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Tendinitis of fingers

07 Jul 18

Features of the manifestation of wrist tendinitis and its treatment

Tendinitis of the wrist (location shown in the photo) is a pathology that causes discomfort and unpleasant sensations in the patient. There are a large number of therapy methods to cope with the disease.

To achieve a positive result, you need to consult with a specialist so that he can make a diagnosis and prescribe effective treatment methods.

Photo. Wrist tendonitis problem

Symptoms of the disease

Symptoms of hand tendinitis include:

  1. Severe pain in the area of ​​the inflamed tendon. Such sensations accompany the patient during active manipulations or palpation. At the same time, during the rest period, movements will remain painless.
  2. The epithelium in the area of ​​inflammation becomes red and warm to the touch compared to other parts of the body.
  3. When bending the tendon, a characteristic crunch may be felt.
  4. Sometimes there is even slight swelling in the affected area.
  5. The pain syndrome becomes unbearable closer to night and prevents a person from sleeping normally.
  6. It will also be difficult for the patient to hold objects and perform various physical manipulations that involve the muscles of the thumb.
  7. Treatment for wrist tendonitis begins with the person avoiding physical activity and resting the affected tendon. The use of cold ice packs is often practiced. It is imperative to use auxiliary devices that will fix the joint. Most often, wearing flexors, splints or bandages is prescribed.

    After this, it is necessary to take non-steroidal anti-inflammatory drugs. Such drugs are used to reduce the production of mediators, relieve swelling and pain. These medications can be taken orally or given as injections. The use of local therapy in the form of ointments and gels is also permitted. With the help of such drugs you can quickly eliminate discomfort in the affected joint.

    If the disease becomes infectious, then in addition to NSAIDs, you will need to take antibiotics. They must be prescribed by the attending physician.

    Patients are required to follow all recommendations of specialists so that the chosen therapy does not harm their health or cause adverse reactions.

    Tendinitis of the fingers can be treated using laser and magnetic influences, as well as the use of ultraviolet light and ultrasound or shock wave therapy. In the chronic form of the disease, paraffin and mud applications are often prescribed.

    When the acute pathology process subsides, you can perform exercise therapy complexes, which consist of exercises aimed at stretching and strengthening the tendon. Also, sore joints are often treated with massage.

    Suppurative tendonitis will need to be treated with surgery. After the manipulations, you will need to undergo a rehabilitation course lasting 3–4 months.

    Traditional medicine recipes

    If you have tendonitis of the wrist joint, treatment can be carried out using traditional methods.

  8. To improve the general condition of the patient, it is recommended to regularly consume 0.5 g of curcumin.
  9. The healing infusion has a good effect. You should take 1 tsp. Mix chopped ginger root with the same amount of sarsaparilla. The components are filled with water (250 ml), infused for 3 hours, and then the product is consumed before breakfast and after dinner.
  10. You can prepare an infusion of dried bird cherry berries. This medicine has a powerful anti-inflammatory effect. 200 g of raw material must be poured with 1 glass of boiling water, kept in a steam bath for about 15 minutes, and then consumed up to 4 times a day. You can use fresh fruits for the recipe, but in this case you need to take 2-3 times more of them.
  11. For oral administration, a preparation is often made from 2 tbsp. l. plantain seeds, which are poured with 1 cup of boiling water and boiled over low heat for 4–6 minutes. The product is cooled, filtered and taken 75 ml up to 5 times a day.
  12. To eliminate signs of pathology, special bath procedures are used:

  13. Pour 3-4 bunches of green elderberries into 3 liters of boiling water, then add 2 tsp. soda The ingredients need to be mixed in a basin, and then lower your wrist there and hold for 15–17 minutes.
  14. Pour 300-400 g of hay dust with 2 glasses of water and boil for half an hour (necessarily over low heat). Then the drug must be infused, strained into a prepared container and used for bath procedures.
  15. Pour 5-10 pine branches with 2 liters of water, place on the stove for 20 minutes. Then fill the bath with sea salt with liquid. It is necessary to lie in this solution until it cools completely.

Application of compresses

Special applications are often used to treat wrist tendonitis. Mix 250 ml of warm distilled water with 20 g of salt (sea salt is possible). Moisten a bandage or gauze in the prepared solution and apply to the affected area. To fix the compress, use cling film. It is recommended to keep the application for 20–25 minutes.

You can cope with the pathology using a product based on elecampane. 4–5 tbsp. l. dry raw materials, pour 1 liter of boiling water, leave for 1 hour. When the drug has cooled, you need to moisten a bandage in it and apply it to the inflamed area. To make the applique stick better, you need to use cling film or a scarf.

You can cope with the disease using lavender extract. It should be applied to the affected tendon up to 7 times a day. It is allowed to combine fir and sea buckthorn oils (1 tbsp each). It is recommended to treat the wrist with the resulting solution up to 6 times a day. It is better to carry out the procedure at night.

