Why Choose Cedars-Sinai Marina del Rey Hospital for Tendonitis Treatment?
The highly skilled, well-trained physicians at Cedars-Sinai Marina del Rey Hospital evaluate patients with tendonitis and advise an individualized treatment plan. There are several treatment approaches to treat tendonitis. The treatment that suits your condition best is chosen.
Tendonitis or tendinitis (better called as tendinopathy) is a painful condition of the tendons. The exact cause of this condition is not known but it can be due to inflammation, tearing, tissue death (necrosis), certain drugs, and overuse injury. It can occur at any site such as shoulder, elbow, knee, heel, and shin region. Long lasting tendonitis can cause the rupture of tendons and other complications such as deposition of calcium or urea crystals within the muscles leading to pain or restriction in the actions of muscles.
Surgical Treatments Performed at Cedars-Sinai Marina del Rey Hospital for Tendonitis
Surgical treatment is chosen when the conservative techniques fail to give adequate relief.
Tenolysis and decompression may be done and involve the following steps:
There are two ways in which approach to the affected site can be gained:
- open method: this involves making surgical incisions
- arthroscopic technique: minimally invasive procedure
If there is deposition of crystals and if the condition does not resolve with medication open surgery can be performed to remove the crystals and subsequently relieve the symptoms.
Drugs and Other Treatment Needed for Tendonitis
Physical Therapy »
Lifestyle Changes & Home Remedies »
Platelet-rich Plasma »
Subarachnoid Corticosteroid Injection »
Tendonitis is mainly of the following types:
Rotator Cuff Tendonitis »
Medial Epicondylitis »
Lateral Epicondylitis »
Dequervain’s Tenosynovitis »
Or Trigger Thumb »
Symptoms of Tendonitis
Tendonitis mainly presents as pain either at rest or on touching the affected part. Common sites that may be involved include the shoulder, elbow, knee, muscles of the arm, shin, and heel.
- Pain in the region of the affected joint or muscle either during rest or on touching.
- Restricted movement of the affected region.
- Increase in pain on movement, twisting, running and other activity.
Diagnosis of Tendonitis
The doctor will perform a careful physical examination which may involve the movement of the affected joint and ask a few questions regarding the symptoms and routine habits.
Imaging tests such as X-rays and magnetic resonance imaging (MRI) scans may be ordered to confirm the diagnosis that is suspected during the physical examination or in cases of trauma. X-rays can help find any problems such as fractures, inflammation around the bone, deposition of calcium. MRI scans use magnetic and radio waves to produce images that can reveal layers of soft tissues. MRI and ultrasonography can reveal the morphology of tendons showing degeneration if present, injury to ligaments, and bony abnormalities.
Risk Factors for Tendonitis
- Age: with increasing age, the tendons become stiff and more prone to injuries and tearing.
- Occupation: people with work that demands too much flexion, lifting the hand above the head and vibrations are more likely to develop tendonitis.
- Posture: improper postures while performing daily activities can impair the joint function leading to tendonitis.
- Sports: sports activities involving continuous and repetitive motions when practiced with improper technique can affect the joints.
- Drugs: intake of certain drugs (eg:fluoroquinolones) pose a risk of tendon disruption.
Causes of Tendonitis
The exact causes of tendonitis are not known but it may be caused by increased pressure and stress on the joint, trauma, tearing, use of certain drugs, any bony abnormalities from birth or trauma, occupations and habits involving continuous movements.
Alternative medicine and treatments help decrease pain and other symptoms in a natural way. Most patients have found these alternative treatment approaches beneficial in relieving symptoms of tendonitis. As these treatments may interact with prescription drugs, a physician should be consulted before using these remedies. The alternative medicine therapies include:
Acupuncture: this method was developed in China and involves the careful insertion of very fine, hollow needles into precise pressure points throughout the body to relieve pain. Based on the exact location, the practitioner will decide to insert multiple needles, which remain in the body for about 20-40 minutes. This method will trigger the release of neurochemicals such as endorphin and serotonin into the blood that helps relieve pain and accelerate the healing process.
Herbal Remedies: there are some herbal medications that are considered to relieve symptoms of tendonitis. It is better to consult the doctor before taking any as there could be adverse effects or interference with a regular medicine. Here is a list of herbal remedies:
- Salix alba (commonly called willow bark): it acts in a way similar to aspirin.
- Curcuma longa (commonly known as turmeric): it is usually taken orally along with other liquids. It is known to reduce inflammatory reactions.
- Glycyrrhiza glabra (commonly called licorice): it is taken in the form of tea and acts like corticosteroids.
- Harpagophytum procumbens (commonly called as devil’s claw): it helps relieving pain and is available in the form of capsules.
Chiropractic treatment: the main objective of chiropractic treatment for tendonitis is to treat the cause and to get rid of the inflammation. A treatment method called joint manipulation is used to treat symptoms of tendonitis.
Prolotherapy: the aim of prolotherapy is to trigger the regrowth of new ligaments and tendons that help maintain joint stability. This treatment involves an injection of a mild irritant solution or a “proliferant”. This solution will initiate healing and regeneration of tissue by causing inflammation that triggers the body’s healing mechanism. Several sessions of prolotherapy injection may be required to show desired effects.
Yoga: a majority of people with tendonitis have found Yoga beneficial as these stretching exercises help relax, keep the joint flexible as well as relieve joint pain. It is important to consult the doctor before taking up Yoga in order to make sure it suits the joint condition one suffers from.
There are certain measures to be followed in order to prevent the development of tendonitis and maintain joint health, which include:
Work and postural modifications: try to avoid doing work which requires continuous, repetitive movements. Bad postures during daily activity may lead to sore joints, therefore, it is better to modify defective postures. Using a correct posture to adjust the working style plays a major role in maintaining healthy joints.
Exercise: a proper amount of stretching exercises can loosen the joint and can prevent the stiffening of joints.
Are you suffering from tendonitis? For any questions, information or guidance related to tendonitis treatment, get in touch with our skilled hand surgeons at Cedars-Sinai Marina del Rey Hospital.