Summary about Disease
Tendinosis is a chronic tendon injury characterized by the degeneration of the collagen fibers that make up the tendon. Unlike tendinitis, which involves acute inflammation, tendinosis is marked by structural changes within the tendon tissue, including collagen fiber disorientation, increased vascularity, and scattered chronic inflammatory responses. It results in pain and reduced function, often persisting for months or years.
Symptoms
Pain localized to the affected tendon, often described as a dull ache that worsens with activity.
Stiffness in the affected joint.
Tenderness to the touch along the tendon.
Reduced range of motion.
A palpable nodule or thickening in the tendon.
Pain that may initially improve with activity but worsens afterward.
Causes
Repetitive movements or overuse.
Sudden increase in the intensity or duration of activity.
Poor technique during exercise or sports.
Inadequate warm-up before activity.
Muscle imbalances or weakness.
Age-related degeneration of tendons.
Direct trauma to the tendon.
Underlying medical conditions such as diabetes.
Medicine Used
Pain relievers: Over-the-counter medications like acetaminophen (Tylenol) or NSAIDs (ibuprofen, naproxen) can provide temporary pain relief.
Corticosteroid injections: May be used to reduce pain and inflammation, but they don't address the underlying tendon damage and may have long-term negative effects. Use is generally discouraged.
Platelet-Rich Plasma (PRP) injections: Some studies suggest PRP injections may promote tendon healing.
Other injections: Prolotherapy and sclerosing injections are sometimes used, but their effectiveness is still under investigation.
Is Communicable
Tendinosis is not communicable. It is a non-infectious condition resulting from injury, overuse, or degeneration.
Precautions
Proper warm-up before exercise.
Using correct form during activities.
Gradual increase in activity level.
Strengthening exercises to support the affected joint.
Stretching exercises to improve flexibility.
Proper rest and recovery.
Avoiding activities that aggravate symptoms.
Wearing supportive devices like braces or splints.
Maintaining a healthy weight.
How long does an outbreak last?
Tendinosis is a chronic condition, not an outbreak. Symptoms can persist for months to years if left untreated or if aggravating activities continue. With proper treatment and management, symptoms can be significantly reduced, but complete resolution may not always be possible.
How is it diagnosed?
Physical Examination: A doctor will assess your symptoms, range of motion, and tenderness along the tendon.
Medical History: The doctor will ask about your activities, injuries, and any underlying medical conditions.
Imaging Tests:
Ultrasound: Can visualize tendon thickening, tears, and inflammation.
MRI: Provides more detailed images of the tendon and surrounding tissues, helping to rule out other conditions.
X-rays are typically not helpful in diagnosing tendinosis directly but can rule out other bone related issues.
Timeline of Symptoms
Early Stage: Mild pain that occurs after activity.
Intermediate Stage: Pain during and after activity that may limit function.
Late Stage: Constant pain that interferes with daily activities and may be present even at rest. This can lead to significant weakness and loss of function. The timeline for progression varies depending on the individual and the severity of the underlying cause.
Important Considerations
Early diagnosis and treatment are crucial to prevent chronic pain and disability.
Rest alone is often insufficient to resolve tendinosis. Active rehabilitation is typically necessary.
Compliance with a physical therapy program is essential for successful recovery.
Addressing underlying biomechanical issues or muscle imbalances is important to prevent recurrence.
Surgery is rarely needed and is usually reserved for severe cases that do not respond to conservative treatment.
The information provided here is not a substitute for professional medical advice. Consult with a qualified healthcare provider for diagnosis and treatment.