It will be possible to eliminate inflammation of the joints with the help of clay applications. Mix 500–600 g of cosmetic blue powder with warm water to form a mastic. Pour 75 ml of apple cider vinegar into the mixture. Spread the resulting mixture in an even layer on a paper towel and attach it to the inflamed area. A scarf or scarf is used to secure the fixation. The application must be kept for 3 hours.

Correct and timely therapy allows you to overcome tendinitis quickly.

Wrist tendinitis: how and with what to treat your hand?

Pain in the arm can occur suddenly and manifest itself with different intensity in different situations. There are many reasons for this pathology; only a specialist can determine the true cause. Pain in the hand can be caused by a sprain or injury, but sometimes doctors diagnose hand tendonitis in their patients - an inflammatory process in the tendon tissue. Tendinitis of the base of the thumb, wrist, and wrist joint is often encountered.

Dystrophic process in the hand

This pathology is diagnosed in patients of different age categories: hand tendonitis affects children and the elderly, but most often manifests itself in middle-aged people leading an active lifestyle. The reason for this is frequent loads on the same area; inflammation occurs in the place where the tendon is located.

Tendonitis of the hand is characterized by characteristic symptoms, manifested by:

  • a creaking sound made when moving a sore limb;
  • pain in the area of ​​inflammation;
  • limited mobility in the area of ​​the affected tendon;
  • swelling and redness of the tissue over the affected tendon;
  • increased sensitivity when palpating the tendon;
  • increasing pain towards night.
  • Causes of the inflammatory-dystrophic process

    Experts identify several reasons for the occurrence and progression of the pathological inflammatory process in the tendon area. The most common doctors include:

  • regular significant physical stress on the joint for a long time associated with the professional activities of patients;
  • injury to a tendon or joint of a finger;
  • diseases of rheumatic pathogenesis;
  • dislocations, sprains.
  • Note: regular microtrauma and stress lead to stretching of the ligaments, ossification of the tissues between them and the formation of bone growths and spines.

    At the first signs of early manifestations of tendonitis of the wrist joint and finger flexors, it is important to rest the sore hand. Timely treatment allows you to limit yourself to conservative methods; moreover, the root cause of the pathology is intense stress and microtrauma, so rest is a prerequisite for successful therapy.

    Redness of the tissues and swelling over the inflamed tendons are relieved with a cold compress, which is not recommended to be done more often than every four hours, since prolonged hypothermia can also negatively affect the health of the limb.

    Advice: to limit mobility, experts recommend using the method of applying a plaster splint or splint. This will help provide the diseased tendon with the maximum degree of rest and immobility, reduce pain and relieve swelling.

    Drug treatment for wrist tendinitis includes anti-inflammatory therapy:

  • injections of steroid drugs into the area of ​​tissue surrounding the tendon;
  • taking piroxicam in the dosage calculated by the doctor;
  • ibuprofen as an analgesic and anti-inflammatory agent;
  • antibacterial drugs in case of urgent need;
  • methylprednisol injections.
  • After the acute period of inflammation has resolved, doctors prescribe special therapeutic exercises for patients, a set of exercises aimed at strengthening and stretching the muscles.

    Special massage procedures also help get rid of the consequences of wrist tendinitis:

    • stroking and kneading the inflamed area of ​​the wrist;
    • rubbing the swelling area with circular and spiral movements;
    • lightly rubbing the area of ​​inflammation.
    • Important: the total duration of massage procedures should not be less than 10 minutes. Therefore, each movement should be given at least a couple of minutes.

      Folk wisdom will help

      Treatment with folk remedies for hand tendinitis is an alternative therapeutic method at the early stage of the disease.

      It is recommended to treat tendon pathology using the following traditional medicine recipes:

    • Boil a tablespoon of grated ginger in a glass of boiling water. A small piece of terry cloth is soaked in warm broth and applied to the sore spot, changing the bandage every quarter of an hour.
    • Apple cider vinegar also relieves wrist pain . It is mixed with warm water in a 1:2 ratio, applied to the affected area and insulated with woolen cloth on top. Change the compress every half hour.
    • Apple cider vinegar with iodine has long been used to heal sore joints. Hand tendinitis is treated with a remedy made from one bottle of apple cider vinegar and 2 teaspoons and 4 drops of iodine. The mixture is thoroughly mixed, a napkin made of natural fabric is moistened and placed on the wrist, carefully wrapped. After a quarter of an hour, the napkin is removed and the hand is tightly bandaged.
    • Important: before treating tendonitis with folk remedies, you should make sure that there is no allergic reaction to the components of folk recipes.

      It is easier to prevent any pathology than to subsequently treat it. To prevent wrist tendonitis, experts recommend regulating physical activity on the hand and gently stretching the hand from time to time before applying stress to it.

      Co-author of the material: Dmitry Ulyanov is an orthopedist-rheumatologist with 22 years of experience, a doctor of the first category. Engaged in the diagnosis, treatment and prevention of all diseases of the joints and connective tissue. He has a diploma in Rheumatology and studied at the Peoples' Friendship University of Russia.

      Tendinitis - description, symptoms and treatment

      After 40 years of age, our joints may experience discomfort, pain or burning. Also, an inflammatory process may occur where the tendons are located in various joints of our body.

