What should be paid attention to with tendinitis?

Written by Lv Yao
Orthopedics
Updated on September 02, 2024
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When tendonitis occurs, the first thing to do is to rest and avoid excessive bending and extending of the tendon. Tendonitis is a sterile, chronic inflammation of the tendon due to overuse, which can lead to pain and impaired movement.

It is important to avoid excessive bending and loading activities, and some physical therapy, hot compresses, and the topical application of non-steroidal anti-inflammatory drugs can be used for symptomatic treatment.

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Written by Na Hong Wei
Orthopedics
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Can tendinitis be treated with a cortisone injection?

Can a cortisone injection be used for tendinitis? From a clinical perspective, for tendinitis, other conservative treatments such as physical therapy, massage, and oral medications can be used. When treatments like phototherapy are ineffective or not yielding results, a cortisone injection is certainly an option. As long as it is accurately targeted, the results of a cortisone injection are very satisfactory. In some cases of tendinitis, a cortisone injection can even achieve a curative effect. Thus, after tendinitis, a cortisone injection can definitely be used for treatment.

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Written by Na Hong Wei
Orthopedics
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What is tendinitis?

Tendonitis refers to an inflammatory reaction caused by various factors such as over-fatigue, fiber tearing, or other injuries to the tendon and its surrounding tissues. Therefore, tendonitis usually has a cause, commonly seen in acute injuries or chronic strain. The main symptoms are: first, pain, which is often related to movement, intensifies during physical activity and alleviates during rest. Second, there is occasional slight swelling of the joint. Third, persistent pain occurs in bouts. This indicates that after the tendon recovers from an initial injury, persistent pain appears, which eases after rest or treatment but is prone to recurrence. Thus, tendonitis is an inflammation of the tendon and its surrounding tissues, usually a non-bacterial inflammation. If conservative treatment does not improve the condition after 7-10 days, it is recommended to seek medical treatment at a hospital.

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Written by Dai Ru
Orthopedics
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How long does it take for tendonitis to heal?

Tendons are a type of tough connective tissue that connects muscles to bones. When tendons are subjected to repeated excessive stretching, excessive stimulation, or injury, it can lead to localized pathological changes, causing pain, swelling, and dysfunction at the affected site. This may also involve the tendon sheath that envelopes the tendon, leading to a series of aseptic inflammatory responses, thereby causing dysfunction and a range of symptoms in the affected area. Generally, after sufficient rest, avoiding intense activities, and the appropriate use of anti-inflammatory analgesic drugs, recovery can be achieved in about two weeks.

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Written by Na Hong Wei
Orthopedics
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How to treat tendinitis?

Treatment of tendonitis is divided into four types. The first is conventional treatment, which involves following the RICE principle during the acute phase. The second is medication, which includes the use of non-steroidal drugs and the option of local injections, but repetitive injections are not recommended as they can lead to tendon rupture, such as the rupture of the Achilles tendon often caused by such treatment. The third approach is for patients with chronic conditions where the affected area has developed adhesions and conservative treatment is ineffective. In such cases, surgical treatment should be considered, though the drawbacks include significant trauma, pain, and a long recovery period. The fourth method involves physical therapy, including heat therapy, ultrasound treatment, and microwave treatment. Thus, the basic treatments for tendonitis encompass these four approaches.

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Written by Guan Jing Tao
Orthopedics
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Is tendonitis plaster useful?

The answer is affirmative. For tendinitis, topical ointments that activate blood circulation to dissipate blood stasis, reduce swelling, and alleviate pain can be applied to gradually relieve local swelling and reduce inflammatory responses, thereby promoting the recovery of local soft tissue damage. Additionally, it is recommended to combine this with physical therapy, such as hot compresses and electrotherapy. It is advisable to rest adequately for 2 to 4 weeks, avoiding any further weight-bearing activities. Generally, symptoms can be significantly relieved in about one month. After recovery, it is still important to avoid excessive weight-bearing activities to prevent a recurrence of tendinitis. Furthermore, for persistent tendinitis, local pain point block therapy can also be considered. (Medication should be used under the guidance of a doctor.)