Zapalenie ścięgna
Charakterystyka, pielęgnacja i opieka

Zapalenie ścięgna (tendonitis) to proces zapalny tkanki łącznej łączącej mięśnie z kośćmi, objawiający się bólem, obrzękiem, tkliwością i ograniczeniem ruchomości w okolicy stawu. Najczęściej dotyczy ścięgien barku, łokcia, nadgarstka, biodra, kolana oraz ścięgna Achillesa. Etiologia jest zwykle związana z powtarzalnym przeciążeniem, a przewlekłe przypadki (>1 miesiąc) mogą przejść w tendinozę – proces degeneracyjny. Diagnostyka opiera się na wywiadzie i badaniu fizykalnym, z możliwością zastosowania MRI, USG lub RTG w celu oceny stanu ścięgna i wykluczenia innych patologii. Leczenie zachowawcze obejmuje protokół RICE (odpoczynek, lód, ucisk, uniesienie), farmakoterapię NLPZ (np. ibuprofen, naproksen, diklofenak) stosowaną krótkotrwale (7-14 dni), paracetamol oraz fizykoterapię z ćwiczeniami ekscentrycznymi i wzmacniającymi. Wskazane jest unikanie iniekcji kortykosteroidów w ścięgno Achillesa ze względu na ryzyko zerwania.

Zapalenie ścięgna – definicja i patofizjologia

Zapalenie ścięgna (tendonitis, tendinitis) to stan zapalny ścięgna, czyli tkanki łącznej, która łączy mięśnie z kośćmi. Proces zapalny powoduje obrzęk, ból, tkliwość i ograniczenie ruchomości w okolicy stawu, do którego przyczepia się dotknięte ścięgno.12 Zapalenie ścięgna może dotyczyć różnych części ciała, najczęściej występuje w obszarze barku, łokcia, nadgarstka, biodra, kolana oraz ścięgna Achillesa.1

Stan ten może być ostry (krótkotrwały) lub przewlekły (długotrwały).1 Zapalenie ścięgna zazwyczaj nie jest związane z konkretnym urazem, ale wynika z powtarzalnego przeciążenia ścięgna. Problem pojawia się, gdy nadmiernie obciążamy nasze ciało, zwłaszcza gdy robimy to zbyt szybko.3 W przypadku przewlekłego zapalenia ścięgna, które trwa dłużej niż miesiąc, stan ten określa się często jako tendinozę, gdyż nie jest to już problem zapalny, a raczej proces degeneracji tkanki.45

Przyczyny i czynniki ryzyka zapalenia ścięgna

Zapalenie ścięgna najczęściej jest spowodowane nadmiernym użyciem lub powtarzalnymi ruchami.6 Czynniki ryzyka obejmują:

  • Powtarzalne ruchy w pracy, sporcie lub codziennych czynnościach7
  • Niewłaściwa technika podczas aktywności fizycznej8
  • Nagły wzrost intensywności lub czasu trwania ćwiczeń9
  • Wiek powyżej 40 lat (ścięgna stają się mniej elastyczne z wiekiem)10
  • Nieodpowiednie przygotowanie do aktywności sportowej11
  • Nieprawidłowa postawa11

Objawy zapalenia ścięgna

Główne objawy zapalenia ścięgna to:1210

  • Ból w okolicy ścięgna, zazwyczaj nasilający się podczas aktywności
  • Obrzęk i zaczerwienienie
  • Uczucie ciepła w okolicy ścięgna
  • Tkliwość przy dotyku
  • Ograniczona ruchomość stawu
  • Słabość mięśniowa
  • Sztywność, szczególnie rano

W przypadku zapalenia ścięgna Achillesa, które jest jednym z najczęstszych rodzajów tego schorzenia, pacjenci mogą dodatkowo odczuwać ból i sztywność wzdłuż ścięgna Achillesa rano, nasilenie bólu po aktywności, oraz zgrubienie ścięgna.13

Diagnoza zapalenia ścięgna

Diagnoza zapalenia ścięgna opiera się głównie na wywiadzie medycznym i badaniu fizykalnym.14 Lekarz zbada obszar dotknięty bólem, oceniając obecność obrzęku, zaczerwienienia i ciepła. Badanie może ujawnić trzeszczący dźwięk podczas poruszania ścięgnem.15

W niektórych przypadkach mogą być zlecone dodatkowe badania obrazowe, takie jak:16

  • Rezonans magnetyczny (MRI) – zapewnia wyraźne obrazy stanu zapalnego w dotkniętych ścięgnach
  • Zdjęcia rentgenowskie – pomagają wykluczyć inne przyczyny bólu i stanu zapalnego, takie jak mikrozłamania
  • USG – może być pomocne w ocenie stanu ścięgna oraz do prowadzenia zabiegów minimalnie inwazyjnych

Wczesna diagnoza zapalenia ścięgna pozwala na rozpoczęcie leczenia, zanim dojdzie do poważniejszych uszkodzeń.16 Pacjenci powinni skonsultować się z lekarzem, jeśli ból nie ustępuje po kilku dniach samodzielnego leczenia lub jeśli utrudnia codzienne aktywności.17

Pielęgnacja i leczenie zapalenia ścięgna

Metoda RICE

Podstawowym elementem leczenia zapalenia ścięgna jest tzw. protokół RICE, który obejmuje:1819

  • Rest (odpoczynek) – ograniczenie lub zaprzestanie aktywności, która powoduje ból
  • Ice (lód) – stosowanie zimnych okładów na zapalony obszar przez 10-20 minut co 1-2 godziny przez pierwsze 2-3 dni
  • Compression (ucisk) – użycie elastycznego bandaża w celu zmniejszenia obrzęku
  • Elevation (uniesienie) – trzymanie chorej kończyny powyżej poziomu serca, aby zmniejszyć obrzęk

Należy pamiętać, aby zdjąć bandaż lub ortezę przed pójściem spać.20 Chociaż odpoczynek jest kluczowym elementem leczenia zapalenia ścięgna, całkowity brak ruchu może prowadzić do sztywności stawów. Po kilku dniach odpoczynku należy delikatnie poruszać chorym obszarem, aby zachować pełny zakres ruchu.14

Farmakoterapia

W leczeniu zapalenia ścięgna stosuje się następujące leki:2122

  • Niesteroidowe leki przeciwzapalne (NLPZ) takie jak ibuprofen, naproksen, diklofenak – zmniejszają ból i stan zapalny
  • Paracetamol – może pomóc w łagodzeniu bólu
  • Żele i kremy przeciwzapalne stosowane miejscowo

Należy jednak pamiętać, że nie należy przyjmować dwóch lub więcej leków przeciwbólowych jednocześnie bez zalecenia lekarza. Wiele leków przeciwbólowych zawiera paracetamol, a zbyt duża ilość tego składnika może być szkodliwa.22

Skuteczność leków przeciwzapalnych w leczeniu zapalenia ścięgna jest przedmiotem dyskusji, ponieważ większość przewlekłych zaburzeń ścięgien ma charakter degeneracyjny, a nie zapalny. Niektóre badania sugerują, że NLPZ mogą nawet spowolnić proces gojenia.23 Leki te są jednak skuteczne w łagodzeniu bólu i zwykle zaleca się ich krótkotrwałe stosowanie (7-14 dni).24

Fizykoterapia i rehabilitacja

Fizykoterapia jest kluczowym elementem leczenia zapalenia ścięgna.25 Program rehabilitacji może obejmować:2627

  • Ćwiczenia rozciągające – zwiększają elastyczność mięśni i ścięgien
  • Trening ekscentryczny – ćwiczenia, podczas których mięsień kurczy się podczas jego wydłużania, co jest szczególnie skuteczne w leczeniu przewlekłych stanów ścięgien14
  • Ćwiczenia wzmacniające – poprawiają siłę mięśni otaczających dotknięte ścięgno
  • Terapia manualna – masaż i mobilizacja tkanek miękkich
  • Ultradźwięki – stymulują proces gojenia
  • Terapia falami uderzeniowymi (ESWT) – może być stosowana w opornych przypadkach28

Fizjoterapeuta może także pomóc w skorygowaniu nieprawidłowej mechaniki ruchu i nauczyć pacjenta właściwych technik wykonywania czynności, które mogły przyczynić się do powstania zapalenia ścięgna.18

Ortezy i stabilizatory

W leczeniu zapalenia ścięgna mogą być pomocne różne rodzaje stabilizatorów i ortez:2930