      The younger generation also has a risk of contracting this disease, those who engage in heavy sports, and those whose work involves heavy loads. Elderly people and people whose occupation involves prolonged physical activity. They will be able to read about all types of tendonitis and its treatment. What are the preventive measures?

      Tendinitis is a disease characterized by the development of an inflammatory process in the tendon. There are such types of tendinitis as acute and chronic. Tendonitis can affect various tendons in the body, but tendons in the elbow, shoulder, knee and hip joints are most commonly affected.

      In addition, damage to the tendons of smaller joints, such as the wrist and ankle, is also noted. Typically, the inflammatory process begins with damage to the tendon sheath (tenosynovitis) or tendon bursa (tenobursitis). If the inflammation spreads to the muscles that are adjacent to the tendon, this leads to the development of a disease such as myotendinitis.

      The appearance of tendonitis does not depend on the age or gender of a person, but most often this disease occurs in athletes and people who do monotonous physical work. In addition, since the ligamentous apparatus of the human body weakens with age, tendonitis can also occur in older people.

      Tendinitis is an inflammation of the tendon, which most often occurs at the site of attachment of the tendon to the bone, but can spread throughout the tendon down to the muscle itself. Tendinitis is also known as tendinosis or tendinopathy.

      The term enthesopathy is also used to refer to inflammation of the tendon only and directly in the area of ​​its attachment to the bone. Inflammation of the tendons can develop in the area of ​​any joint, but tendinitis of the knee, hip, shoulder, elbow joints, as well as tendinitis of the wrists and feet occurs most often.

      Knee tendinosis is an inflammation of the patellar ligament, which is the tendon of the quadriceps femoris muscle and attaches to the front of the tibia. Hip tendinosis is an inflammation of the muscle tendons that attach on all sides of the hip joint to the pelvic bones.

      Hamstring syndrome (inflammation of the tendons of the muscles attached to the ischial tuberosity) requires special attention because it can cause pinching of the sciatic nerve. Tendinitis of the elbow joint, depending on which tendon group of muscles is damaged, is divided into separate diseases, which are known as “tennis elbow,” “golfer’s elbow,” and “baseball elbow.”

      Shoulder tendonitis is divided into rotator cuff tendinitis, biceps tendonitis, and calcific tendonitis. Tendinitis differs from a sprained or torn ligament in that when stretched, some of the fibers are torn at the same time and then the healing process occurs.

      When stretched, an acute focus of pain and inflammation is formed, which requires treatment and forces the patient to reduce the load. With tendinitis, a number of tendon fibers are constantly torn, which are then at various stages of healing. Often patients continue to perform exercises with the same load, so the process often becomes chronic.

      This disease can develop at any age. But more often it affects people over 40 years of age, as well as those who engage in serious physical activity or are often in the same position. The first response of tendons to chronic overload is tendon swelling, which is accompanied by microscopic breakdown of collagen and changes in the mucous membrane around the site of inflammation.

      Basically, the foci of inflammation are the joints of ligaments and bones, but there are cases of the inflammatory process spreading throughout the tendon. With constant injury, chronic tendinitis can develop.

      Symptoms and classification

      The main symptom of tendinitis is pain. At first, pain appears only at the end of a workout or after prolonged physical activity. Then the pain may become constant. Usually the pain is dull and is felt along the ligament or on the sides of it.

      Only active movements are painful; passive movements do not cause pain.

      Pressing on the area where the diseased tendon is located increases the pain. With intense inflammation, joint stiffness, redness and increased temperature of the skin over the affected area may be observed. In some cases, a crunching or crepitation may occur in the area of ​​the inflamed tendon.

      With a long course of the disease, it is sometimes possible to palpate elastic nodules at the site of the diseased tendon, which is associated with the growth of fibrous tissue at the site of the damaged tendon tissue. Tendonitis of the shoulder joint in some cases may be accompanied by the deposition of calcium salts with the formation of dense nodules - calcifications.

      The symptoms of knee tendonitis are difficult to distinguish from the signs of a sprain. This diagnosis can only be made by a specialist.

      There are several stages of the disease:

    • Stage 1. Pain at the bottom of the knee appears only with fairly strong physical activity; there is no pain at rest or during normal activity.
    • Stage 2. The pain syndrome appears even at rest, but severe pain appears only after training. The pain is dull in nature, can be paroxysmal, and is localized above the kneecap and on the sides of it.
    • Stage 3. Severe pain - at rest, during and after physical activity. Without treatment, the pain only gets worse.
    • Stage 4 (last) – rupture of the patellar ligament. It develops only if the person has not received any treatment before. The first and main sign of tendonitis will be pain in the knee.
    • It will have the following characteristics:

    • localized between the kneecap and the upper third of the anterior surface of the leg;
    • initially occurs only at the beginning of training;
    • As the condition worsens, the pain interferes not only with exercising, but also with getting up from a chair or climbing stairs.
    • Tendonitis of the patellar ligament occurs in those sports (the pathology rarely appears as a common injury) in which you need to run and jump - only in these cases the patellar ligament experiences an eccentric load. With quadriceps tendonitis, a person experiences pain above the knee.

