What is Tendonitis

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Understanding Tendonitis


What is Tendonitis?

Tendonitis, also known as tenonitis or tendinitis, refers to the inflammation of a tendon. An example is patellar tendonitis, commonly known as jumper's knee, which affects the patellar tendon connecting the tibia to the patella.

Causes and Diagnosis

Tendonitis is often a result of chronic overuse of tendons, leading to microscopic tears within the collagen matrix. This gradually weakens the tendon tissue. The swelling or partial tears can be identified through visual inspection or palpation. Advanced imaging techniques like ultrasonography and MRI can detect increased water content and disorganized collagen in these areas.

Healing and Recurrence

Due to their specialized structure and slow collagen turnover, tendons and ligaments heal slowly and rarely regain their original strength. Partial tears typically heal with disorganized type-III collagen, which lacks the strength of normal tendons, making reinjury common.

Treatment Options

Treatment primarily focuses on symptom relief. Common approaches include the use of non-steroidal anti-inflammatory drugs (NSAIDs), rest, and a gradual return to activity. Acupuncture may offer pain relief and promote quicker healing. Stem cell injections might accelerate recovery. In cases of complete tendon rupture, surgical repair may be necessary, sometimes involving grafted materials.

Common Types of Tendonitis

Achilles tendonitis frequently occurs in sports involving lunging and jumping. In veterinary contexts, “bowed tendon,” a condition similar to human Achilles tendonitis, affects the superficial digital flexor tendon in horses.

Symptoms

Symptoms can range from achy pain and stiffness around the affected tendon to a burning sensation surrounding the joint. Typically, pain worsens during and after physical activity, with increased stiffness the following day.

Common Affected Areas

Tendonitis most commonly affects the elbow, wrist, biceps, shoulder (including rotator cuff), leg, knee (patellar), ankle, hip, and Achilles. The specific area of inflammation often depends on individual activity patterns.

By understanding tendonitis, individuals can better manage symptoms and seek appropriate treatment, promoting a quicker recovery and reducing the risk of reinjury.

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