  • Ortezy unieruchamiające – pomagają ograniczyć ruch i dać ścięgnu odpoczynek
  • Bandaże elastyczne – zapewniają ucisk i zmniejszają obrzęk
  • Wkładki ortopedyczne – mogą zmniejszać podrażnienie ścięgna poprzez korektę mechaniki chodu
  • Szyny nocne – utrzymują stopę w odpowiedniej pozycji podczas snu, co często przynosi ulgę w porannym bólu

Należy postępować zgodnie z zaleceniami lekarza dotyczącymi noszenia i dbania o temblak, szynę lub gips. W niektórych przypadkach pacjenci mogą nosić tego typu sprzęt przez pewien czas, aby pomóc w gojeniu ścięgna.30

Iniekcje

Gdy leczenie zachowawcze nie przynosi odpowiednich rezultatów, można rozważyć bardziej inwazyjne metody leczenia, takie jak:3128

  • Iniekcje kortykosteroidów – mogą zapewnić krótkotrwałą ulgę w bólu i zmniejszyć stan zapalny, jednak ich skuteczność w długoterminowym leczeniu jest dyskusyjna
  • Iniekcje osocza bogatopłytkowego (PRP) – wykorzystują koncentrat płytek krwi pacjenta do przyspieszenia procesu gojenia
  • Iniekcje koncentratu aspiratu szpiku kostnego (BMAC) – zawierają komórki macierzyste, które mogą wspomagać regenerację tkanek

Warto zaznaczyć, że iniekcje kortykosteroidów nigdy nie powinny być stosowane w leczeniu zapalenia ścięgna Achillesa, ponieważ zgłaszano przypadki zerwania tego ścięgna po pojedynczej iniekcji kortykosteroidu.31 W przypadku zapalenia ścięgna Achillesa, niektórzy eksperci nie zalecają również rutynowego stosowania iniekcji kortykosteroidów ze względu na niespójne informacje dotyczące ich skuteczności i ryzyko zerwania ścięgna.32

Leczenie chirurgiczne

Leczenie operacyjne zapalenia ścięgna jest zwykle ostatecznością, kiedy metody zachowawcze nie przynoszą poprawy po 3-6 miesiącach.33 Chirurgia może być konieczna w przypadku:3410

  • Zerwania ścięgna
  • Przewlekłego bólu nieustępującego po leczeniu zachowawczym
  • Znacznej degeneracji ścięgna

Zabiegi chirurgiczne mogą obejmować:3536

  • Artroskopię – minimalnie inwazyjną technikę pozwalającą na usunięcie uszkodzonych tkanek
  • Dekompresję ścięgna – uwolnienie uciśniętego ścięgna
  • Naprawę zerwanego ścięgna
  • Usunięcie tkanki bliznowatej
  • Transfer ścięgna – zastąpienie uszkodzonego ścięgna innym

Po zabiegu chirurgicznym pacjent będzie potrzebował 6-12 tygodni na pełny powrót do zdrowia.33 Rehabilitacja pooperacyjna jest intensywna i wymaga współpracy całego zespołu specjalistów, w tym chirurga ortopedy.27

Rola pielęgniarki w opiece nad pacjentem z zapaleniem ścięgna

Edukacja pacjenta

Pielęgniarka odgrywa kluczową rolę w edukacji pacjenta na temat:3738

  • Natury schorzenia – wyjaśnienie, czym jest zapalenie ścięgna i jakie są jego przyczyny
  • Znaczenia odpoczynku – podkreślenie, że ścięgno potrzebuje czasu na wygojenie
  • Prawidłowego stosowania metody RICE
  • Właściwego przyjmowania leków przeciwzapalnych i przeciwbólowych, ze szczególnym uwzględnieniem ich działań niepożądanych
  • Wykonywania zaleconych ćwiczeń rehabilitacyjnych
  • Modyfikacji codziennych aktywności w celu zmniejszenia obciążenia ścięgna

Pielęgniarka powinna również informować pacjenta o konieczności kontaktu z lekarzem, jeśli ból się nasila lub nie następuje poprawa w oczekiwanym czasie.30

Interwencje pielęgniarskie

Specyficzne interwencje pielęgniarskie w przypadku zapalenia ścięgna obejmują:37

  • Zapewnienie odpowiedniego odpoczynku od aktywności
  • Zachęcanie pacjenta do stosowania terapii ciepłem lub zimnem zgodnie z zaleceniami
  • Pomoc w zakładaniu bandaża uciskowego do czasu ustąpienia obrzęku
  • Instruktaż dotyczący odpowiedniego stosowania zimnych i ciepłych okładów
  • Asystowanie przy zabiegach aspiracji płynu w razie potrzeby
  • Współpraca z fizjoterapeutą w celu zapobiegania sztywności stawów i zachowania zakresu ruchu
  • Instruowanie pacjenta w zakresie odpoczynku lub unoszenia kończyny z dotkniętym ścięgnem
  • Pomoc w stosowaniu szyn, ortez lub kuli
  • Wyjaśnianie znaczenia leków przeciwzapalnych i instruowanie pacjenta, aby przyjmował je z mlekiem w celu zminimalizowania podrażnienia przewodu pokarmowego

Dodatkowo, pielęgniarka może pomóc w koordynacji opieki wielospecjalistycznej, która jest niezbędna do kompleksowego leczenia zapalenia ścięgna.39

Ocena i monitorowanie postępów

Pielęgniarka powinna regularnie oceniać:730

  • Poziom bólu pacjenta
  • Stopień obrzęku i stanu zapalnego
  • Zakres ruchu w dotkniętym stawie
  • Skuteczność zastosowanego leczenia
  • Przestrzeganie przez pacjenta zaleceń dotyczących odpoczynku i rehabilitacji
  • Potencjalne powikłania, takie jak zerwanie ścięgna

Istotne jest także monitorowanie działań niepożądanych stosowanych leków, zwłaszcza NLPZ, które mogą powodować problemy żołądkowo-jelitowe, wątrobowe lub nerkowe.22

Powrót do aktywności i profilaktyka

Stopniowy powrót do aktywności

Po ustąpieniu ostrego zapalenia ścięgna, pacjent powinien stopniowo wracać do aktywności:3040

  • Rozpoczynać od delikatnych ćwiczeń rozciągających i wzmacniających
  • Rozgrzewać się przed i rozciągać po aktywności
  • Zwiększać intensywność i czas trwania aktywności stopniowo
  • Rozważyć trening krzyżowy (różne rodzaje aktywności), aby uniknąć przeciążenia tego samego ścięgna
  • Preferować ćwiczenia o niskim uderzeniu, takie jak pływanie, które są mniej obciążające dla ścięgien
  • Przerwać aktywność, jeśli pojawi się ból
  • Stosować lód po aktywności, aby zapobiec bólowi i obrzękowi

Pacjent powinien powrócić do pełnej aktywności dopiero po uzyskaniu zgody od lekarza prowadzącego.41

Profilaktyka zapalenia ścięgna

Aby zmniejszyć ryzyko wystąpienia zapalenia ścięgna, zaleca się:84243

  • Odpowiednie rozgrzewanie się przed aktywnością i rozciąganie po jej zakończeniu
  • Stopniowe zwiększanie intensywności treningów
  • Unikanie nagłego wzrostu obciążenia
  • Stosowanie właściwego obuwia i sprzętu dostosowanego do danej aktywności
  • Naukę prawidłowej techniki wykonywania różnych ćwiczeń
  • Regularne wykonywanie ćwiczeń wzmacniających mięśnie
  • Zapewnienie odpowiedniego odpoczynku między treningami
  • Utrzymywanie prawidłowej wagi ciała
  • Ergonomiczne dostosowanie miejsca pracy (odpowiednie ustawienie krzesła, klawiatury i biurka)
  • Unikanie długotrwałego pozostawania w tej samej pozycji – robienie przerw co 30 minut

Szczególnie ważne jest przygotowanie się do nowego sportu przed jego rozpoczęciem. Należy rozpocząć budowanie siły i elastyczności mięśni, które będą używane, kilka tygodni lub miesięcy wcześniej.42

Rokowanie i czas gojenia

Rokowanie w przypadku zapalenia ścięgna jest zwykle dobre. Większość pacjentów po odpowiednim leczeniu i odpoczynku powraca do pełnej sprawności.41 Czas gojenia zależy od:4445

