During training, significant stress is placed on the musculoskeletal system and there is a danger that tendonitis may occur. Moreover, during intense training, microtraumas can occur in muscles and tendons, connective tissues and the capillary network. If enough time passes between training processes, provided there is rest, then the tissues have time to heal.
If the recovery period is not enough, then during subsequent training microtraumas accumulate and can transform into a chronic (fatigue) injury. Tendonitis is the most common fatigue injury in sports.
Tendinitis is a disease in which inflammation develops directly in the tendon. Tendinitis is a disease of the tendon itself, usually resulting from prolonged overuse of a chronic nature. In this case, changes develop, and even tendon rupture. During the development of the disease, the strength of the tendons decreases, and the likelihood of tendon ruptures arises.
The disease can affect different tendons in the human body, but the shoulder, elbow, hip and knee joints are most often affected by the disease. Also in practice, inflammatory processes in the tendons of small joints: ankle and wrist are often encountered.
Tendonitis can occur in people of all ages, regardless of gender. It is worth noting that athletes and people whose activities involve physical monotonous labor are susceptible to this disease. Tendinitis also occurs in people who have reached old age.
This happens because upon reaching a certain age, the ligamentous apparatus of the human body weakens. Inflammation of the tendons can occur as a result of the development of the following diseases: rheumatism of the joints, rheumatoid arthritis and other diseases of a rheumatic nature.
Depending on the nature of the disease, the following are distinguished:
In medical practice, the following types of tendinitis are distinguished:
The most common types of the disease are tendinitis of the shoulder and knee joints.
The development of the disease is preceded by several reasons:
Tendirit develops as a result of prolonged and severe physical exertion, overwork of the tendons and the entire body as a whole, which occurs against the background of these loads. When the above-described overfatigue periodically occurs, the tendons are not able to quickly recover, which leads to the formation of a fatigue injury.
First, the tendon swells, and the collagen fibers that make it up are split. If during this period the load on this joint is maintained, then small lesions will appear in that area, in which there will be adipose tissue and deposited calcium salts. Formed hard calcifications will further injure surrounding tissues.
It is for this reason that, if a tendon injury occurs, it is not recommended to continue loading the joints in order to avoid even greater harm. It is urgent to stop intense loads; the damaged tendon needs rest.
With a long course of the disease, it enters the chronic stage. In this case, pain most often can appear spontaneously, it can arise simply from changes in weather conditions, and it can increase in the evening, which can cause sleep disturbances.
A hard deposit sometimes forms in the tendons as a result of the accumulation of calcium salts. Due to the presence of this sediment in the tendons, an inflammatory process may begin, which will cause pain.
The inflammation itself and the pain that occurs with it are called calcific tendinitis. This disease usually develops over a long period. At the same time, until a precipitate of calcium salts forms, the disease does not show any symptoms. Most often it develops in the shoulder joint.
If infectious microflora gets into the “sheaths” that surround the tendons, infectious tendonitis develops. In this case, the infection can move from the skin or from adjacent affected tissues.
In this case, the accompanying symptoms of the disease are identical to the symptoms of acute tendinitis, which has a non-infectious etiology. However, the following symptoms may additionally occur:
The disease is characterized by the following symptoms:
It is worth noting that the pain syndrome gradually increases. At first, a person feels a slight pain in the area of the inflamed tendon; it does not in any way affect the usual way of life. But gradually the pain intensifies, becomes unbearable and painful.
There are several types of tendinitis, but despite this fact, the symptoms of this disease almost always manifest themselves in the same way. As noted above, the disease is represented by the main symptom - the presence of pain at the site of tendon damage.
In this case, the skin has an increased temperature, is swollen, and has redness. Another characteristic symptom is the appearance of crunching sounds when moving.
As a result of severe pain, the mobility of the damaged joint is limited. In the acute period and in the initial stages of tendiritis, the patient feels pain only if there is a load on the joint.
If you experience pain in the joints, you must consult a traumatologist to determine an accurate diagnosis, as well as to prescribe treatment.
Diagnosis of the disease begins with a general examination of the patient to identify the presence of pain during movement and upon palpation of the affected area, swelling in the tendon area.