      There you can also notice the presence of swelling, redness and increased skin temperature. It is possible to distinguish tendonitis of one tendon from another with the help of additional studies; it is almost impossible to do this based on clinical manifestations.

      Shoulder tendonitis

      In this case, there is a decrease in shoulder mobility, a decrease in the range of motion in the joint, and if you do not move the shoulder, there will be no pain. One of the first symptoms that causes a person to see a doctor is an increase in shoulder pain in the evening.

      As a result, it becomes difficult for the patient to fall asleep; it takes a long time to find a forced position of the arm. The shoulder joint moves in different directions due to the work of several muscle groups. One of them is the supraspinatus muscle, which is located in the depression in the upper third of the scapula, and together with the deltoid muscle raises the arm to the side.

      Tendinitis of the supraspinatus muscle occurs with chronic subacromial bursitis, with constant carrying of large weights in the hand, with hand holding the handrails so that the body does not rush forward. The main “favorites” of this tendinitis are weightlifters and rowers.

      Inflammation of the supraspinatus tendon manifests itself as follows:

    • a person notices that shoulder pain appears and then spontaneously disappears;
    • this may continue several times;
    • pain – in the upper part of the shoulder;
    • radiates to the forearm, to the bottom of the shoulder, to the outer (outer) side of the elbow;
    • it becomes difficult for men to raise their arms and shave;
    • shoulder pain prevents you from combing your hair, buttoning a back button, or putting your hand in your back pocket.
    • Another type of shoulder tendinitis is rotator cuff tendinitis. This is a condition where the soft tissues surrounding the shoulder joint become inflamed.

      One or more of the following structures may be involved in the pathological process:

    • joint capsule;
    • supraspinatus tendon;
    • biceps tendon.
    • As a result of this pathology, such sharp pain occurs in the shoulder that it significantly reduces the range of motion in the shoulder joint. If a person does not go anywhere, but simply tries not to use the motor-damaged limb, the inflammatory process enters a productive stage, and adhesions form in the joint. When the inflammation subsides, it becomes very difficult to develop the joint, and atrophy of the deltoid and biceps muscles of the shoulder also occurs.

      Achilles tendonitis

      This tendon attaches the calf muscles to the heel bone. Its properties make it possible to stand on tiptoes and rise when walking. Achilles tendonitis occurs most often in those athletes whose professional “interests” include jumping, sudden starts and sudden stops when running (runners, dancers, acrobats, jumpers).

    • pain along the tendon, closer to the heel bone;
    • the tendon looks swollen, red, and painful to touch; ankle mobility is limited;
    • it hurts to walk in the morning for a short time, then the symptom disappears, but the next morning it appears again;
    • if it is impossible to stand on your toes, this indicates that tendonitis has entered its final stage - tendon rupture
    • Ankle tendonitis has similar manifestations, but it will not be characterized by swelling of the tendons, but by their unchanged appearance. There will be pain not only when standing on your toes, but also with other movements in the joint.

      Biceps tendinitis Biceps tendinitis manifests itself as a pain syndrome with the following characteristics:

    • localized deep in the shoulder along its anterior surface; extends down to the forearm;
    • most often has a dull character;
    • intensifies if the arms are raised to a position above the shoulders; goes away after rest;
    • the arm feels “weak” if it needs to be bent at the elbow or turned with the palm up.
    • Tendinitis of the long head of the biceps tendon occurs when the portion of the tendon that attaches the top of the biceps muscle itself to the humerus becomes inflamed. This pathology is typical for people who repeatedly lift and move their arms overhead (usually swimmers, tennis players, basketball players).

      The symptoms of this pathology are:

    • pain in the cheek area, less often in the head or neck;
    • the pain intensifies when chewing (especially rough food) and talking;
    • radiates pain to the teeth and neck; there is no pain along the ligament, which runs from the temporal bone to the lower jaw;
    • there are no neurological symptoms (this symptom is characteristic of trigeminal neuralgia).
    • Calcific (calcific) tendinitis

      Pathology develops most often in people over 40 years of age. In this case, deposition of calcium salts occurs on muscle tendons of any location. Inflammation starts around calcifications.

      The affected tendon begins to hurt:

    • when calcium crystals are deposited, the pain is mild and worsens at night;
    • when calcifications begin to dissolve like foreign bodies, the pain becomes severe, it becomes impossible to move the joint, sometimes such pain can interfere with sleep.
    • Tendinitis of the elbow joint

      This word usually refers to epicondylitis of the elbow joint, which can be medial or lateral. Medial epicondylitis This is golfer's elbow. Pathology also develops in baseball, squash, tennis players, as well as gymnasts. The pain is localized on the inside of the elbow.

      Lateral epicondylitis. This pathology develops in tennis players, golfers, and badminton players. The pain is located on the outside of the elbow, radiating either to the shoulder, or down the outside of the forearm. There is also weakness in the hand, which is felt primarily in difficulties when lifting a cup or shaking hands.

