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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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.

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Written by Na Hong Wei
Orthopedics
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Treatment of Tendonitis

The causes of tendinitis usually fall into the following three categories: The first is acute injury, commonly referred to as tendon strain. The initial step is to stop any activity, followed by immobilization of the affected tendon area. Immobilization typically involves allowing the part to be completely relaxed, under no pressure, and is usually for a period of three weeks. The second cause is chronic overuse, which is the most common reason for tendinitis. It frequently occurs at sites of bony protrusions or where there is a tunnel, and this can easily lead to constrictive tendinitis. Treatment might start with rest, followed by non-steroidal anti-inflammatory drugs if rest is ineffective. Then, injection treatments are considered, typically around three times; symptoms or pain from tendinitis will significantly reduce or even disappear. If there is no improvement after three injections, a fourth should not be attempted, and surgical treatment to release the tendon and alleviate the constriction may be considered. The last cause is due to a purulent infection. This condition requires symptomatic treatment, initially with antibiotics, followed by cultures and sensitivity tests of the effusion. If the infection occurs adjacent to the tendon or in the tendon sheath, surgery might be necessary to perform drainage again. In summary, the treatment of tendinitis largely depends on the specific cause and involves different approaches.

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Written by Li Jie
Orthopedics
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Can tendinitis be treated with moxibustion?

Tendonitis occurs commonly due to two reasons: overuse, which means excessive local activity, and trauma. Both causes lead to local aseptic inflammation of the tendon, resulting in edema, exudation, swelling, and pain. Moxibustion can be effective in this situation because it helps in activating blood circulation, reducing stasis, relieving swelling, and alleviating pain. The specific locations for applying moxibustion include the painful tendon area, and since the tendon is an extension of the muscle, not only the painful tendon area should be treated with moxibustion, but the entire muscle bundle can also be treated to help relieve overall muscle and tendon spasms and reduce pain.

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Orthopedics
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How to treat shoulder tendinitis?

Shoulder tendinitis is commonly seen in supraspinatus tendinitis, infraspinatus tendinitis, and long head of the biceps tendinitis. The treatment is mainly conservative. During the acute phase of tendinitis, resting, immobilization, and wearing protective gear are recommended. Secondly, oral intake of non-steroidal anti-inflammatory drugs can be considered. Thirdly, traditional Chinese medicines can be taken orally or applied topically. Fourthly, injection therapy can be considered, which usually has good effects. Fifthly, physical therapy is an option, including heat therapy and microwave therapy, with a special recommendation for shockwave therapy, which is very effective for tendinitis throughout the body. If conservative treatment is ineffective, surgical treatment may be necessary, tailored to the specific tendon involved.

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How is calcific tendinitis treated?

The patient suffers from calcific tendinitis, and conservative treatment can be the first choice. It is necessary to reduce the external stimulus on the local lesion and keep it warm. Apply heat treatments, frequently use spectrum meters for electrotherapy, physiotherapy devices, infrared therapy devices, and lamp treatments. Use traditional Chinese medicine washes that activate blood circulation, relieve stasis, and alleviate muscle pain for steaming and soaking. Increasing the local temperature can unblock normal circulation of Qi and blood, soften the local tendon tissues, and alleviate symptoms such as pain and swelling, and also improve the range of motion locally. If there is a clear pain point locally, closed injection techniques can be used, and small needle knife treatments can be utilized to pry and loosen the area. Alternatively, oral non-steroidal anti-inflammatory and analgesic drugs, along with strengthening functional exercises at the lesion site, can help in the recovery of the condition.