However, the analyzes do not reveal any changes. Exceptions are those cases when the disease occurs against the background of an infectious or rheumatoid process.
X-ray examination often reveals no changes either. This is due to the fact that noticeable changes occur later, when calcifications form in the affected area.
A CT scan or MRI is often required to make a correct diagnosis. These types of studies help identify affected areas, as well as sites of tendon ruptures where surgical intervention is necessary.
As an additional research method, an ultrasound of the tendon may be prescribed, the results of which can detect changes in the structure or contraction of the tendon.
How to cure tendonitis? It is necessary to take a comprehensive approach to the treatment of the disease. To achieve the fastest effect in treatment, it is recommended to combine several techniques: conservative therapy (cold, rest, use of anti-inflammatory drugs) should be used in parallel with physiotherapeutic methods. In physical therapy of the disease, magnetic and ultrasound therapy, UHF, and UV rays are most often prescribed.
We must not forget that during treatment it is necessary to limit physical activity. Exercise therapy for tendonitis is allowed, because its exercises are aimed at accelerating the healing processes in the painful tendon, eliminating inflammation, as well as maintaining tone and strengthening the body as a whole.
Also, the attending physician may recommend the use of special bandages to fix the joints, and have a beneficial effect on the healing of the tendon. If the course of the disease is severe, then the doctor may prescribe antibiotics for tendinitis. There may even be a need for surgery.
It is worth considering that surgeons are involved only if physiotherapeutic procedures and conservative treatment have not brought results.
To prescribe effective treatment, it is necessary to accurately determine the cause of tendonitis.
The treatment process is quite long. It may take half a month to a month and a half to fully recover. However, it is worth considering that in the case of surgical intervention, the recovery period requires more time: from two to six months.
In modern medicine there are many different remedies and methods for treating tendinitis. But all of them will be successful only if the patient strictly adheres to the regimen and patiently follows the recommendations of the attending physician.
In the complex treatment of tendonitis, as well as to prevent its occurrence, you can use various creams, gels and ointments. Their use provides pain relief, reduces tissue irritation and inflammatory processes, reduces swelling, and stimulates tissue growth.
Almost all ointments for athletes have an anti-inflammatory and analgesic effect (to one degree or another).
The following are ointments that can be used for tendonitis:
Traditional medicine methods can be used to treat tendinitis. However, it is first necessary to obtain the consent of the attending physician to carry out these manipulations. The simplest and most accessible folk remedy is rubbing the affected area with ice cubes for 20 minutes.
In addition, you can add curcumin seasoning to your food on a daily basis (half a gram).
Also, in the treatment of tendonitis, a vodka tincture of partitions extracted from walnuts is used. To make this tincture you need to add a glass of partitions to 0.5 liters of vodka and leave for eighteen days.
As with any disease, it is easier to prevent the occurrence of tendinitis and then treat it.
First of all, you need to remember to do warm-up exercises so that your body warms up before the upcoming physical activity. We advise you to gradually increase the strength of the load; you should not perform the work at the limit of your strength and capabilities. If pain occurs, even slight and short-term, it is necessary to take a rest break or completely change the load.
If you experience discomfort or pain while performing certain actions, you should not return to them in the future. To prevent the disease, you should not perform monotonous actions for a long period of time, which involve the same joint.
If your occupation involves performing these actions, you need to get proper rest and allow your joints to recover fully.
Often, with the timely start of the treatment process, it is possible not only to cope with the symptoms of the disease, but also to get rid of the inflammatory processes that cause tendinitis. Modern treatment methods, as well as qualified personnel, will help you get rid of the disease as quickly as possible.
Often the patient is forced to take a break from his activities during the treatment period. In this case, the therapy gives positive dynamics, because the lack of stress allows the tendons and joints to recover faster.
If you follow all the recommendations of the treating staff, after an average of 30 days, the patient can begin his usual rhythm of life, in which there will no longer be inconvenience and pain. However, you should not abandon preventive measures so that tendonitis does not bother you again.
Diclak gel is an effective remedy in the group of non-steroidal anti-inflammatory compounds.
The drug for external application is often used in the treatment of orthopedic pathologies to reduce pain.