  • Lokalizacji i rozległości uszkodzenia ścięgna
  • Czasu trwania objawów przed rozpoczęciem leczenia
  • Wieku pacjenta
  • Ogólnego stanu zdrowia
  • Stosowania się do zaleceń lekarskich

Łagodne zapalenie ścięgna może ustąpić w ciągu 2-3 tygodni przy odpowiednim leczeniu zachowawczym.20 Umiarkowane przypadki mogą wymagać 4-6 tygodni do powrotu do zdrowia.45 Ciężkie lub przewlekłe zapalenie ścięgna może trwać kilka miesięcy, a nawet lat, zanim całkowicie się wyleczy.46

Należy pamiętać, że nieleczone zapalenie ścięgna może zwiększać ryzyko osłabienia lub zerwania ścięgna, co może wymagać interwencji chirurgicznej.17 Dlatego tak ważne jest wczesne rozpoczęcie leczenia i ścisłe przestrzeganie zaleceń medycznych.47

Szczególne przypadki zapalenia ścięgna

Zapalenie ścięgna Achillesa

Zapalenie ścięgna Achillesa jest jednym z najczęstszych rodzajów zapalenia ścięgna.48 Może wystąpić w obrębie samego ścięgna lub w miejscu jego przyczepu do kości piętowej.13 Leczenie obejmuje:

  • Zmniejszenie aktywności obciążającej ścięgno Achillesa38
  • Unikanie ćwiczeń z dużym obciążeniem, takich jak bieganie49
  • Leki przeciwzapalne38
  • Fizykoterapię z naciskiem na ekscentryczne ćwiczenia rozciągające38
  • Wkładki ortopedyczne lub podpiętki49

Warto zaznaczyć, że iniekcje kortykosteroidów są przeciwwskazane w zapaleniu ścięgna Achillesa ze względu na ryzyko zerwania ścięgna.31

Zapalenie ścięgna barku

Zapalenie ścięgna barku może dotyczyć ścięgien stożka rotatorów lub ścięgna mięśnia dwugłowego.50 Leczenie może obejmować:

  • Odpoczynek i leki przeciwzapalne50
  • Temblak dla rotator cuff tendonitis21
  • Fizykoterapię z ćwiczeniami wzmacniającymi50
  • Iniekcje kortykosteroidów w wybranych przypadkach50
  • Terapię ultradźwiękową50

W przypadku zapalenia ścięgna barku z obecnością zwapnień, skuteczne może być nakłuwanie pod kontrolą USG i płukanie.31

Zapalenie ścięgna nadgarstka i dłoni

Zapalenie ścięgna nadgarstka i dłoni może prowadzić do osłabienia, stanu zapalnego, obrzęku i bólu w ręce lub nadgarstku.33 Leczenie obejmuje:

  • Metody niechirurgiczne, takie jak odpoczynek, lód, leki przeciwzapalne33
  • Fizykoterapię skupiającą się na ćwiczeniach wzmacniających i rozciągających24
  • Ortezy unieruchamiające nadgarstek51
  • W przypadku braku poprawy po 3-6 miesiącach leczenia zachowawczego, może być konieczna interwencja chirurgiczna33

Okres rekonwalescencji po operacji nadgarstka i dłoni wynosi zwykle od sześciu do dwunastu tygodni.33

Zapalenie ścięgna biodra

Zapalenie ścięgna biodra jest spowodowane stanem zapalnym lub zwyrodnieniowym ścięgien, które przyczepiają mięśnie do kości biodrowej, zwykle w wyniku przeciążenia.27 Leczenie obejmuje:

  • Odpoczynek i leki przeciwzapalne we wczesnym stadium27
  • Fizykoterapię mającą na celu zmniejszenie bólu i stanu zapalnego oraz poprawę funkcji biodra27
  • W niektórych przypadkach konieczna może być konsultacja z ortopedą i całym zespołem specjalistów, w tym z chirurgiem ortopedą27

Przy braku interwencji chirurgicznej, zapalenie ścięgna biodra może wyleczyć się po czterech do sześciu tygodniach fizykoterapii.27

Znaczenie kompleksowej opieki w zapaleniu ścięgna

Zapalenie ścięgna jest powszechnym schorzeniem, które może znacząco wpływać na jakość życia pacjenta. Kluczowe znaczenie ma wczesna diagnoza i rozpoczęcie leczenia, aby zapobiec przewlekłym uszkodzeniom i komplikacjom.52

Kompleksowa opieka nad pacjentem z zapaleniem ścięgna wymaga współpracy różnych specjalistów, w tym lekarzy, pielęgniarek, fizjoterapeutów i innych członków zespołu medycznego.39 Każdy z nich odgrywa ważną rolę w procesie leczenia:

  • Lekarz – diagnozuje schorzenie, określa plan leczenia i monitoruje postępy
  • Pielęgniarka – edukuje pacjenta, wykonuje zabiegi, monitoruje objawy i skutki leczenia
  • Fizjoterapeuta – prowadzi rehabilitację, uczy prawidłowych wzorców ruchowych i zapobiega nawrotom

Dzięki takiemu podejściu możliwe jest nie tylko skuteczne leczenie zapalenia ścięgna, ale także zapobieganie jego nawrotom i minimalizowanie długoterminowych konsekwencji.39

Pamiętajmy, że zapalenie ścięgna to sygnał ze strony organizmu, że dana struktura jest przeciążona. Kluczowe znaczenie ma więc nie tylko leczenie objawów, ale także identyfikacja i eliminacja przyczyn tego stanu, co pozwoli na długotrwałą poprawę zdrowia pacjenta.52

Kolejne rozdziały

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  1. 09.04.2026
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Materiały źródłowe

