Details Descriptions About :: Tendinitis

 Tendinitis is a painful inflammation of tendons and of tendon-muscle attachments to bone, especially in the shoulder rotator cuff, Achilles’ tendon, or hamstring.

Causes for Tendinitis

Causes Overuse, such as strain during sports activity Other musculoskeletal disorder, such as rheumatic diseases, congenital defects Postural misalignment Abnormal body development Hypermobility

Pathophysiology Tendinitis

Pathophysiology A tendon is a band of dense fibrous connective tissue that attaches muscle to bone. Tendons are extremely strong, flexible, and inelastic. Tendinitis is an inflammation of the tendon, usually resulting from a strain. Age Alert Common forms of tendinitis in adolescents (both males and females) are patellar tendinitis associated with inflammation of the tibial apophysis (Osgood-Schlatter disease) and Achilles’ tendinitis at the calcaneal apophysis (Sever’s disease).

Signs and symptoms Tendinitis

Signs and symptoms Restricted range of motion Localized pain (most severe at night; commonly interferes with sleep) Swelling Crepitus Calcific tendinitis Proximal weakness (due to calcium deposits in the tendon) Calcium erosion into adjacent bursae (acute calcific bursitis)

Diagnostic Lab Test results

Diagnostic test results X-rays may be normal at first but later show bony fragments, osteophyte sclerosis, or calcium deposits. Arthrography shows irregularities on the undersurface of the tendon. Computed tomography scan and magnetic resonance imaging identify tears, partial tears, and inflammation.

Treatment for Tendinitis

Treatment Immobilization with a sling, splint, or cast Systemic analgesics Application of cold or heat Injection of a corticosteroid and an anesthetic such as lidocaine into tendon sheath Oral nonsteroidal anti-inflammatory drugs until patient is free of pain and able to perform range-of-motion exercises easily Surgical debridement of degenerative tendon or excision of calcific deposits may be needed.

 

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