On this page you will find all the information about Diklak: complete instructions for use for this drug, average prices in pharmacies, complete and incomplete analogues of the drug, as well as reviews from people who have already used Diklak gel. Would you like to leave your opinion? Please write in the comments.
Non-steroidal anti-inflammatory drug (NSAID).
Available without a prescription.
How much does Diklak cost? The average price in pharmacies is 190 rubles.
5% gel for external use is sold in aluminum tubes (50 and 100 g of the drug each), placed in cardboard boxes of 1 pc.
Active ingredient: diclofenac sodium:
Diclofenac has anti-inflammatory, analgesic and antipyretic effects. By indiscriminately inhibiting cyclooxygenase 1 and 2, it disrupts the metabolism of arachidonic acid and reduces the amount of prostaglandins at the site of inflammation.
In rheumatic diseases, the anti-inflammatory and analgesic effect of diclofenac helps to significantly reduce the severity of pain, morning stiffness, and swelling of the joints, which improves the functional state of the joint. For injuries, in the postoperative period, diclofenac reduces pain and inflammatory swelling.
According to the instructions for use, Diklak gel treats symptomatic manifestations of the disease (in the form of swelling, inflammation and pain) in the following cases:
Contraindications to the use of Diclak gel are:
The use of Diclak gel during pregnancy in the first and second trimester is possible only after a doctor’s prescription, if the expected benefits for the woman outweigh the possible risks of negative effects on the body of the developing fetus.
The instructions for use indicate that Diclak gel is usually applied 2-3 times a day, and its amount depends on the nature and volume of the affected area. Apply the substance in a thin layer and rub in slightly. 2-4 grams of ointment is enough to cover an area of 400-800 square centimeters.
After finishing the application, be sure to wash your hands - unless they themselves are not subject to treatment. Diclak combines well with iontophoresis (a unique form of electrotherapy that promotes better penetration of the drug into the skin). In this case, the substance is spread under the cathode (negative pole).
The course of treatment usually lasts about 10-14 days. It is not recommended to use the medicine for more than two weeks - unless you are dealing with arthritis (up to 21 days) or a special prescription from your doctor.
Diclak gel in some cases causes contact dermatitis, photosensitivity, eczema, generalized skin rash and allergic reactions.
Consequences of overdose (exceeding the treatment area several times):
Consequences of overdose (more than 60% of the skin area has been treated):
When using other drugs of the pharmacological group non-steroidal anti-inflammatory drugs simultaneously, extreme caution must be exercised.
Avoid contact of the gel with mucous membranes or damaged skin. If this happens, it is necessary to rinse them with plenty of running water.
Diclak gel is used only topically; the possibility of combining components of different compositions with simultaneous use is minimal. Restrictions for use with other types of medicines are not described.
It is prohibited to use several NSAIDs containing diclofenac sodium. The simultaneous use of ointments, gels and tablets significantly increases the concentration of the active substance in the blood, enhancing the negative effect on the mucous membranes of the intestines, stomach, kidneys, and liver. Exceeding the concentration of the active component sometimes provokes allergic reactions.
We have selected some people's reviews about the drug Diklak:
In terms of the active substance and therapeutic effect of Diclak gel, the drugs Dicloran, Voltaren, Diclofenac-gel are similar.
Before using analogues, consult your doctor.
Store in a cool, dry place out of direct sunlight, at a temperature not exceeding 25°C. Keep away from children. The shelf life of 50 mg suppositories is 3 years, 100 mg suppositories is 5 years, solution for intramuscular administration is 3 years.
Gel "Sustafast" has earned a reputation as a remedy for joints, capable of putting a person on his feet in a short time. In the modern rhythm of life, it is important for people to always be ready for active action. Therefore, any pain in the joints when moving brings discomfort and simply interferes with normal life, since there is no opportunity to enjoy ordinary things - walking, traveling, dancing, sports activities. An effective remedy for joint pain, Sustafast, is designed to eliminate all these negative consequences.