      Hip tendonitis

      Symptoms of this condition will be:

    • cracking in the upper thighs; change in gait;
    • lameness;
    • the pain when performing some action with the joint first decreases, then, with the same load, not only does not decrease, but also intensifies;
    • symptoms increase slowly.
    • Tendinitis of the hand and wrist

      This disease most often affects people who perform heavy physical work with their hands: builders, miners, workers in the engineering and metallurgical fields. Pathology can also occur in musicians.

      The symptoms of the pathology are as follows:

    • pain in the wrist area;
    • when simultaneously bending the fingers of both hands into a fist, it is noticeable that the affected hand does it more slowly;
    • bringing the little finger and index finger toward the thumb causes sharp pain.
    • Finger tendonitis may look a little like clinical wrist tendonitis. In this case, it also hurts to bring the index finger, thumb and little finger together. A distinctive feature will be pain when extending and abducting the first finger; you can feel the most painful point, in which swelling and an increase in local skin temperature will also be detected.

      Gluteal tendinitis

      The symptoms of the disease are as follows:

    • weakness of the gluteal muscles;
    • amyotrophy;
    • difficulty getting up from a horizontal position;
    • in advanced cases, muscle dystrophy is so pronounced that with some fairly large force, tendon rupture can occur.
    • Manifests itself with the following symptoms:

    • pain appears only with a certain movement (for example, with tendinitis of the extensor toes, either flexion of the II-V fingers, or the fifth finger and the entire ankle, or only the first finger will be painful);
    • redness of the skin over the sore tendon;
    • crunching noise when moving, which can be heard even from a distance;
    • palpation of the lower third of the leg is painful;
    • slight swelling over the lower leg and foot;
    • discomfort and/or pain when pressing on the heel and flexing the foot;
    • pain when moving is especially pronounced in the morning, after standing for a long time.
    • Ossifying tendinitis

      The disease develops due to the fact that lime salts are deposited in the tissue of the inflamed tendon. The triggering factor for the process may be the entry and development of cartilage cells into the bones. Pathology occurs after injuries, sprains, which were accompanied by fractures with bone fragmentation or damage to the periosteum.

      Chronic tendinitis

      In this case, degenerative processes develop in the affected tendon. Usually only the area of ​​tissue that attaches the muscle to the bone is affected, but sometimes the process spreads along the tendon. Chronic tendonitis manifests itself as pain in the joint, swelling and local fever.

      This pain often intensifies in the evening, can lead to sleep disturbances, and is sensitive to changes in weather conditions. Acute process Pain of varying severity occurs at the site of the affected tendon. The skin over it is swollen, red, hot. During movement, a crunching sensation occurs in the tendon.

      In the initial stages of the process, pain appears only when there is a load on the limb or joint, and does not bother you during rest. Infectious tendinitis. This process occurs due to the entry of microflora into the vagina (“sheaths”) surrounding the tendons from the skin or infected neighboring tissues. The symptoms of this process are the same as acute tendonitis of non-infectious etiology.

      They can be supplemented by:

    • increased body temperature;
    • weakness;
    • increased heart rate;
    • nausea;
    • vomit.
    • A common outcome of tendonitis is complete rupture of the tendon. Despite the variety of types of tendinitis, the symptoms of this disease are almost always the same. As mentioned above, the main symptom is pain of varying severity.

      The skin at the site of inflammation is hyperemic, swollen and has an elevated temperature. Another characteristic symptom is crepitus - the occurrence of a crunching sound during movement. Due to severe pain, the mobility of the affected joint or limb is limited.

      In acute tendinitis, as well as in the first stages of the disease, pain occurs only when the joint or limb is loaded and increases gradually. With chronic tendonitis, pain can occur spontaneously, can be triggered by changes in weather, and can also intensify in the evening, leading to sleep disturbances.

      Symptoms of tendinitis are:

    • Gradual development of tendonitis;
    • Pain that manifests itself during active movements and is projected over the area of ​​the affected tendon. There is no pain with passive movements. In addition, the person feels pain when palpating the affected area;
    • Changes in the skin in the area of ​​the affected tendon: redness, local increase in temperature;
    • Local edema, swelling in the area of ​​the affected tendon;
    • Crepitus (characteristic crunching) when the tendon moves, which can be heard at a distance or through a phonendoscope.
    • The intensity of the pain syndrome increases over time. At first, a person is bothered by minor pain in the area of ​​the affected tendon, which does not interfere with his daily life. But over time, the pain syndrome intensifies, the pain becomes excruciating, strong, unbearable, disrupting the normal rhythm of life.

      The most common cause of tendinitis is increased physical activity and microtrauma. When working, the places where muscles attach to the bone skeleton experience heavy loads. If this load is regular and excessive, tendon tissue and cartilage tissue at the attachment points undergo degenerative changes.

      Small areas of necrosis (tissue death), areas of fatty degeneration of tendon and cartilage tissue, and deposition of calcium salts occur. Calcium salt deposits most often occur in the place where a microrupture of the tendon fiber once occurred. Calcium salts are a solid formation and, in turn, can injure surrounding tissues.