  • #1 Tendonitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/10919-tendonitis
    Tendonitis (tendinitis) is a condition where the connective tissues between your muscles and bones (tendons) inflame. Often caused by repetitive activities, tendonitis can be painful. It can happen in your elbow, knee, shoulder, hip, Achilles tendon and base of your thumb. Rest and avoiding strenuous activities help tendons heal. […] Tendonitis (tendinitis) is the inflammation or irritation of a tendon that makes it swell. Tendons are strands of connective tissue between muscles and bones that help you move. This condition usually happens after a repetitive strain or overuse injury. Its common in your shoulders, elbows and knees. If you have tendonitis, youll feel pain and soreness around your affected joint, usually near where the tendon attaches to the bone. Tendonitis can be either acute (short-term) or chronic (long-term).
  • #2 Tendinitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tendinitis/symptoms-causes/syc-20378243
    Tendinitis is inflammation of the thick fibrous cords that attach muscle to bone. These cords are called tendons. The condition causes pain and tenderness just outside a joint. […] Most tendinitis can be treated with rest, physical therapy and medicine to reduce pain. Long-lasting tendon inflammation can cause a tendon to tear. A torn tendon might need surgery. […] Most cases of tendinitis respond to self care. See your health care provider if your symptoms don’t lessen after a few days and if they get in the way of daily activities. […] Without treatment, tendinitis can increase the risk of a tendon breaking down or tearing. A completely torn tendon might need surgery. […] To reduce the chance of developing tendinitis, follow these suggestions: Ease up. Avoid activities that place too much stress on your tendons, especially for long periods. If you have pain during an exercise, stop and rest.
  • #3 Achilles Tendinitis – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/achilles-tendinitis/
    Achilles tendinitis is a common condition that occurs when the large tendon that runs down the back of the lower leg becomes irritated and inflamed. […] Achilles tendinitis pain can occur within the tendon itself or at the point where it attaches to the heel bone, called the Achilles tendon insertion. […] Simply defined, tendinitis (also spelled „tendonitis”) is acute inflammation of a tendon. Inflammation is the body’s natural response to injury and often causes swelling, pain, or irritation. […] Achilles tendinitis is typically not related to a specific injury. The problem results from repetitive stress to the tendon. This often happens when we push our bodies to do too much, too quickly. […] Common symptoms of Achilles tendinitis include: Pain and stiffness along the Achilles tendon in the morning, Pain along the tendon or back of the heel that worsens with activity, Severe pain the day after exercising, Thickening of the tendon, Bone spur formation (insertional tendinitis), Swelling that is present all the time and gets worse throughout the day or with activity, Pain on the back of the heel when you wear shoes.
  • #4 Everything You Need to Know About Tendinitis and Its Treatment | University of Utah Health
    https://healthcare.utah.edu/the-scope/health-library/all/2019/02/everything-you-need-know-about-tendinitis-and-its-treatment
    Well first let me say what tendonitis is. There can be confusion about it. Tendon is muscle connected to bone. So at the end of the muscle, that’s where the tendon is and then the tendon ultimately attaches to the bone. -Itis infers that it’s an inflammation problem, when in fact most tendonitis is really what we call tendonosis because it ends up being a chronic problem. Usually in the first few weeks or maybe the first month we might call it tendonitis. After that it really is not an inflammatory problem, but it’s more of a tissue break down problem and then we call it tendonosis. […] Frequently that’s the case and generally the older the patient is, the longer it can take to go away. But even sometimes with prolonged rest, as soon as somebody goes back to doing their usual activity, the tendonosis problem comes back again.
  • #5 Tendonitis in Children | Causes, Types, & Treatment
    https://www.cincinnatichildrens.org/health/t/tendonitis-in-children
    Tendonitis happens when a tendon—the strong cord that connects muscle to bone—becomes inflamed or irritated. This can cause pain and swelling, making it hard for your child to move comfortably. Tendonitis often occurs due to repeated activities, overuse or sudden injuries. […] If tendonitis is not properly managed, it can become tendinosis. Tendinosis is a more serious, chronic condition that happens due to overuse and not enough time for the tendon to heal. Scar tissue can then develop, causing chronic pain and reduced function. This condition can take much longer to heal. Treatment can take several months. […] Tendonitis treatment starts with resting the area that hurts. Your child should stop any activity that causes pain. Physical therapy or home exercises may be recommended to help correct improper body movement. Ice and anti-inflammatory medication can help relieve pain and swelling while your child rests. In severe cases, if not treated, tendonitis can lead to tendon rupture, which may need surgery.
  • #6
    https://www.advocatehealth.com/health-services/orthopedic-center/specialties/tendonitis
    Tendonitis is an inflammatory injury of a tendon that causes pain, swelling and other symptoms. […] Tendonitis inflammation of a tendon can affect any tendon, but its usually found in the shoulders, elbows, wrists, thumbs, hips, knees, or ankles. It can be chronic or acute. […] Chronic tendonitis is the most common kind. Its usually caused by overuse or repetitive movements in sports, work, or day-to-day activities. […] Acute tendonitis appears suddenly and is usually the result of an injury. If a person doesnt get treatment, their acute tendonitis can become chronic. […] Tendonitis wont heal completely on its own. However, there are self-care measures you can use that may make symptoms go away. Rest, ice, compression, and elevation are very effective for tendonitis: […] Prompt treatment is important. Leaving tendonitis untreated can lead to complications such as tendinosis (degeneration of tendon tissue) or a tendon rupture (tearing of tendon tissue).
  • #7
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8556
    Tendons are tough, flexible tissues that connect muscle to bone. A tendon can hurt or get torn from overuse or aging, especially tendons in the shoulder, elbow, wrist, hip, knee, or ankle. Tendon injuries may be called tendinopathy or tendinitis. Tendon injuries can occur from any motion you have to repeat in a job, sports, or daily activities. Tennis elbow is one common tendon injury. […] You can treat most tendon problems with over-the-counter pain medicine, rest, changes in your activities, and physiotherapy. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take.
  • #8 Tendinitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tendinitis/symptoms-causes/syc-20378243
    Improve the way you move. If how you do an activity or exercise is flawed, you could be setting yourself up for problems with your tendons. Consider taking lessons or getting professional instructions when starting a new sport or using exercise equipment. […] Stretch. After exercise, move your joints through full range of motion. The best time to stretch is after exercise, when your muscles are warmed up. […] Move right in the workplace. Make sure your chair, keyboard and desktop are positioned correctly for your height, arm length and the tasks you do. This will help protect your joints and tendons from stress. […] Prepare your muscles to play. Strengthening muscles used in your activity or sport can help them bear the load better.
  • #9 Achilles tendinitis causes and care – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/how-one-tendon-can-throw-off-stride
    Achilles tendinitis most commonly occurs in people who suddenly begin increasing the intensity or duration of exercise or haven’t been appropriately trained for their sport. […] Although you may be at risk, these simple strategies can help prevent injury to your Achilles tendon: Increase your activity level gradually. If you’re beginning an exercise regimen, start slowly and gradually increase the duration and intensity of the training. […] Most Achilles tendon injuries can be treated at home using the RICE guidelines: Rest You may need to avoid exercise for several days or switch to an activity that doesn’t strain the Achilles tendon, such as swimming. […] Your health care team may recommend that you see a physical therapist. Typical physical therapy includes: Exercises Therapists often prescribe specific stretching and strengthening exercises to promote the healing and strengthening of the Achilles tendon and its supporting structures. […] If several months of conservative treatments don’t work or if the tendon has torn, your health care team may suggest surgery to repair your Achilles tendon. Healing can take months, so it’s best to be aware of your risks and practice preventive strategies to keep you active and pain-free.
  • #10
    https://www.advocatehealth.com/health-services/orthopedic-center/specialties/tendonitis
    Tendonitis symptoms occur at the spot where the tendon is inflamed. They include: Pain or aching, Redness, Swelling and warmth, Tenderness. […] Causes of tendonitis include: Repetitive motions, Improper technique or overuse, Certain medical conditions. […] Your risk of tendonitis is also increased if youre older than 40. Tendons become less flexible with age, so they become injured more easily. […] For most tendonitis injuries, our doctors and sports medicine specialists recommend nonsurgical options like the following: Rest, Medications, Corticosteroid injections, Physical therapy. […] If these methods dont work well enough, we may suggest surgery for some injuries. […] Surgery for tendonitis varies depending on which tendon is affected. Tendonitis surgery may involve realigning tendons, removing damaged tissue, or removing bone spurs that may be putting pressure on tendons.
  • #11 Tendonitis
    https://www.osmifw.com/sports-medicine/tendonitis/