Joints play an important role in the human body, serving as the most important element in ensuring the mobility of the musculoskeletal system. The human skeletal part contains 187 joints and each of them performs its function in a single mechanism. Joint pain is a symptom to which there must be a reaction. It is important to understand that timely measures taken will help prevent serious illnesses in the future, including:
Unfortunately, most of the drugs that are on the market today are not able to relieve joint pain, despite the declaration of such an effect. The properties of the Sustafat gel include:
The composition of the Sustafat gel includes the following components:
Equipping with an easy-to-use applicator helps to significantly save product during application. It is enough to apply the gel to the skin 3-5 cm 1-2 times a day, taking into account the area of the painful area. It is recommended to apply the gel with gentle massage movements until completely absorbed. You can use a special patch from the kit to seal the inflammation.
It is recommended to purchase the product only on the official website. Before making a purchase, you should read real reviews from customers who have already tried using the gel. Some of them are truly surprised by the effect that using the product gives. There is no need to worry if the product does not give an effect after one use. You just need to be patient and wait a little. The result will definitely come. "Sustafat" can be used without any fear. With a high degree of effectiveness, the gel is absolutely safe.
It quickly restores mobility and elasticity of joints, eliminates pain, eliminates inflammation and swelling, and eliminates the cause of the disease. Not a single drug offered on the market today can boast of such an effect. With a large number of analogues, Sustafat is significantly ahead of them in terms of quality and efficiency of use. Not all reviews are exclusively positive.
There are also negative opinions about the effects of the drug. As a rule, the sources of such reviews are the actions of scammers trying to sell an ineffective counterfeit product. This trend began to be noted immediately after the results of studies on the effectiveness of the gel were received. Scammers offer fakes to gullible people and collect payment from them, and then disappear without a trace. Some counterfeits not only do not help in the fight against illnesses, but, on the contrary, cause harm and worsen the health of an already sick person. For this reason, experts and manufacturers of the drug recommend purchasing the gel exclusively from official suppliers. It is also important to read doctors' reviews about the drug. Almost all industry experts today are of the same opinion that Sustafat is very effective in use. To achieve the result, it is only necessary to comply with a number of conditions, namely when undergoing a course of treatment:
Compliance with these simple rules will allow you to achieve the desired result in the shortest possible time when using Sustafat gel. With this remedy you can forget about stiff, uncomfortable movements and severe pain. It is enough to order the Sustafat gel and use it to normalize the functioning of the joints. After completing the course of treatment, you will again be able to enjoy life.
I have been suffering from joint problems for a long time and have tried a lot of remedies, both medical and folk. They did not give much effect, and some simply muffled the pain for several hours. A friend heard about Sustafat gel and recommended purchasing it. I had no choice and decided to try. I am very pleased with the result; today I don’t even remember about the sore joints.
I used Sustafat for more than two weeks, but I felt the result within the first week after use. The pain has stopped. I continued to use it to consolidate the results. I am glad that the gel is easy to use and does not leave any stains on clothes.
I had no illusions about the magical results of using this gel. But we need to solve the problem somehow, at least try. My joints have been periodically hurting for a long time, but until recently I didn’t know how to deal with this problem. A bunch of purchased funds did not help, but the money was decent for them. After using Sustafat, the pain disappeared almost immediately and subsequently did not appear. Thank you very much to the manufacturer for such a miracle product.
My knees are my problem area because they hurt all the time. After turning 50, I started getting sick and this continued until I bought Sustafat gel on the advice of a friend. A very effective drug.
Order of the Ministry of Health of Ukraine
active ingredient: nimesulide (nimesulide);
1 g of gel contains nimesulide 10 mg;
excipients: benzyl alcohol, propylene glycol, carbomer 940, disodium edetate, sodium hydroxide, Cologne Comp 530 flavoring, purified water.
Dosage form. Gel for external use.
Basic physical and chemical properties: opaque, homogeneous gel of light yellow color.
Nonsteroidal anti-inflammatory and antirheumatic drugs. ATX code M02A A26.
