Which location to massage for tendinitis

Written by Li Jie
Orthopedics
Updated on November 01, 2024
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Since a tendon is a bundle that extends from the muscle belly and is elongated, during massage, one should not only focus on the painful area but should consider the entire muscle and tendon. Massaging only the painful area is similar to the notion of treating just the head for a headache or just the foot for foot pain.

Therefore, when massaging, it is necessary to cover the entire muscle from its origin to its insertion, reaching the painful parts of the tendon. Also, one should avoid rough massage techniques; instead, gentle manipulations are encouraged. Otherwise, it could lead to counterproductive effects and not be beneficial. Gentle massage or heat application are both acceptable methods.

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

Tendonitis can be treated with injections, which provide both anti-inflammatory and pain-relieving effects, often resulting in a very satisfactory therapeutic outcome. However, there are some considerations to keep in mind when performing these injections: First, the injection site must be free of infection and dermatitis; the skin must be clean and intact. Second, it is best to avoid injecting the medication near the attachment points of muscles or tendons on bones. In some cases, such as with femoral condyle osteoarthritis, injections near these points are necessary, but care should be taken not to inject directly into the attachment points to prevent tendon rupture at those sites, which are currently irreplaceable with current scientific techniques. Third, do not exceed three tendonitis injections. Many patients may recover after one or two injections, but some might go for a third if they do not feel significant improvement. If there is no noticeable benefit after three injections, or if the treatment is ineffective, the injection therapy might not be suitable for you, and other treatments should be considered. Therefore, while tendon injections can be an option for tendonitis, it is essential to apply the correct methods.

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Written by Lv Yao
Orthopedics
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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.

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Written by Na Hong Wei
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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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How to treat extensor tendinitis of the foot?

For the treatment of extensor tendinitis of the foot, it is firstly important to rest and avoid intense activities to prevent exacerbating the symptoms, and also to avoid exposure to cold. When pain occurs, anti-inflammatory and analgesic medications can be used to alleviate inflammation and pain. Additionally, treatments such as hot compresses, foot baths, and physical therapy can be used to promote blood circulation and improve symptoms. Local block treatments can also be effective in relieving inflammation. When conservative treatments are ineffective or motion is restricted due to tissue adhesions, surgical treatment can be considered.

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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.