    Tendonitis is the term for inflammation or irritation of a tendon that causes pain and tenderness. It can occur in any tendon in the body, but tends to be most common in shoulders, elbows, wrists, and heels. […] You may have tendonitis if you have pain in a limb or joint and feel the pain most when you move that part of your body. The area might also be tender, and you may have swelling. […] Tendonitis is most often caused by overuse or repetitive motion. […] Tendonitis can also be a result of incorrect posture or insufficient conditioning prior to exercising or playing sports. […] Though tendonitis can be a hassle, causing pain and keeping you away from activities, treatment is often simple. It starts with an effort to reduce inflammation, and thereby pain. […] If you need more aggressive treatment, your doctor may inject your tendon with cortisone to reduce inflammation or use ultrasound to promote healing. Physical therapy may also be used as part of your treatment and rehabilitation, with the goal of stretching and strengthening the injured tendon.
  • #12 Tendinitis – symptoms, treatments and causes | healthdirect
    https://www.healthdirect.gov.au/tendinitis
    Tendinitis (also called tendonitis or tendinopathy) is an inflamed tendon. Tendons are the bands of tissue that connect muscles to bones and help the body to move. […] Tendinitis is usually caused by repeated excessive use and load on a particular tendon. […] The main symptoms of tendinitis are pain, reduced motion, swelling and weakness. […] Tendinitis often gets better with rest, but treatment may be needed if the pain persists. […] If you have symptoms of tendinitis that dont get better after a few days of rest, you should seek medical attention. […] The condition often gets better with rest, but treatment may be needed if the pain persists. […] If you have a sore tendon, its important to rest it. You can apply ice packs and take pain-relief medication, and in some cases, using a brace can be helpful.
  • #13 Achilles Tendinitis – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/achilles-tendinitis/
    Achilles tendinitis is a common condition that occurs when the large tendon that runs down the back of the lower leg becomes irritated and inflamed. […] Achilles tendinitis pain can occur within the tendon itself or at the point where it attaches to the heel bone, called the Achilles tendon insertion. […] Simply defined, tendinitis (also spelled „tendonitis”) is acute inflammation of a tendon. Inflammation is the body’s natural response to injury and often causes swelling, pain, or irritation. […] Achilles tendinitis is typically not related to a specific injury. The problem results from repetitive stress to the tendon. This often happens when we push our bodies to do too much, too quickly. […] Common symptoms of Achilles tendinitis include: Pain and stiffness along the Achilles tendon in the morning, Pain along the tendon or back of the heel that worsens with activity, Severe pain the day after exercising, Thickening of the tendon, Bone spur formation (insertional tendinitis), Swelling that is present all the time and gets worse throughout the day or with activity, Pain on the back of the heel when you wear shoes.
  • #14 Tendinitis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tendinitis/diagnosis-treatment/drc-20378248
    Usually, a physical exam alone can diagnose tendinitis. […] The goals of tendinitis treatment are to relieve pain and reduce irritation. Self-care, including rest, ice and pain relievers, might be all that’s needed. But full recovery might take several months. […] Physical therapy exercises can help strengthen the muscle and tendon. Eccentric strengthening, which emphasizes contraction of a muscle while it’s lengthening, is an effective treatment for many chronic tendon conditions. […] To treat tendinitis at home, use rest, ice, compression and elevation. This treatment can help speed recovery and help prevent more problems. […] Although rest is a key to treating tendinitis, not moving joints can cause them to become stiff. After a few days of resting the injured area, gently move it through its full range of motion to keep your joints flexible.
  • #15 Tendonitis | MaineHealth
    https://www.mainehealth.org/care-services/orthopedic-care-sports-medicine/tendonitis
    Tendonitis can typically be diagnosed based on the patients symptoms and after a physical examination by a doctor. A creaky sound may be heard when the tendon is moved. Other methods of diagnosis include: […] Treatment for tendonitis focuses on easing pain and reducing inflammation. Some treatment methods include: […] Take steps to avoid putting too much strain or pressure on tendons. Some preventive measures include:
  • #16 Diagnosing Bursitis & Tendinitis | NYU Langone Health
    https://nyulangone.org/conditions/bursitis-tendinitis/diagnosis
    Bursitis and tendinitis are common conditions that often occur at the same time. […] Symptoms of bursitis and tendinitis include redness, swelling, tenderness, and pain in the affected part of the body. […] Bursitis and tendinitis are progressive conditions, meaning that symptoms become more severe over time without treatment. […] Early diagnosis of bursitis and tendinitis allows doctors to begin treatment before serious damage occurs. […] Doctors examine the affected area to look for swelling, redness, or warmth. […] Your doctor can usually differentiate between bursitis and tendinitis based on the location of the pain and swelling in relation to the anatomy of the affected area, but he or she may recommend imaging tests to confirm the diagnosis. […] MRI scans provide clear images of inflammation in the affected bursae and tendons and may be used to confirm the extent of an injury. […] Doctors use X-rays to examine bones to rule out other causes of pain and inflammation, such as stress fractures, which are tiny surface breaks in the bone.
  • #17 Tendinitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tendinitis/symptoms-causes/syc-20378243
    Tendinitis is inflammation of the thick fibrous cords that attach muscle to bone. These cords are called tendons. The condition causes pain and tenderness just outside a joint. […] Most tendinitis can be treated with rest, physical therapy and medicine to reduce pain. Long-lasting tendon inflammation can cause a tendon to tear. A torn tendon might need surgery. […] Most cases of tendinitis respond to self care. See your health care provider if your symptoms don’t lessen after a few days and if they get in the way of daily activities. […] Without treatment, tendinitis can increase the risk of a tendon breaking down or tearing. A completely torn tendon might need surgery. […] To reduce the chance of developing tendinitis, follow these suggestions: Ease up. Avoid activities that place too much stress on your tendons, especially for long periods. If you have pain during an exercise, stop and rest.
  • #18 Tendonitis (Tendinitis): Causes, Symptoms & Treatments | HSS
    https://www.hss.edu/condition-list_tendonitis.asp
    Tendonitis is a general term to describe inflammation of a tendon, a thick, rope-like tissue that attaches a bone to a muscle. Tendonitis differs from arthritis, which refers to inflammation of a joint. It is one of the most common causes of soft-tissue, musculoskeletal pain. […] The first line of treatment for tendonitis involves the RICE protocol, which stands for Rest, Ice, Compression and Elevation. The quicker your tendonitis is treated, the quicker you will recover to full strength and flexibility. Tendonitis usually responds to nonsurgical care. Surgery may be needed only in select cases. […] If pain does not improve in a few days, see your doctor, who may prescribe physical therapy to work on the flexibility and strength of the involved tendon, and possibly modify mechanics (how one performs the physical activity). Additionally, a local cortisone shot (an injection of corticosteroids) may help decrease the pain. As a last resort, if the symptoms are not resolved, surgical options may be necessary. […] It is important that you do not to return to exercising until your symptoms have resolved. Your physical therapist or doctor can recommend proper stretching and strengthening techniques. They may also advise you to modify your biomechanics (how you perform certain activities).
  • #19 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=1&contentid=739
    Tendonitis is your body’s way of telling you that you’re putting too much stress on this muscle and joint. […] See your healthcare provider if you think you have tendonitis. Your provider may recommend the classic RICE treatment for pain relief: Rest the joint. Apply ice packs. Compress the area with an elastic bandage to ease soreness and inflammation. Keep the joint elevated. […] Your healthcare provider may recommend taking over-the-counter pain relievers, such as aspirin (in adults), naproxen, or ibuprofen. These may also help sore soft tissue. […] If your healthcare provider gives you the OK, start exercising to strengthen the muscles around the sore joint within a day or two. Start with a long warm-up to reduce shock to the tissues. Then try lifting light weights or working with an elastic exercise band. Go easy at first. Then build as your strength increases. Stretching is also a vital part of treatment. Hold each stretch for 20 to 30 seconds and repeat 3 to 5 times.
  • #20 Tendonitis
    https://www.nhs.uk/conditions/tendonitis/
    Tendonitis is when a tendon swells (becomes inflamed) after an injury. It can cause joint pain and stiffness, and affect how a tendon moves. You can treat a mild tendon injury yourself and it should feel better within 2 to 3 weeks. […] Follow these steps for 2 to 3 days to help manage pain and support the tendon. […] It’s important to take a bandage or brace off before going to bed. […] A pharmacist can recommend the best painkiller for you. Paracetamol and ibuprofen can help to ease pain. […] If you need treatment for tendonitis a GP may prescribe a stronger painkiller or suggest you use an ibuprofen gel on your skin to ease the pain. […] If physiotherapy does not help, you may be referred to a doctor who specialises in muscles and bones (orthopaedic specialist) or a local musculoskeletal clinic.
  • #21 Tendonitis Treatment & Management: Approach Considerations
    https://emedicine.medscape.com/article/809692-treatment
    The goal of treatment is to reduce pain and to return to activity. Nonpharmacologic treatments of tendinopathy are as follows: […] Rest or decrease activity level. No clear recommendations are available for the duration of rest; however, patients should restrict activities that cause pain. […] Cooling is recommended for the first 24-48 hours. […] Splinting and/or immobilization; sling for rotator cuff tendonitis. […] Strengthening and stretching exercises can be performed once the pain has subsided. Eccentric strength training can be effective in treating tendinopathies. […] Nonsteroidal anti-inflammatory drugs (NSAIDs) are effective in relieving tendinopathy pain, and may be administered topically or orally. However, because the vast majority of tendinopathies are not inflammatory, whether NSAIDs are more effective than other analgesics is unclear.
