Tendonitis is inflammation of a tendon. A tendon is the cord or band that connects a muscle to a bone.
Tendons are usually smooth and strong. With age or overuse, tendons can become worn and weak, leading to tendinitis. Tendinitis occurs most often in the shoulder, elbow, wrist, hip, knee, and ankle.
Symptoms of tendinitis include stiffness or pain around a joint, especially with motion. The pain is sometimes worse at night. There may also be tenderness and swelling over the length of the tendon. Occasionally, the tendon can be felt rubbing as it glides back and forth.
Tendonitis is caused by overuse, injury, or aging. It can also be associated with inflammatory diseases that occur throughout the body, such as rheumatoid arthritis. Rarely, it is caused by an infection such as gonorrhea.
Excessive repetitive motions should be avoided.
Tendinitis is usually suspected after observing the signs and symptoms. An X-ray is not often helpful. Although rarely necessary, a special X-ray test known as MRI, or magnetic resonance imaging, can reveal any weakening of the tendon or changes in the tendon sheath or covering.
Tendinitis may become chronic or long-term, and may lead to rupture of the tendon.
There are no risks to others.
RICE (Rest, Ice, Immobilization, and Elevation) is the appropriate treatment for tendonitis. Temporary use of a splint can help rest the tendon. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (i.e. Advil, Motrin) or naproxen (Naprosyn, Aleve, Anaprox, Naprelan) can also be taken to reduce inflammation, swelling, and discomfort.
Occasionally, it is beneficial to inject a corticosteroid, such as triamcinolone, into the tendon sheath. Physical therapy may also help and includes massage, ultrasound, and stretching and strengthening exercises. It is important to stretch before and after activity. Although rarely necessary, surgery can be useful. It can clean out the inflammatory tissue from the tendon sheath or relieve pressure on the tendon by removing bone.
NSAIDs may cause indigestion, ulcers, or bleeding. They may also affect the kidneys or liver. Surgery and medication injection carry a risk of bleeding and infection.
With a return to activity, tendinitis can recur. Prolonged tendinitis in certain areas of the body can lead to rupture of the tendon.
Pain and swelling should be monitored and reported to the healthcare professional.