applied to the injured area immediately after the injury. Typically, the first icing lasts for half an hour, followed by subsequent half-hour sessions every three hours, continuing up to 48 hours, after which it should switch to heat application. Thirdly, immobilize the joint or tendon. Immobilization serves two purposes: first, to prevent the injury from worsening; second, to help prevent further swelling. Fourthly, the injured limb should be elevated, raised above the level of the heart by 30 degrees. This is the internationally renowned RICE principle for treating tendon strains and injuries, focusing primarily on four aspects: rest, ice, compression, and elevation.

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Written by Guan Jing Tao
Orthopedics
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Will tendinitis gradually heal by itself?

The answer is negative. Even minor injuries, if not properly addressed and managed, can gradually develop into more severe and chronic diseases. This later affects normal daily life. Tendonitis, for example, is mostly caused by repetitive stretching, severe tearing, or corresponding work-related strain. Therefore, the first step is rest. Additionally, local applications of topical plasters or physical therapies like thermotherapy, acupuncture, and appropriate spectrum treatments can alleviate localized pain and swelling. However, at least two to four weeks of rest is required. After recovery, it is also necessary to avoid repetitive stretching and excessive physical strain to prevent recurrence.

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Written by Na Hong Wei
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What should be paid attention to for tendinitis?

Things to pay attention to for tendinitis, which occurs due to overuse of muscle fibers or repeated intense pulling. It involves internal factors, which are your own factors, and external factors. This includes the incorrect intensity of training increase, which not only brings about technical fatigue, but the training environment is also very important. Therefore, after getting tendinitis, you need to start addressing both intrinsic and extrinsic factors. Intrinsic factors mean finding a suitable exercise method based on your own situation, and not doing things you are incapable of. Extrinsic factors mean that you must pay attention to your exercise intensity, and specifically, the techniques and training environment, mainly to prevent injuries during training.