  • #22
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8556
    Rest the sore area. You may have to stop doing the activity that caused the tendon pain for a while. […] Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Read and follow all instructions on the label. […] Do not take two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful. […] Put ice or a cold pack on the sore area for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the next 3 days (when you are awake) or until any swelling goes down. Put a thin cloth between the ice and your skin. […] Prop up the sore area on a pillow when you ice it or anytime you sit or lie down during the next 3 days. Try to keep it above the level of your heart. This will help reduce swelling.
  • #23 Everything You Need to Know About Tendinitis and Its Treatment | University of Utah Health
    https://healthcare.utah.edu/the-scope/health-library/all/2019/02/everything-you-need-know-about-tendinitis-and-its-treatment
    The one thing that all these options have in common is they do something to disturb the tissue. So it gets in a chronic pattern where it won’t heal itself and we need to do something to disturb that tendon to try to get the body to feel like it’s an acute injury so that it can ultimately heal itself. […] Early on the treatments are conservative, later on they can become more interventional. Some of the early treatments of course are just rest and ice, and relative rest. […] Frequently people take anti-inflammatories and they’re helpful for the pain, but they’re not really helpful for healing. In fact there are some studies that show that they may actually slow down healing. […] One of the common things is when one of these treatments is done, is it going to instantly be better? And the answer to that is no. So some of that might be lowering the expectation. Because again, really the body still has to heal itself. So even with these treatments, it can usually be three months or so until they’re healed.
  • #24 Treating Wrist Tendonitis Without Surgery
    https://www.sports-health.com/sports-injuries/hand-and-wrist-injuries/treating-wrist-tendonitis-without-surgery
    Nonsurgical treatments are usually adequate to promote healing in wrist tendonitis. […] Common non-surgical treatments for wrist tendonitis are discussed below. […] It is important to get adequate rest following a wrist tendonitis injury. […] Repair of tendon fibers happen when the tendon is moved. […] Exercise is an important treatment in promoting tendon healing. […] Exercises are usually performed under the guidance of a physical therapist or an occupational therapist. […] The use of anti-inflammatory and pain-relieving medications has been controversial in treating tendonitis and other tendon injuries. […] Some experts recommend the use of medications such as non-steroidal anti-inflammatory drugs (NSAIDs) and steroids (tablets or injection) to relieve pain. […] Due to the associated risks, NSAIDs and/or steroids are usually recommended for short-term use (7 to 14 days).
  • #25 Management of Chronic Tendon Injuries | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/0801/p147.html
    Chronic tendon injuries are common athletic and occupational injuries that account for many physician visits. […] The mainstays of treatment are activity modification, relative rest, pain control, and protection. Early initiation of rehabilitative exercises that emphasize eccentric loading is also beneficial. […] The mainstays of initial treatment for tendinopathy are activity modification, relative rest, pain control, rehabilitative exercise, and protection. […] Rehabilitative exercise is the cornerstone of tendinopathy treatment. It focuses first on returning to a normal pain-free range of motion, then on increasing strength. […] Although tendinopathy is a degenerative noninflammatory process, corticosteroids and nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used in its treatment.
  • #26 Tendinitis – What You Need to Know
    https://www.drugs.com/cg/tendinitis.html
    Tendinitis is painful inflammation or breakdown of your tendons. It may also be called tendinopathy. Tendinitis often occurs in the knee, shoulder, ankle, hip, or elbow. […] Pain medicines such as NSAIDs and acetaminophen may decrease swelling and pain. These medicines are available without a doctor’s order. Ask how much to take and when to take it. Follow directions. NSAIDs and acetaminophen may cause liver or kidney damage if not taken correctly. […] Rest your tendon as directed to help it heal. Ask your healthcare provider if you need to stop putting weight on your affected area. […] Go to physical therapy if directed. A physical therapist can teach you exercises to help improve movement and strength, and to decrease pain. You may also learn how to improve your posture, and how to lift or exercise correctly. […] You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.
  • #27 Hip Tendonitis | Orthopedics | Mercy Health
    https://www.mercy.com/health-care-services/orthopedics-sports-medicine-spine/specialties/hip/conditions/hip-tendonitis
    Hip tendonitis is inflammation and degeneration in the tendons, the thick cords that attach muscle to the hip bone, typically due to overuse. […] Hip tendonitis typically occurs when the tendon is under abnormal stress from activity that you are not used to doing. […] Early treatment for hip tendonitis includes rest and anti-inflammatory medication to reduce the inflammation. […] Physical therapy in the early stages of hip tendonitis is aimed at decreasing pain and reducing inflammation. […] If you have not had surgery for hip tendonitis, the injury can heal with four to six weeks of physical therapy. The goal of the physical therapy is to reduce the pain and inflammation as well as to improve function of the hip. […] Physical therapy after surgery is intensive and involves a full team of specialists, including your orthopedic surgeon.
  • #28 Tendonitis | Symptoms, Causes & Treatment | Spire Healthcare
    https://www.spirehealthcare.com/conditions/tendonitis/
    In some cases, theres no obvious cause (idiopathic). […] You can treat a mild tendon injury at home and it should improve in two to three weeks. More serious injuries can take a few months. […] You may be able to treat yourself at home to bring down swelling and support the injured area. […] Your doctor may also arrange for you to have physiotherapy. Eccentric strengthening exercises where you lengthen your muscles while contracting them have been shown to be particularly successful in treating chronic tendon conditions. […] If youre suffering from long-term or severe tendonitis, your doctor may advise: Extracorporeal shockwave therapy (ESWT) to help improve healing in your tendon, Platelet-rich plasma (PRP) injections to speed up your recovery this is a relatively new treatment and involves separating platelets and other healing factors from a sample of your blood. These are then injected into your area of pain to promote healing, Steroid injections to reduce inflammation and pain this is not recommended for you if youve had tendonitis pain lasting longer than three months, Surgery to repair your tendon and remove damaged tissue.
  • #29
    https://www.advocatehealth.com/health-services/orthopedic-center/specialties/foot-ankle-lower-leg/achilles-tendonitis
    Physical therapy exercises aimed at orthopedic rehabilitation provide stretching and strengthening for the muscles and reduce stress on the Achilles tendon. […] Your doctor may prescribe a splint or brace to wear at night to reduce pain. This method holds your foot in a flexed position to help maintain flexibility of the calf muscles and reduce the tension between the Achilles tendon and the heel bone. Bracing often relieves pain that you feel in the morning. […] In severe cases, surgery may be recommended. Damaged parts of the tendon may be removed. In some cases, tendon transfer is used to replace the damaged tendon. Lengthening of the calf muscles also provides symptom relief for some people.
  • #30
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8556
    Follow your doctor’s advice for wearing and caring for a sling, splint, or cast. In some cases, you may wear one of these for a while to help your tendon heal. […] Follow your doctor’s advice for stretching and physiotherapy. Gently move your joint through its full range of motion. This will prevent stiffness in your joint. […] Go back to your activity slowly. Warm up before and stretch after the activity. You also can try making some changes. For example, if a sport caused your tendon pain, alternate the sport with another activity. If using a tool causes pain, switch hands or change your grip. Stop the activity if it hurts. After the activity, apply ice to prevent pain and swelling. […] Do not smoke. Smoking can slow healing. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: Your pain gets worse. You do not get better as expected.
  • #31 Tendonitis Treatment & Management: Approach Considerations
    https://emedicine.medscape.com/article/809692-treatment
    Corticosteroid injection may be considered for patients with tendonitis in whom conservative therapy with rest, immobilization, and anti-inflammatory agents has failed. […] The efficacy of locally injected steroids is debated. A systematic review concluded that steroid injections provide short-term pain relief but may not have long-term efficacy. […] Never use injections for Achilles tendonitis, because cases of Achilles tendon rupture have been reported following a single injection of corticosteroid. […] In patients with calcific tendonitis of the shoulder, a systematic review concluded that ultrasound (US)-guided needling and lavage has a high success rate and low complication rate. […] Patients with symptoms resistant to conservative therapy may benefit from arthroscopic or open surgical treatment for tendon decompression and tenodesis. […] Platelet-rich therapies represent an experimental approach to treatment of tendinopathies and other musculoskeletal soft tissue injuries.
  • #32 Achilles tendinopathy | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/achilles-tendonitis