      With prolonged physical activity, the cartilage tissue between the tendon fibers degenerates, ossifies, and bone growths appear - spines, osteophytes and bone spurs. All these processes lead to tendinosis. Tendinosis or tendinopathies indicate excessive load on a given muscle.

      Rheumatic diseases can also lead to tendinosis:

      Athletes and manual workers most often suffer from tendinitis.

      The causes of tendonitis can be divided into 2 main groups:

    • Inadequate physical activity. This group of reasons is caused by peculiarities of the anatomical structure, frequent rather intense physical exercises without sufficient warm-up, as well as violation of the technique of their implementation.
    • Age-related changes. Such changes that occur in tendons often occur due to a decrease in the content of elastin fibers, which provide elasticity to the tendons, and an increase in the proportion of collagen fibers, which, on the contrary, provide strength.
    • More rare causes of the disease include:

    • Infections, primarily sexually transmitted;
    • Immune system diseases;
    • Rheumatic diseases;
    • Metabolic disorders;
    • Allergic reactions to medications;
    • Injuries in the tendon attachment area.
    • In accordance with the cause of the pathology, infectious and non-infectious tendinitis are distinguished.

      The causes of tendonitis are many and varied. The development of tendinitis is associated with:

    • Increased physical activity;
    • Injuries (tendon sprains, tendon tears);
    • The presence of systemic diseases that lead to damage to the tendons (for example, rheumatism, gout), infectious lesions (gonorrhea);
    • Incorrect posture, poorly developed muscle and tendon framework;
    • Anomalies in the development of the bone skeleton.
    • The development of tendonitis is associated with prolonged, intense physical activity, overwork of the tendons and the entire body as a whole under the influence of such loads. As a result, the tendons do not have time to recover, which leads to a so-called fatigue injury.

      First, the tendon swells and the collagen fibers that make up the tendon are broken down. If the load remains in these areas, islands are formed containing adipose tissue and deposits of calcium salts. Hard calcifications are formed, which damage surrounding tissues with greater force.

      Therefore, if there is damage to the tendon, do not continue to cause further damage.

      Stop exposure to intense loads, create rest for the damaged tendon, so as not to aggravate the process, but, on the contrary, create conditions for speedy healing.

      Frequent intense exercises without sufficient warm-up, violation of exercise technique:

    • Hip tendinosis and knee tendinosis can develop as a result of frequent hard impacts of the lower extremities on the surface with improper running technique, during sports activities that require frequent jumping, deceleration, acceleration and turning, especially if non-athletic shoes are used and training takes place on a hard surface ( running on asphalt);
    • Tendinitis of the elbow joint develops as a response to frequent, monotonous, sharp movements, both when technique is violated (in tennis) and when the exercise is performed correctly, but too often (in baseball);
    • Tendonitis of the shoulder joint can be a consequence of excessive load on the shoulder joint when performing weight-bearing exercises or insufficient warm-up.
    • Features of the anatomical structure of the skeleton:

    • hip tendinosis can develop with different leg lengths if the difference in length is not corrected by orthopedic shoes;
    • Tendinosis of the knee joint can develop with an X- or O-shaped curvature of the legs, performing exercises with hyperextension of the knee joint, incorrect position of the patella, its subluxations and dislocations, and flat feet.
    • Age-related changes in tendons are caused by a decrease in the content of elastin fibers, which provide extensibility and elasticity of the tendons, and an increase in the content of collagen fibers, which provide strength and rigidity (the ability to resist stretching) of the tendons.

      More rare causes may also lead to the development of tendonitis:

    • Infections, especially sexually transmitted infections;
    • Autoimmune diseases (rheumatoid arthritis, systemic lupus erythematosus, etc.);
    • Diseases associated with metabolic disorders (gout);
    • Injuries in the area of ​​tendon attachment.

    Tendinitis is a concept that combines different conditions. It begins, as a rule, with inflammation of the tendon sheath (tenosynovitis) or with damage to the tendon bursa (tenobursitis). Nearby muscle tissue can also be involved in the inflammatory process, a process called myotendinitis.

    The localization of the inflammatory process, as well as the cause that caused it, allows us to distinguish several types of tendinitis. The disease most often affects those tendons that experience regular and uniform physical activity.

    Especially if this load is monotonous and often repeated. Therefore, athletes who experience regular stress on their joints are at risk for tendinitis.

    Knee tendonitis, or “jumper's knee,” is accompanied by pain in the kneecap area. At first, pain occurs only during physical activity, and it develops progressively. Over time, pain may also appear when walking.

    Acute knee tendinitis can be confused with a sprain, but if pain occurs regularly, you will need the help of a specialist to make an accurate diagnosis. To diagnose this disease, doctors use methods such as ultrasound, x-ray, MRI, etc.

    For basketball players, cyclists, runners, etc. characteristic tendinosis of the knee joint. Treatment of the disease is carried out using conservative or surgical methods, which will be mentioned below. Shoulder tendinitis is also common in athletes, but can also occur in people whose professional activities place stress on the shoulder joint.