Nimesulide is a non-steroidal anti-inflammatory drug (NSAID), a selective inhibitor of cyclooxygenase-2. In terms of anti-inflammatory activity, nimesulide in equimolar concentration in the initial stage of inflammation is comparable to indomethacin and piroxicam. By inhibiting the synthesis of prostaglandins in the area of inflammation, nimesulide has virtually no effect on the synthesis of regulatory prostaglandins in the wall of the stomach and kidneys. Suppresses the activity of platelet activating factor, ?-tumor necrosis factor, proteinases, histamine and the formation of free oxygen radicals. When applied externally, it causes a decrease or disappearance of pain in the area of application, including joint pain, and reduces morning stiffness and swelling of the joints.
When Nimid is applied cutaneously, gradual transdermal absorption of nimesulide into the subcutaneous tissue and synovial fluid of the joint is observed. The drug practically does not penetrate into the systemic circulation, which explains the lack of significant systemic effects.
Local treatment of pathological conditions of the musculoskeletal system, which are characterized by pain, inflammation and stiffness of movement, such as osteoarthritis, periarthritis, post-traumatic tendonitis, tenosynovitis, muscle strain, heavy physical stress on the joints.
Hypersensitivity to nimesulide or other components of the drug.
Dermatitis and infectious skin diseases. Damage to the epidermis. Do not use in patients in whom acetylsalicylic acid or other drugs that inhibit prostaglandin synthesis cause allergic reactions such as rhinitis, urticaria or bronchospasm.
Interaction with other drugs and other types of interactions.
When using the drug cutaneously, its interaction with other drugs has not been established. However, it must be taken into account that, if it enters the systemic circulation, nimesulide can enhance the effectiveness and toxicity of many drugs as a result of displacement from sites of binding to plasma proteins and, thus, increasing their free fraction in the blood. Based on this, the drug should be prescribed with caution simultaneously with anticoagulants, digoxin, phenytoin, lithium preparations, diuretics, antihypertensive drugs, other NSAIDs, cyclosporine, methotrexate, and oral hypoglycemic agents.
With simultaneous local use of several non-steroidal anti-inflammatory drugs, local irritation may develop in the form of urticaria, skin redness, and peeling.
Glucocorticoids and antirheumatic drugs (gold preparations, aminoquinolones) enhance the anti-inflammatory effect of Nimid.
Medical supervision is required when prescribing the drug to elderly patients with impaired renal function, liver function, and congestive heart failure. For patients with gastroduodenal bleeding, acute ulcers or severe bleeding disorders, the drug should be used under the supervision of a physician.
Should not be used concomitantly with other topical medications.
It is recommended to apply the gel only to intact areas of the skin, avoiding contact with open wounds. Avoid contact of the gel with the eyes and mucous membranes. Do not use the gel under airtight dressings.
To reduce the risk of adverse reactions, it is necessary to use the minimum effective dose with the shortest duration of treatment. If the patient's condition does not improve, he should definitely consult a doctor.
Should not be used in patients with known hypersensitivity to NSAIDs. If hypersensitivity reactions develop, treatment should be discontinued.
During treatment with the drug, photosensitivity reactions may develop. To reduce the risk of developing photosensitivity, patients should avoid UV irradiation and visiting a solarium.
This product contains propylene glycol, which may cause skin irritation.
Use during pregnancy or breastfeeding.
Do not use during pregnancy and breastfeeding.
The ability to influence the reaction rate when driving vehicles or other mechanisms.
Use externally for adults. Before applying the gel, wash and dry the surface of the skin. Apply a thin layer of gel approximately 3 cm long to painful areas and rub in lightly, the frequency of use is approximately 3-4 times a day. The duration of the course of therapy is determined individually depending on the effectiveness of therapy and is no more than 4 weeks.
Do not use in children.
When using the gel on large areas of the skin or if recommended doses are exceeded, systemic side effects characteristic of nimesulide and other non-steroidal anti-inflammatory drugs are possible: dyspepsia, headache, dizziness, pain in the epigastric region.
Treatment: dose reduction or discontinuation of the drug. Therapy is symptomatic.
Skin: mild to moderate local skin irritation: erythema, rash, peeling, itching, allergic reactions.
From the immune system: hypersensitivity reactions, including anaphylactic reactions in the form of angioedema, vasomotor rhinitis, suffocation and bronchospasm.
Store at a temperature not exceeding 25 °C, in the original packaging.
30 g or 100 g in a tube. 1 tube in a cardboard box.