    physical therapy including appropriate warm up and stretch as well as resistant exercises […] using shoe inserts (orthoses) to take pressure off the tendon as it heals. […] Recovery is often slow and will depend on the severity of the condition and how carefully you follow the treatment and care instructions you are given. […] The use of injectable agents such as corticosteroid (steroid) injections is not routinely recommended, as there is inconsistent information on their effectiveness and steroid injections into the tendon may cause tendon rupture. […] Surgery is only recommended if all other treatment options have failed. […] In this situation, badly damaged portions of the tendon may be removed. […] If the tendon has ruptured, surgery is necessary to re-attach the tendon. […] Rehabilitation, including stretching and strength exercises, is started soon after the surgery.
  • #33 Care for Hand and Wrist Tendonitis in NC | Raleigh Ortho
    https://www.raleighortho.com/specialties/hand-and-wrist/hand-and-wrist-tendonitis/
    Tendonitis is the swelling and irritation of a tendon caused by injury or overuse. Hand and wrist tendonitis can lead to weakness, inflammation, swelling, and pain in the hand or wrist. Proper treatment for hand and wrist tendonitis will ensure that you can continue your daily activities comfortably and safely. […] In most cases of hand and wrist tendonitis, non-surgical treatments can be used to promote healing. Patients typically recover from tendonitis injuries in a few days to weeks, depending on the severity. Some chronic cases may take up to two months for full recovery. Non-surgical treatments for hand and wrist tendonitis include: […] If conservative treatment methods have failed to provide relief from symptoms for 3 to 6 months, surgery may be required to treat hand and wrist tendonitis. […] After surgery to treat tendonitis in the hand and wrist, it will likely take between six and twelve weeks for a full recovery. […] In order to prevent hand and wrist tendonitis, it is important to make sure you are not overusing the tendons in your wrists.
  • #34 Tendonitis Treatment and Symptoms | UPMC
    https://www.upmc.com/services/orthopaedics/conditions/tendonitis
    Tendonitis involves inflammation of tendons, such as the Achilles (Achilles tendonitis), patellar (patellar tendonitis), biceps (biceps tendonitis), and hip (hip tendonitis), causing pain, stiffness, and tenderness in the affected area. Treatment typically includes rest, ice, stretching exercises, physical therapy, and in some cases, orthotics or corticosteroid injections. […] Once your doctor confirms a diagnosis of tendonitis, he or she may prescribe the following treatments for tendonitis: Rest or activity modifications, Anti-inflammatory medications, Physical therapy, Stretching exercises, Ice, Elevation. […] If nonsurgical treatments do not help your tendonitis, your doctor may recommend an arthroscopic surgical procedure. During arthroscopic surgery, your orthopaedic surgeon will properly anchor the tendons. After tendonitis surgery, most patients begin a rehab program that will stretch, strengthen, and restore range of motion.
  • #35
    https://www.aurorahealthcare.org/services/orthopedics/conditions/tendonitis
    Tendonitis cant heal on its own. However, you can find relief from tendonitis symptoms including pain and tenderness using conservative therapies and treatments for tendonitis like resting the tendon, getting physical therapy, or taking nonsteroidal anti-inflammatory drugs. […] Its important to seek tendonitis treatment as soon as possible. […] Well first recommend nonsurgical methods to provide tendonitis relief and restore function. Many people find long-lasting relief with these techniques to treat tendonitis: […] Our skilled athletic trainers and orthopedic physical therapists work with you one-on-one to strengthen tendons and reduce inflammation. We offer customized tendonitis treatment plans designed for your physical needs and sport. […] If you have chronic, long-term pain and these methods dont work or work only temporarily, we may recommend minimally invasive arthroscopic surgery for tendonitis treatment. Using small incisions, these procedures allow us to access and repair your tendon in a targeted way, leading to less tissue damage and an easier recovery.
  • #36 Achilles Tendon Injuries | Duke Health
    https://www.dukehealth.org/treatments/orthopaedics/achilles-tendon-injury
    Tendonitis often starts suddenly and involves inflammation of the tendon itself or the surrounding tissues. Redness, warmth, pain, and swelling in your heel and lower calf are all signs of Achilles tendonitis. […] Without proper treatment, the problem can progress, making it difficult to walk and take part in your regular daily activities. […] Our foot and ankle specialists start with non-surgical treatment, when possible. For Achilles tendonitis or tendinosis, this may include: Ice and anti-inflammatory medications or creams to help with inflammation. […] If non-surgical treatments do not help or your condition becomes more painful, your doctor may recommend surgery. […] For Achilles tendonitis or tendinosis surgery, your surgeon will often remove the damaged or unhealthy part of the tendon and repair any tearing.
  • #37 Tendonitis – Nurses Revision
    https://nursesrevisionuganda.com/tendonitis/
    Tendonitis is the inflammation or irritation of a tendon. […] Nursing interventions (specific) include enough rest from activities, encouraging the patient to use heat or cold therapy as prescribed, wrapping the area in a compression bandage until swelling subsides, applying heat or ice, fluid removal by aspiration and physical therapy to prevent frozen joints and preserve motion, resting or elevating the tendon, using supports such as splints, braces, or a cane, explaining the importance of anti-inflammatory medications, and teaching the patient to take them with milk to minimize gastrointestinal (GI) distress. […] Physical therapy includes stretching, massage, ultrasound, and strengthening exercises. […] Stretches and exercises to build strength and improve mobility in the area.
  • #38 Achilles Tendinopathy – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK538149/
    The Achilles tendon, also known as the triceps surae, ranks as the strongest and largest tendon in the human body. This activity reviews the evaluation and management of Achilles tendonitis and highlights the role of the interprofessional team in caring for patients with Achilles tendonitis and related conditions. […] Implement appropriate treatment strategies for Achilles tendonitis, including conservative measures and rehabilitation exercises. […] Coordinate care with the interprofessional team when choosing management strategies for Achilles tendonitis. […] Management of Achilles tendinopathy can be divided into conservative and surgical approaches, considering whether acute or chronic. In cases of a full rupture, surgical treatment is usually recommended. […] Conservation therapy is first-line management of Achilles tendinitis and includes the following: Reduction of activity levels. Administration of nonsteroidal anti-inflammatory drugs (NSAIDs). The rehabilitation process for Achilles tendinopathy can be enhanced by adapting footwear and applying manual therapy targeted at specific local sites. Eccentric stretching exercises should be an integral component of physiotherapy and can achieve a 40% reduction in pain.
  • #39 Achilles Tendinopathy – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK538149/
    The evidence suggests that conservative treatments should be considered the first-line treatment for Achilles tendinopathy. […] Surgical intervention is typically reserved as a last resort for cases where conservative treatments have failed to improve symptoms or if there is a significant tendon rupture. […] Collaborative care involving multiple specialty groups is necessary to treat Achilles tendinopathy comprehensively. The involvement of various healthcare professionals ensures a multidisciplinary approach, leading to more effective management and improved patient outcomes. […] Patient education and a more conservative approach can prevent chronic tendinopathy. Some strategies that have been supported by scientific evidence include: Sport Modification: Switching to low-impact activities (swimming, weight training, rowing, cycling) allows the Achilles tendon time to rest. Eccentric Exercise Therapy: Incorporating eccentric exercises, which involve controlled lengthening of the muscle-tendon unit, has decreased pain and prevented progression to chronic tendinopathy.
  • #40
    https://www.aurorahealthcare.org/services/sports-health/conditions/achilles-tendonitis
    Our large team of experts has deep experience in helping athletes and active people overcome Achilles tendonitis. […] Your doctor may recommend nonsteroidal anti-inflammatory drugs (NSAIDs) or offer prescription Achilles tendonitis medications. […] Wearing a foot orthotic or heel lift in your shoe during the day may reduce irritation along the Achilles tendon. […] Using a brace or splint to keep your foot flexed during the night often relieves Achilles heel pain in the morning. […] Our orthopedic physical therapists can help relieve Achilles discomfort and ease you back into activities with special exercises. […] In rare cases like with a torn or severely damaged Achilles tendon surgery may be necessary. […] We also offer treatments like acupuncture, which may help speed your recovery. […] When your doctor approves restarting your exercise or sports routine, they’ll likely recommend that you take it easy at first. Cross-training, where you engage in different exercises, may be recommended to help avoid a repeat injury. Low-impact exercises like swimming can also be helpful.
  • #41 Tendonitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/10919-tendonitis
    Most people diagnosed with tendonitis have an excellent prognosis after treatment and rest. It may take a few weeks to a couple of months to recover from tendonitis, depending on the severity of your injury. Wait until your healthcare provider gives you the all clear to resume your regular physical activities. […] Tendonitis can be a frustrating condition. Youll need to stop and rest for a few weeks to let your tendon heal after an injury that causes it to swell. This can be challenging if youre an active person or you play sports.
  • #42 Content – Health Encyclopedia – University of Rochester Medical Center
    https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=1&contentid=739
    A prevention program should replace bad habits with these methods that promote a healthy workout: Warm up thoroughly, gradually building the intensity level of your workout. Cool down after the session. Train for a new sport before you start it. Start building strength and flexibility in the muscles you will use a few weeks or months in advance. Learn the correct method and use the correct equipment for any exercise or activity. Work out regularly, not just once a week.
