Can tendinitis heal on its own without treatment?

Written by Li Jie
Orthopedics
Updated on February 15, 2025
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Tendinitis is a sterile inflammation of the tendon, manifested as localized fatigue damage to the tendon, which may involve tension, spasm, and adhesion of the tendon. Generally, there is some sterile exudation, and there may be some edema and swelling. Generally, patients with tendinitis are advised to rest initially. Some patients with milder conditions may heal on their own after resting, without treatment. However, for more severe cases, recovery may be slow and less effective if they only rest without treatment. In such cases, treatments like acupuncture, moxibustion, electrotherapy, and application of medicated plasters along with immobilization can generally achieve good results.

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Written by Na Hong Wei
Orthopedics
1min 11sec home-news-image

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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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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Written by Su Zhen Bo
Orthopedics
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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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Written by Na Hong Wei
Orthopedics
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How to treat tendinitis?

If it is an acute onset of tendinitis, urgent treatment is recommended. This involves the use of RICE therapy, which is the internationally renowned "rice therapy," including four points: rest, ice, compression, and elevation of the affected limb. Secondly, you can take some non-steroidal anti-inflammatory drugs to reduce inflammation and pain. Thirdly, consider undergoing physical therapy, mainly including heat therapy, shockwave therapy, and microwave therapy, aimed at improving blood circulation and promoting healing. If the pain is particularly severe, you might also consider block therapy, but try to avoid it as it could potentially damage the tendon. Fifth, rehabilitation therapy can be conducted, which should be performed under the guidance of a physiotherapist and rehabilitation therapist. Thus, conservative treatment for tendinitis includes these methods. If some patients, especially those for whom conservative treatment is ineffective or even worsens symptoms, consider surgical treatment. However, surgical treatment should be strictly reserved for appropriate cases because it involves significant pain, potential complications, and a longer recovery time.

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Written by Na Hong Wei
Orthopedics
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The difference between tendinitis and tenosynovitis

Actually, tendinitis and tenosynovitis are essentially two aspects of the same condition. The term tendinitis usually refers to the part where the muscle transitions into the tendon, whereas tenosynovitis generally refers to the fibrous sheath over the tendon surface. Thus, tendinitis and tenosynovitis often coexist; tendinitis can lead to tenosynovitis, and conversely, tenosynovitis can also affect tendinitis, causing or exacerbating it. Therefore, in clinical practice, there usually is not a clear distinction between tendinitis and tenosynovitis. It is common during surgeries for stenosing tenosynovitis to observe that the tendon is also congested and swollen, and even adhered to the tendon sheath. Thus, tendinitis and tenosynovitis are generally considered the same disease, merely referred to by two different names. However, if strictly distinguished, there is a certain difference, which lies in the location: tendinitis refers to the tendon itself, while tenosynovitis refers to the sheath outside the tendon.