KUSUM HEALTHKER PVT LTD/
The location of the manufacturer and its address of place of business.
SP-289 (A), RIIKO Industrial area, Chopanki, Bhiwadi, Dist. Alwar (Rajasthan), India /
SP-289 (A), RIICO Industrial area, Chopanki, Bhiwadi, Dist. Alwar (Rajasthan), India.
active ingredients: diclofenac, menthol, methyl salicylate, linseed oil;
1 g of gel contains diclofenac diethylamine in terms of diclofenac sodium 10 mg, menthol 50 mg, methyl salicylate 100 mg, linseed oil 30 mg;
Excipients: propylene glycol, carbomer 940, disodium edetate, polysorbate 80, benzyl alcohol, ammonia solution, purified water.
Basic physical and chemical properties: homogeneous white gel with a characteristic odor.
Pharmacotherapeutic group. Drugs used topically for joint and muscle pain. Non-steroidal anti-inflammatory drugs for local use.
The action of Fanigan O Fast Gel is due to the components that are included in its composition.
Diclofenac is a non-steroidal anti-inflammatory drug with pronounced antirheumatic, analgesic, anti-inflammatory and antipyretic effects. The main mechanism of action is inhibition of prostaglandin biosynthesis.
For inflammation caused by injuries or rheumatic diseases, the use of diclofenac leads to a decrease in pain, tissue swelling and a reduction in the period of restoration of functions of damaged joints, ligaments, tendons and muscles.
Menthol irritates cold receptors. This is accompanied by a narrowing and decrease in the permeability of capillaries at the site of application, and a feeling of coolness. Menthol causes a local distracting and moderate analgesic effect.
Methyl salicylate is a derivative of salicylic acid and causes local irritation. By irritating skin receptors, methyl salicylate leads to the formation and release into the blood of a large amount of biologically active substances that regulate pain sensitivity. Substance P is released from neurons. Reducing the accumulation of substance P in nerve endings leads to a decrease in pain. In addition, methyl salicylate, which belongs to the group of nonsteroidal anti-inflammatory drugs (NSAIDs), inhibits the synthesis of prostaglandins due to inhibition of cyclooxygenase, which reduces swelling and infiltration of inflamed tissues.
Flax seed oil , the main component of which is a-linolenic acid (ethyl ester of an unsaturated fatty acid), has an anti-inflammatory effect, antioxidant properties, and improves blood circulation at the site of application.
The action of Fanigan O Fast gel begins within a few minutes after application to the skin. After 20-30 minutes, the effect of the gel reaches its maximum. When the gel is applied topically, less than 5% of the dose is absorbed, thus the systemic exposure of the drug is minimal.
Local treatment of myositis, fibrositis, sciatica, muscle and tendon strains, traumatic injuries of the musculoskeletal system, pain in muscles and joints during heavy physical activity, inflammatory and degenerative diseases of the joints (osteoarthritis of the peripheral joints and spine), rheumatic lesions of the musculoskeletal system ( bursitis, arthritis, tenosynovitis, tendinitis).
Since systemic absorption following topical administration of the drug is very low, the potential for interactions is very low. However, it is necessary to take into account possible interactions that are known for oral forms of diclofenac.
Although well-controlled interaction trials have not been conducted, it is possible that excessive use of topical salicylates may increase the effect of coumarin anticoagulants and antiplatelet agents. In this regard, patients taking coumarin anticoagulants and antiplatelet drugs, including aspirin, should exercise caution.
Use with caution concomitantly with oral non-steroidal anti-inflammatory drugs.
The likelihood of developing systemic side effects with topical use of diclofenac is insignificant compared with the use of its oral forms, but it cannot be excluded when using the drug on relatively large areas of the skin for a long time.
Fanigan O Fast gel should not be used with other products containing diclofenac.
The drug should be used with caution in case of peptic ulcer of the stomach and duodenum in the acute stage and its history, impaired liver/kidney function, impaired hematopoiesis, polyposis of the nasal mucosa.
Fanigan O Fast Gel is recommended to be applied only to intact areas of the skin, avoiding contact with inflamed, wounded or infected skin. Contact of the drug with the eyes and mucous membranes should be avoided. The drug should not be swallowed.