    The symptoms are the same - pain of varying intensity, swelling and redness of the affected area. Achilles tendinosis, or foot tendonitis, is common among boxers, weightlifters, and athletes involved in certain types of wrestling. Pain occurs in the foot area, first during exercise, and in more advanced cases - simply when walking.

    Biceps tendonitis and elbow tendinitis most often affect tennis players. The first type affects the tendon that connects the biceps muscle to the shoulder joint. The second is also called “tennis elbow” and it affects the tendons that connect the brachioradialis muscle and the flexor and extensor muscles of the wrist to the bone.

    The risk group also includes golfers, table tennis players, badminton players, etc. Temporal tendonitis is a lesion of the tendons that attach the masticatory muscles to the jaw bones. This type is not difficult to confuse with a toothache or headache. The pain may also radiate to the neck. Temporal tendinitis can be triggered by simply chewing nuts with your teeth.

    Treatment of tendonitis should be comprehensive and include conservative therapy (rest, cold, use of non-steroidal anti-inflammatory drugs), as well as physiotherapeutic methods. Among the physiotherapeutic methods of treating tendinitis, the doctor may prescribe you a course of ultrasound and magnetic therapy.

    It must be remembered that treatment of tendonitis should include limiting physical activity, the use of physical therapy, the action of which will be aimed at speedy healing of the damaged tendon, elimination of the inflammatory process, as well as strengthening and maintaining the tone of the whole body.

    In addition, for tendonitis, the doctor may recommend wearing special fixing bandages, which will have a positive effect on the healing of the damaged tendon. If tendonitis is characterized by a severe course, then antibiotic therapy and even surgical treatment are possible.

    Surgical treatment is used only if the use of conservative treatment and physiotherapeutic procedures does not bring the expected results. An important step in the treatment of tendinitis is to determine the cause of the development of this disease.

    First of all, it is necessary to reduce the load on the area of ​​the muscles whose tendons become inflamed. The affected limb is not completely immobilized, but rather efforts are made to avoid movements that cause pain. Various bandages and elastic bandaging of the joints located next to the affected tendon are used.

    Effective physical therapy:

  • exercises to stretch and strengthen muscles,
  • the use of various exercise equipment to reduce the load.
  • To relieve pain and inflammation, non-steroidal anti-inflammatory drugs are used in the form of tablets orally in courses and creams or gels on the area of ​​the inflamed tendon. Locally irritating ointments with capsaicin are also used. Injections of glucocorticoids are used extremely rarely, since hormones can accelerate the processes of damage to tendon tissue and lead to complete rupture of the tendon.

    Physiotherapeutic procedures are prescribed, such as cryotherapy, magnetic therapy, laser, electrophoresis, phonophoresis. If tendinitis of the shoulder joint is accompanied by the formation of calcifications, treatment is supplemented with the use of extracorporeal shock wave therapy.

    If symptoms of pinching of the sciatic nerve appear, the cause of which is tendinosis of the hip joint, treatment is only surgical, since conservative treatment can only temporarily alleviate the patient’s condition.

    Treatment of this disease involves, first of all, creating complete rest and immobility for the inflamed area of ​​the body through certain fixation, for example, a splint, bandage, or dressing. If the lower extremities are affected, a cane or crutches can be used. Treatment of tendonitis is usually carried out with the help of anti-inflammatory and painkillers.

    For this purpose, you can use ointments that have analgesic and anti-inflammatory properties. Quite effective in treating tendonitis are injections of corticosteroids, which are carried out directly into the lesion. This ensures the elimination of pain and the attenuation of the inflammatory process.

    Physiotherapy methods are also widely used as adjuncts to drug treatment. If these methods do not provide improvement, or the inflammation is very severe, then antibiotics are prescribed; the last resort is surgery. But it is important to remember that treatment of tendinitis will be effective only if the patient follows recommendations regarding rest of the affected area of ​​the body.

    Otherwise, the disease will develop further. In the initial stages of the disease, when pain occurs infrequently and its intensity is not so great, people often do not think about seeking the help of a specialist. But, over time, if you start the process, the pain becomes truly unbearable and then, willy-nilly, a person asks the question: how to treat tendinitis?

    The following methods are used to treat tendinitis:

  • Immobilization – that is, ensuring the immobility of a joint or limb. Special bandages, splints, elastic bandages are designed for this, and immobilizing bandages are applied. Usually, restoring the affected limb significantly alleviates the patient’s condition.
  • Use of non-steroidal anti-inflammatory drugs (NSAIDs). These are drugs that reduce the production of inflammatory mediators and, as a result, relieve the symptoms of inflammation, including pain. They can be taken orally, by injection to quickly relieve severe pain, or externally in the form of ointments, gels and creams. It should be noted that continuous use of such drugs should not exceed two weeks, therefore such therapy is symptomatic and alleviates the patient’s condition at first. Long-term use of drugs in this group threatens serious damage to the gastric mucosa, including the development of ulcers.
  • For infectious tendinitis, in addition to NSAIDs, antibacterial agents, including antibiotics, are also prescribed. They can only be prescribed by a doctor. Self-medication in this situation is unacceptable.
  • Physiotherapeutic procedures usually give a remarkable effect. This therapy is indicated after the acute symptoms of the disease have resolved. Physiotherapeutic procedures include UHF, microwave therapy, ultrasound therapy, etc.
  • Physiotherapy. Having tendinitis does not at all preclude playing sports, but their intensity and focus must be changed. Stretching exercises are recommended; yoga classes have an excellent effect.
  • Sometimes conservative methods (physiotherapy, drug therapy) do not help cure the disease. Treatment in this case will be reduced to surgical methods. The operation involves excision of the affected tendon.

