What should I do if my tendinitis is getting more painful?

Written by Li Jin
Orthopedics
Updated on December 06, 2024
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When patients with tendinitis experience pain, they should first rest and avoid strenuous activities. They can also use non-steroidal anti-inflammatory drugs to relieve pain. These drugs include ointments that can be applied to the affected area, as well as oral medications that can be taken after meals for a short period to reduce inflammation and alleviate pain. Additionally, patients can use treatments such as heat application, physical therapy, and local injections, which can also effectively relieve pain. When conservative treatments are ineffective or if there is a functional impairment due to adhesions of the tendon and surrounding tissues, surgical treatment can be considered.

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What should I do about calcific tendinitis?

In cases of calcific tendinitis, which is a relatively severe form of tendinitis, conservative treatment should initially be considered. It is important to reduce repeated external forces on the tendon area, ensure the area is kept warm, and treatments like small needle-knife loosening, orthopedic herbal fumigation soaking, or combined with physical therapy and electric heating can be used to soften the calcified tendon tissue, which can alleviate clinical symptoms. If the condition does not improve after conservative treatment, or if it recurs, surgical intervention may be considered as the next step. This could involve tendon release surgery or sheathectomy. Early joint movement is necessary after the surgery to avoid joint adhesion.

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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
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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 Jin
Orthopedics
44sec home-news-image

What should I do if my tendinitis is getting more painful?

When patients with tendinitis experience pain, they should first rest and avoid strenuous activities. They can also use non-steroidal anti-inflammatory drugs to relieve pain. These drugs include ointments that can be applied to the affected area, as well as oral medications that can be taken after meals for a short period to reduce inflammation and alleviate pain. Additionally, patients can use treatments such as heat application, physical therapy, and local injections, which can also effectively relieve pain. When conservative treatments are ineffective or if there is a functional impairment due to adhesions of the tendon and surrounding tissues, surgical treatment can be considered.

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Written by Lv Yao
Orthopedics
33sec home-news-image

What medicine should I take for tendinitis?

Tendonitis is an aseptic inflammatory reaction that occurs at the endpoint of a tendon due to chronic overuse or injury, causing localized pain and restricted movement. For tendonitis, non-steroidal anti-inflammatory drugs can be administered for symptomatic treatment. These drugs can reduce edema in surrounding tissues and decrease the inflammatory response, thus alleviating pain symptoms. Additionally, drugs that promote blood circulation and remove blood stasis can also be used for treatment.