This medicine contains salicylates, which are aspirin-like substances, so the same precautions recommended for aspirin should be followed.
Fanigan O Fast Gel contains propylene glycol, which may cause skin irritation.
If any skin rash appears, treatment with the drug should be stopped. Fanigan O Fast Gel should not be used under an airtight occlusive dressing. In case of a sprain, the affected area can be bandaged.
Clinical experience with pregnant women is limited; therefore, the use of this drug is not recommended during pregnancy and lactation. Fanigan O Fast Gel is contraindicated in the third trimester of pregnancy due to the possibility of developing weakness of labor and/or premature closure of the ductus arteriosus.
If there are compelling reasons for using Fanigan O Fast Gel during breastfeeding, when the expected benefit of the drug, in the opinion of the doctor, outweighs the potential risk, the drug should not be applied to the mammary glands or large areas of skin and should not be used for a long time (more than 1 weeks).
For adults and children over 14 years old, apply 2-4 g of gel (4-8 cm strip) in a thin layer to the skin and rub in lightly 2-3 times a day. The average daily dose is 10 g of gel, which corresponds to 100 mg of diclofenac sodium. The drug should be applied to intact skin, avoid contact with eyes and mucous membranes. Do not apply the gel to open wounds.
After applying the drug, you must wash your hands, except in cases where this particular area is to be treated.
The duration of treatment is determined by the doctor depending on the nature and course of the disease and the effectiveness of treatment.
The gel should not be used for more than 14 days in case of soft tissue damage and rheumatism or more than 21 days in case of arthritis pain, unless otherwise recommended by a doctor.
Elderly patients do not require dose adjustment.
Contraindicated in children under 14 years of age. When using the drug for children over 14 years of age for more than 7 days or if the symptoms of the disease intensify, you should consult a doctor.
Overdose is unlikely due to the low absorption of diclofenac into the systemic circulation when applied topically. In case of accidental ingestion, it should be taken into account that 1 tube of 100 g of the drug contains the equivalent of 1 g of diclofenac sodium and the development of systemic adverse reactions is possible.
In case of accidental ingestion of the drug, you should immediately empty your stomach and take the adsorbent. Symptomatic treatment with the use of therapeutic measures used to treat poisoning with non-steroidal anti-inflammatory drugs is indicated.
From the immune system : hypersensitivity reactions (including urticaria), angioedema.
From the respiratory system : bronchial asthma, bronchospasm, shortness of breath.
From the skin and connective tissues : irritation, peeling, swelling of the skin, rashes (including pustular), eczema, erythema, dermatitis (including contact, bullous), itching, photosensitivity reactions, may occur at the site of application. burning or tingling of the skin, dry skin.
Store at a temperature not exceeding 25 °C in the original packaging.
Keep out of the reach of children.
Kusum Healthcare Pvt Ltd/
Kusum Healthcare Pvt Ltd.
SP-289 (A), RIIKO Industrial area, Chopanki, Bhiwadi, Dist. Alwar (Rajasthan), India/
Date of last revision.
Tendonitis is inflammation of a tendon. As a result of damage to blood vessels, nerves, and surrounding tissues, tendon fibers change their structure and are destroyed. Sometimes it is considered as the initial stage of a more powerful destructive process - tendinosis.
The disease is not fatal, but creates great problems in everyday life. Considering that tendonitis most often occurs in the shoulder, knee, hip, wrist and Achilles tendons, difficulties arise with such simple actions as dressing, walking, etc. In addition, due to the similarity of symptoms, the disease is often disguised as arthritis or inflammation of the ligaments. This complicates the diagnosis and prolongs the inflammatory process.
Tendonitis can be successfully treated. Conservative methods are usually used. If you consult a doctor (general practitioner, traumatologist, orthopedist, rheumatologist, surgeon) in a timely manner, your health prognosis is favorable.
Further in the article you will learn why this disease develops, what its symptoms are and how to treat it.
Tendinitis occurs due to exposure to physical, chemical and infectious factors.
Very often, tendons suffer during sports activities or when performing certain jobs.