    Treatment of tendinitis is a rather lengthy process. It can take from 2 to 6 weeks, and after surgery, rehabilitation lasts from 2 to 6 months. People suffering from this disease are advised to limit physical activity and reduce its intensity.

    Modern medicine has a large arsenal of tools to combat various types of tendinitis. Therefore, strict adherence to the regimen and patient implementation of all doctor’s recommendations are the key to successful treatment of this disease.

    Treatment of tendon inflammation (tendinitis) is primarily immobilization of the hand or foot and physical therapy. Treatment of acute tendinitis (inflammation of the tendon) involves both general and local therapy.

    For nonspecific infectious tendinitis, antibacterial and restorative agents are used. For aseptic tendinitis, non-steroidal anti-inflammatory drugs are used.

    Local treatment for both infectious and aseptic tendinitis (inflammation of the tendon) in the initial stage consists of immobilizing the diseased limb. After the acute manifestations of the disease subside, physiotherapeutic procedures, warming up (microwave therapy, ultrasound, UHF, ultraviolet rays) and physical therapy can be prescribed.

    A very good effect in the treatment of tendon inflammation (tendonitis) is achieved by a course of use of the therapeutic anti-inflammatory patch NANOPLAST forte. Gentle heat and the therapeutic effect of a magnetic field relieve inflammation and swelling, improve blood circulation in the affected area, and promote the restoration of damaged tissue.

    Treatment with folk remedies

    Treatment with folk remedies:

  • Treatment using traditional medicine recommends the following in such cases: Ointment made from essential and vegetable oils. Mix a teaspoon of any vegetable oil with geranium, clove and lavender oils. This mixture can be rubbed in 2 days after the injury twice a day.
  • Lotions made from lavender oil and water. To reduce pain, it is recommended to use lotions consisting of a glass of cold water and 5 drops of lavender oil. They should be applied for 5 minutes 6 times a day.
  • Use of shepherd's purse tincture. This tincture stimulates restoration processes in both tendons and cartilage tissue, improves regeneration processes, and relieves pain. 1 tablespoon of dry herb is infused in a glass of boiling water for 2 hours. A gauze bandage soaked in this infusion is applied to the sore spot, securing it with a bandage. It should be removed after drying.
  • Onion compress. 4-5 medium-sized onions are crushed to a pasty state and mixed with one spoon of sea salt. The resulting mass is spread on gauze and applied for 5-6 hours. Repeat for several days in a row.
  • Thus, treatment of various types of tendonitis with traditional methods brings a noticeable effect in the early stages of the disease.

    For more serious tendon problems, it is best to combine this treatment with drug therapy and other treatments. In this case, it is necessary to reduce physical activity, reduce its intensity, and provide complete rest to the damaged joint.

    Everyone knows that preventing the development of a disease is much easier than getting rid of it. So in relation to tendinitis, this rule sounds like a postulate. The first thing to remember: before you begin physical activity, you need to do a short warm-up.

    During long-term physical activity, you need to distribute its intensity gradually (you don’t need to rush into exercising at full force). The occurrence of pain at this moment is a clear signal that rest or a change of position is required. It is recommended not to resort to activities that are constantly accompanied by pain.

    You can avoid tendinitis of the shoulder joint or cause a relapse if you reduce the daily load on the upper limb and try to raise your arm up less. If your job still requires such actions, then try not to overstrain your shoulder and take rest breaks. Another good tip: refrain from performing monotonous movements with the same joint for a long period of time.

    Prevention of tendinitis includes:

    1. warm-up and warm-up before performing the main set of exercises;
    2. avoid prolonged performance of monotonous movements;
    3. try to avoid injuries and overloads;
    4. rest in a timely manner;
    5. increase the intensity and strength of the load not suddenly, but gradually;
    6. Do not perform exercises through pain.
    7. Thus, tendinitis is an inflammatory disease of the muscle tendon, which most often occurs when it performs monotonous long-term work.

      Like any disease, tendonitis is much easier to prevent than to treat it later:

    8. Firstly, you need to remember that before any physical work, you need to do a warm-up so that the body warms up.
    9. Secondly, if you are going to be physically active, then increase the pace of the load gradually and do not work to the limit of your capabilities and strength.
    10. Thirdly, you need to take a rest or change your activity at the slightest sign of pain.
    11. And if certain actions cause you discomfort and pain, then it is better not to return to them in the future. In order to prevent the disease, you should not perform monotonous actions with the same joint for a long period of time. And if, for example, your profession or occupation obliges you to do this, then give proper rest to the parts of your body.

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