  • #43 The Best Ways to Treat, Prevent Tendonitis
    https://www.nationwidechildrens.org/family-resources-education/family-resources-library/the-best-ways-to-treat-prevent-tendonitis
    A prevention program should replace bad habits with these methods that promote a healthy workout: Warm up thoroughly, gradually building the intensity level of your workout. Cool down after the session. […] Train for a new sport before you start it. Start building strength and flexibility in the muscles you will use a few weeks or months in advance. […] Learn the correct method and use the correct equipment for any exercise or activity. Work out regularly, not just once a week.
  • #44 Foot Tendonitis: Causes, Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/22378-foot-tendonitis
    Most people recover fully from foot tendonitis without any permanent damage. You can expect tendon injuries to heal with conservative treatments within a few months. […] Foot tendonitis occurs when you overstretch the tough bands of connective tissue in your foot. Its a fairly common overuse injury in athletes, but it can also affect older individuals with conditions like flat feet or arthritis. For most people, its an injury that heals on its own with a combination of conservative treatments such as rest, ice, stretching or physical therapy. In rare cases, foot tendonitis requires surgery.
  • #45 Tendonitis in Children | Causes, Types, & Treatment
    https://www.cincinnatichildrens.org/health/t/tendonitis-in-children
    The RICE method is a simple, effective, noninvasive treatment for many common injuries, including tendonitis. RICE stands for: Rest: Give the affected area a break. Ice: Apply cold packs to reduce pain and swelling. Compression: Use an elastic bandage to minimize swelling. Elevation: Keep the affected area raised when possible. […] See your doctor if your child’s pain lasts or gets worse, the swelling doesn’t go away, or your child has trouble with daily activities or participating in sports. […] Mild tendonitis can improve within one to two weeks. Severe or long-standing cases may take four to six weeks or longer. With proper care, most children recover well from tendonitis and can safely return to their favorite activities. […] While tendonitis is a common injury, you can help your child avoid it by: Encouraging a variety of activities to prevent overuse of specific tendons, ensuring they warm up and cool down properly, making sure your child uses proper equipment for their sport or activity, promoting balanced nutrition and staying hydrated, listening to your child if they complain of pain or discomfort. Rest is important to give the body time to recover between games and practices. The American Academy of Pediatrics recommends: One or two days off per week from competitive sports and training, three months off per year from a specific sport, only one team sport per season.
  • #46 Tendinitis – symptoms, treatments and causes | healthdirect
    https://www.healthdirect.gov.au/tendinitis
    Rehabilitation exercises, as suggested by a doctor or physiotherapist, may also help you recover full movement and function. […] If the problem does not get better, you may need treatments such as shock wave therapy (a physiotherapy technique), and injections of corticosteroids or other medicines to reduce inflammation. In a small number of cases, surgery may be required. […] If youve had tendinitis before, you can help prevent further injury by using the following techniques: Warming up and cooling down, before and after exercising. […] You may also need an ergonomic assessment of your workspace, which may include an adjustment of your chair, keyboard and desktop positions. This may help protect your joints and tendons from excessive strain. […] Severe tendinitis can take many months or even years to fully heal. This slow recovery time can be very challenging and frustrating, especially for athletes who are hoping to return to their sport, or if tendinitis affects your daily activities.
  • #47 Tendonitis: Diagnosis & Treatment | NewYork-Presbyterian
    https://www.nyp.org/orthopedics/columbia-orthopedics/tendonitis/treatment
    Your doctor will ask about your symptoms and take your medical history to help determine the source of your discomfort. […] The goal of treating tendonitis is to allow an inflamed tendon to heal so you can gradually go back to using it. […] You can also apply a cold pack for 20 minutes several times a day to reduce swelling and pain. […] Two types of medication are commonly used to treat tendonitis: Nonsteroidal anti-inflammatory drugs (NSAIDs) – These over-the-counter medications include ibuprofen, naproxen, and aspirin. They can reduce pain and swelling. […] A physical therapist can teach you exercises to help heal your tendonitis and work with you on strategies to prevent re-injury. […] For most people, tendonitis heals with rest and physical therapy. […] If tendonitis goes untreated, the strained tendon may weaken and develop microscopic tears (tendinosis). […] Orthopedic specialists at NewYork-Presbyterian are well-versed in joint care and sports medicine.
  • #48
    https://www.aurorahealthcare.org/services/sports-health/conditions/achilles-tendonitis
    Achilles tendonitis is one of the most common sports injuries. About 24% of athletes will have an Achilles tendon injury at some point in their lives. […] Whatever the cause of your Achilles tendon pain, we can help. Our Achilles tendonitis treatment options include medications, special footwear, physical therapy, and surgery. […] Achilles tendonitis often occurs at about the level of the ankle. […] The fastest way to heal Achilles tendonitis is to seek care as soon as you notice pain in the area. If you’ve caught it early, your doctor may start by recommending self-care methods. The longer you wait to seek treatment, the more likely you are to need more treatments or have complications such as an Achilles tendon rupture. […] Achilles tendonitis doesn’t heal on its own. It often heals with help from resting the injury, applying ice to it, and other nonsurgical Achilles tendonitis treatments.
  • #49 Achilles Tendonitis (for Teens) | Nemours KidsHealth
    https://kidshealth.org/en/teens/achilles.html
    Achilles tendonitis is inflammation (irritation and swelling) of the Achilles tendon. The Achilles tendon is a band of tough tissue on the back of the foot. It connects the heel bone to the calf muscles. […] Treatment for Achilles tendonitis starts with taking a break from the activity that led to the injury. Its usually OK to do non-weight bearing exercises such as swimming, biking, and stretching activities like yoga. If someone with Achilles tendonitis does not rest, the tendon can become more damaged. […] Your health care provider also may recommend: stretching the Achilles for 30 seconds at a time 34 times a day; putting ice or a cold pack on the heel every 12 hours for 15 minutes at a time. (Put a thin towel over the skin to protect it from the cold.); taping or using athletic wrap around the Achilles tendon and ankle; raising the foot above the level of the heart to help with swelling; taking ibuprofen (Advil, Motrin, or store brand) to help with pain and swelling; strengthening and stretching muscles through physical therapy or an at-home exercise program; wearing a walking boot and using crutches to keep the tendon still; using shoe inserts (also called shoe orthotics) from your health care provider or someone trained in fitting orthotics; applying soft pads to the Achilles if it rubs against a shoe surface or wearing different shoes; strengthening the surrounding muscles to take stress off the Achilles and help support the ankle.
  • #50 Shoulder Tendonitis | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/s/shoulder-tendonitis.html
    Shoulder tendonitis is an inflammation of your rotator cuff or biceps tendon. It often results from your tendon being pinched by nearby structures. […] Treatment may include rest, medicines, strengthening exercises, ultrasound therapy, and corticosteroid shots. […] Surgery is used for severe injuries or tears.
  • #51 Remedies for Hand & Wrist Tendonitis | Academy Orthopedics L.L.C.
    https://www.academyorthopedics.com/blog/at-home-remedies-for-hand-and-wrist-tendonitis/
    Tendonitis is an inflammation of the tendons, the connective tissues that attach structures like muscles to bones, allowing wrist movement and flexibility. […] Wrist tendonitis usually only manifests as wrist pain, which isn’t a significant cause for alarm. You’ll only need some home remedies to relieve pain and the other symptoms of wrist tendonitis. […] Surgery for wrist tendonitis is only necessary for worst-case scenarios. Occupational therapy and other nonsurgical treatments should be the go-to treatments whenever possible. […] Treating inflammation of the wrist tendons can be done in the comfort of your home. […] After trying these home remedies, it’s time to seek professional help and support if you are still struggling with aches and pains in your hand or wrist. […] Before surgery, we sometimes recommend physical or occupational therapy to treat wrist tendonitis. […] When other conservative treatment options cannot address the problem, wrist tendonitis surgery is the last resort.
  • #52 What are tendonitis and tendonosis? | UNC Orthopaedics
    https://www.med.unc.edu/ortho/services/programs/tendon-treatment-program/tendonitis/
    Tendonitis is primarily a pain problem. It starts with inflammatory cells inside the tendon causing pain and reduced functional ability leading to tendonosis. Over time, these tendon changes can harm the function of the tendon. If this happens for too long, it can lead to an increased risk of a tendon rupture (tear). […] A vast majority of tendonitis will go away with rest, anti-inflammatory medicine and physical therapy exercises. Getting a proper evaluation when the pain begins is important. It can help decide what the best treatment plan is for you. For those with ongoing, chronic symptoms, we can help provide comprehensive diagnosis, evaluation and treatment plans specifically for your condition. At the UNC Tendon Treatment Center, we have a multi-specialist approach. Our team is made up of experts specializing in both surgical and non-surgical options. Our team provides innovative, evidence-based treatments personalized for each patient. If you are struggling with tendonitis, tendonosis or you need help figuring out the cause of your pain, come see us at the Tendon Treatment Center.