As you age, your risk of tendonitis increases as the tissue loses its elasticity. In addition, metabolic products accumulate in the body, which change the course of metabolism and lead to diabetes, obesity and other disorders.
Tendinitis can also occur as a result of joint diseases: severe arthritis, synovitis, infectious or reactive vaginitis, etc. Infections such as tuberculosis, syphilis, and typhus are also an impetus for the development of tendon diseases.
Characteristic symptoms: pain, redness of the skin, tissue swelling, swelling in the area where the tendon attaches. If the damage is minor, then the symptoms are milder. The pain syndrome manifests itself more during movement, and stiffness in the joint may not develop.
Over time, with insufficient treatment or its absence, inflammatory processes in the tendon lead to the formation of scars, and contracture (immobility of the joint) is formed. The joint takes a stable forced position.
Symptoms of Achilles tendonitis in Reiter's disease are well expressed.
When making a diagnosis, the doctor, in addition to examination, questioning, palpation and tests, prescribes x-rays, ultrasound or MRI, since tendinitis has symptoms similar to those of other diseases (arthritis or inflammation of the ligaments is often diagnosed).
Tendinitis has four forms:
Treatment for each specific form is different from the others.
The mechanism of development and treatment of different forms of the disease are described in the table:
After an injury, rupture of blood vessels, tendon bundles, fiber, and nerves occurs.
Treatment is conservative. The prognosis is favorable or cautious (in difficult cases).
Disintegration and necrosis (death of cells) of the tendon with rapid involvement of neighboring tissues in the process.
Treatment is surgical. The forecast is cautious.
Lime salts are deposited in the altered tissue. Often occurs after injury to the periosteum.
Has an irreversible course.
In places where the tendon is damaged, strong connective tissue (fibrous) is formed. It compresses the fibers, causing them to thin and shrink (atrophy).
Treatment is conservative. The prognosis is favorable.
Tendonitis is treated in accordance with its form, nature of the course, and severity of symptoms. Treatment also depends on the location and nature of the damaging factor (trauma, infection, metabolic disorder). In case of prolonged absence of drug treatment, the inflammatory process spreads to the tendon sheath and synovial bursae of the joint. Such inflammation leads to the development of tenosynovitis and synovitis, respectively.
Tenosynovitis is one of the complications of tendonitis
Conservative treatment methods are based on painkillers and nonsteroidal anti-inflammatory drugs (NSAIDs), and, if necessary, antibiotics. On the first day, ice and a tight bandage are prescribed. Further warming alcohol compresses are possible.
The doctor may also prescribe physiotherapy: ultraphonophoresis, electrophoresis with painkillers, diadynamic therapy, paraffin therapy.
Massaging the sore spot is not recommended. During the entire treatment of the injured limb, complete rest is required.
Below is a table of the most common NSAIDs:
(if the table is not completely visible, scroll to the right)
If treatment with medications does not produce results, and the disease often relapses, surgery is performed. The tendon may be sutured, lengthened, or reattached to another location.
Depending on the degree of damage to the tendon fibers, open intervention or arthroscopy (in which only two punctures are made) is used. The purulent contents are removed, dead and affected areas are excised, and the surgical field is treated with antiseptics.
The length of the rehabilitation period depends on the complexity of the operation (usually up to 4 months). For the first 5–7 days, the joint is completely immobilized, the plaster cast is gradually removed and the patient begins to perform simple movements. At the same time, antibiotics, anti-inflammatory drugs (NSAIDs), vitamins, and physiotherapy are prescribed (see above).
Recovery depends on the quality of the treatment provided and the responsible attitude of the patient himself.
Tendinitis is highly treatable. It is very important in the future to prevent overloading of this joint and to take preventive measures for the others. If your work or hobby involves constant overstrain of a muscle, periodically do a relaxing massage (stroking, rubbing or kneading), use creams and gels that relax the muscles.
If unusual symptoms appear, you should definitely see a doctor (orthopedist, surgeon, therapist). On surgical forums, patients often report that for several months they have been diagnosed with arthritis or another disease, but not tendonitis . To prevent this from happening, you should not rely only on the doctor. Increase your level of knowledge, take an interest in the characteristics of your body, listen to it. And be healthy!