We've all heard about tennis elbow, and many of us have suffered
from it. In reality, it is a form of tendonitis brought on by the frequent,
repetitive motions involved in playing tennis. Tendonitis, however, is not
limited to the elbow or arm. It can occur throughout the body. Any activity
which places stress on the same tendon can cause that tendon to become inflamed
and sore.
Chronic Tendonitis
Tendonitis can be either acute (i.e. a
temporary flare up) or chronic (i.e. long lasting). When tendonitis keeps
recurring, it is called chronic tendonitis.
Tendons are composed of
elastic-like tissue which connects our muscles to our bones. As we age, tendons
tend to lose their elasticity through normal wear and tear. From time to time, a
tendon will break or tear and scar tissue forms in the healing process. Scar
tissue is not as flexible as tendon tissue and frequently causes pain and
inflammation with continued use and motion. Most often the areas affected are
elbows, knees, ankles, shoulders and feet.
Obviously it??s these parts of
our anatomy that see repeated use during the course of a normal day. As we
continue placing strain on an injured tendon, it doesn??t have an opportunity to
heal which, in turn,
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outlet, leads to chronic tendonitis.
Age is only one of the
underlying causes of chronic tendonitis. Athletes who are highly trained and in
superb condition can also suffer from chronic tendonitis. Again,
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repetitive motions required by a variety of sports that cause the condition to
erupt. For example, repeated motion of the golfer??s swing or a pitcher??s
throwing arm in baseball over the course of time can cause weakness in the
tissue and lead to inflammation of the muscles and tendons. This is why it??s so
important to do stretching exercises and warm ups prior to strenuous
activity.
Left untreated,
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things can only get worse. Both acute and chronic tendonitis sometimes will
result in a tear or rupture of the tendon. In this case, the physician will
probably prescribe surgery, but only after more conservative measures have
failed.
Treating Chronic Tendonitis
Acute or chronic tendonitis
can cause mild to severe pain. In its simplest and most conservative approach,
treatment will involve analgesics such as ibuprofen and resting the affected
area. Depending on the severity, your physician may conclude that you will
benefit from an anti-inflammatory medication and may prescribe cortisone
injections. This is an effective, and powerful anti-inflammatory medication that
helps to reduce the pain and swelling and promote healing of tendonitis.
Treatment may also include mild stretching exercises in order to keep the joints
flexible.
Just a word of caution is in order. Corticosteroids can be
injected but they do not come without risks. One of their side effects is that
they can weaken the immune system or infection can appear at the injection site.
Again, It is critical that the tendon be given time to heal or more serious
tendon injury can occur. And,
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as mentioned, surgery may be required in cases of tears or ruptures in order to
repair the damage and relieve the pain of chronic
tendonitis.