Tendonitis Therapy & Treatment Coventry, Warwickshire

The tendon is fibrous connective tissue at the end of the muscle that attaches the muscle to the bone. The muscle taper off at the end to form denser and stiffer tendon. These are normally very flexible and soft. While this density makes the tendon stronger, the lack of flexibility of the tendon and the pulling on there attachment to the bone with movement, makes it much more susceptible to small amount of microscopic tears. This tearing will result in the inflammation and irritation known as tendonitis. Tendonitis may appear after excessive repetitive movement creating tears in the fibers of the tendon.

Common Areas of Tendon inflammation

The shoulder (rotator cuff), biceps, elbow, (Tennis Elbow), wrist, (tenosynovitis), hip, leg, knee (Patella) and ankle (Achilles tendonitis). These are the most common tendon areas that become inflamed. (For more information about any of the above areas of the body go to conditions treated also see Cold Laser Therapy under conditions treated).

Tendonitis

Tendon problems what are they?

Two main problems associated with tendons include Tendonitis and Tenosynovitis. Tendonitis is an inflammation of a tendon -the tough cords of tissue that connect muscles to bones. This inflammation can affect any tendon, but is most commonly seen in the wrist and fingers. As the tendons become irritated, pain and swelling will occur.

Tenosynovitis is the inflammation of the lining of the tendon sheaths which enclose the tendons. Sometimes both the sheath and the tendon may become inflamed. The cause of Tenosynovitis is usually strain, excessive use, or injury. Tendonitis may also be related to diseases such as Rheumatoid Arthritis or Diabetes can be implicated in this condition.

Common tendon disorders include:

Lateral Epicondylitis. (known as tennis elbow)
This condition is characterised by pain in the back of the elbow and forearm, and along the thumb side of the forearm when the arm is alongside the body when the thumb is turned out. The cause of pain is the damage to the tendons that bend the wrist backwards away from the palm (wrist extensors).

Medical Epicondylitis. (Known as Golfer's Elbow).
This is a condition characterised by pain from the elbow to the wrist on the palm side of the forearm the pain is caused by damage to the tendons that bend the wrist toward the palm (wrist flexors).

DeQuervain's Tenosynovitis.
This is far the most common type of Tenosynovitis disorder, when the sheath of the tendons of the thumb gets swollen.

Trigger Finger.
A Tenosynovitis condition in which the tendon sheath of one of the finger flexors becomes inflamed and thickens, preventing the smooth extension or flexion of the finger. The finger may lock or suddenly hence the name “Trigger Finger”.

Tendonitis Symptoms

Symptoms will vary from a dull ache and stiffness in the area of the tendon, to a burning sensation surrounding the whole joint. This condition will become worse after exercising, leading to a stiffing of the joint and tendon. This usually follows on into the next day when the pain is usually at its worse.

Tendonitis Treatment

Cervical disc degeneration usually occurs in people aged 40 and older. Disks act as shock absorbers between the bones. During cervical disk degeneration the normal gelatin like center of the disk dries out and the gap between the vertebrae narrows. As the disk space narrows, added stress is imposed onto the joints of the spine exacerbating further wear and degenerative changes. When occurs when cervical disk protrudes due to the weakening of its rim, putting pressure on the spinal cord or nerve roots(see also Cold Laser Therapy).

Diagnosis

During physical examination, the Chiropractor will assess and examine the shoulder area for the range of motion. The Chiropractor will be looking for any tenderness and signs of instability.

The Chiropractor may want to use X-rays or magnetic resonance imaging (MRI) scanning to look inside the joint for other conditions or tendon injuries that might cause the pain.

Treatment

Nonsurgical Treatment
The best treatment is to rest the arm and shoulder area. This simply means stopping all activities that aggravate the pain.
Ice applications and nonsteroid anti inflammatory medications, such as ibuprofen, will help reduce inflammation.
Your Chiropractor may recommend stretching and progressive strengthening exercises to build muscle and restore range of motion.
Cold Laser Therapy is fast and extremely affective in treating this condition. (See also Cold Laser Therapy Section Under conditions treated).

Surgical Treatment
Arthroscopic surgery may be required if pain results from shoulder instability or from pressure on the tendon from the shoulder bones. Arthroscopy uses fiberoptic technology and small instruments to examine the shoulder joint and anchor the tendon to the bone properly. Our orthopaedic consultant is available at Central Chiropractic Clinic.

At Central Chiropractic we aim to be available when you need help most.

When possible we will prioritise emergencies. For more information, please call us today to arrange an appointment.

Maria Kibkalo DC.MSc (Chiro) CCEP & Associates BCA & GCC registered.

BUPA, AXA, PPP & all major health insurers.

All physiotherapists chartered and registered with the health professionals council.

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