Tendinitis, or tendinopathy, is inflammation of tendons, tissues which connect muscles to bones. Tendons are made of strong fibrous collagen tissue. This tissue can, over time, or with overuse or injury, weaken and become damaged. Some tendons run through tunnels and held in place with ligaments. These act like a pulley, and overuse can accelerate degeneration. Others, such as the Achilles tendon, is straight, but activities such as running cause it great stress with can damage it.
Most tendon injuries occur near joints, such as those in the shoulder, elbow, knee and ankle. Common sites of injury include the biceps tendon in the shoulder, the lateral epicondyle in the elbow (tennis elbow), the patella tendon in the knee, and the Achilles tendon in the ankle. Activities and sports including tennis, golf, soccer and running place a great deal of stress onto specific tendons, and over time can cause injury.
nflammation or tearing of a tendon may develop slowly or occur suddenly. Repetitive stress can produce low grade pain, which is intermittent and aching in nature. It may only occur during that particular activity, and be alleviated with rest. However, with continued activity and stress, the symptoms may become more constant and significant. Conversely, an acute injury indicative of a tendon tear may occur suddenly. Signs and symptoms include acute and severe pain, ecchymosis (bleeding) at the sight, and loss of range of motion.
The initial treatment for tendinitis is conservative. This can include rest, topical and oral medications and physical therapy. Ultrasound and “laser” therapies are devices with create local heat in the area, improving blood flow and which can accelerate healing. If symptoms persist, Regenerative Therapies can reduce inflammation, and aid in healing and rebuilding of the damaged tissue. These include:
Dr. Koppel has helped many patients with Tendinitis utilizing various Regenerative Therapies. Please fill out our consultation form or give us a call to see what treatment options will be best for you.