Tendonitis

Types of tendon injuries

Tenosynovitis - The lining of the sheath surrounding the tendon gets inflamed and mostly occurs at wrists, hands and feet. Tenosynovitis is believed to be caused by infection, injury, strain or overuse.

Avulsion - An acute injury where the tendon gets torn from its place on a bone. It occurs in areas where large muscle attaches to smaller bone like that of hamstring.

Tendinosis - A chronic degenerative process where there's no inflammation. However, there may be scar tissue or calcium deposits in the tendon.

Causes

A tendon is a tough band of fibrous connective tissue that connects muscle to bone and is capable of withstanding tension. These tendons may often get injured by activity or movement. Usually trauma or repetitive activity will cause tendon injury.

Health conditions such as rheumatoid arthritis weaken the tendon increasing their risk of getting torn. It often happens without any prior warning or injury and the patient is no longer able to bend their fingers or toes.

Symptoms

1. Pain aggravated by activity
2. Pain following the course of a tendon

Diagnosis

A thorough physical exam is warranted as well as a detailed history helps the physician diagnosis the injury. An x-ray is useful in ruling out any fracture or broken bone.

Treatment

Rest, Ice, Compression, and elevation is useful as a first line treatment.

The severity of the tendon injury will determine the overall treatment plan. Treatment plans vary from anti-inflammatory medications to casting to the possible need for surgery. Please call to make an appointment if you suspect to have a tendon injury.

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