Can tendinitis be treated with moxibustion?

Written by Li Jie
Orthopedics
Updated on December 28, 2024
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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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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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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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Why does tendonitis recur?

Tendonitis, if not well-rested, can easily recur. It mostly occurs during activities, work, or exercise, presenting with pain, swelling, and limited mobility. Tendonitis primarily involves the tendons, which are very hard connective tissues connecting bones and muscles. Tendonitis is mainly caused by the excessive use of muscle fibers and repetitive strain leading to degenerative changes in tendon collagen fibers. This accumulation of degeneration in tendon collagen fibers is commonly referred to as tendinopathy. Examples include common types such as Achilles tendonitis, patellar tendonitis, quadriceps tendonitis, or injuries to the rotator cuff, and lateral epicondylitis of the humerus. Long-term repetitive friction and fatigue can easily cause repeated episodes in these areas. Strict immobilization, along with physical therapy, massage, electric stimulation, and heat application can help alleviate symptoms. Additionally, taking blood-activating and pain-relieving medications, and when necessary, undergoing injective treatments can effectively prevent recurrences and promote relief, reducing symptoms.

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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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Symptoms of tendonitis

The symptoms of tendonitis basically come down to three points. First, pain or a fixed tender point, generally located around joints or nearby areas, with severe cases possibly exhibiting numbness or tingling. Second, dysfunction, which is due to the stiffness of the joint associated with pain which limits joint movement, and occasionally there is mild swelling of the joint. Furthermore, if the tendon pain reoccurs from the originally damaged site and continues for a long time or recurs, it can lead to stiffness in the joint, subsequently resulting in limited joint mobility. The third point is the inflammatory response; tendonitis has specific signs of inflammation, including redness, swelling, heat, pain, and dysfunction.