Tendinitis

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Tendinitis

• Also known as tendonitis is an inflammation of a
  tendon (a band of fibrous tissue that connect
  muscle to bone) that causes pain, tenderness and
  occasionally, restricted movement of the muscle
  attached to the affected tendon.

Created by Hanna H. Presented for Dr. Ryan
Lambert Bellacov, chiropractor in West Linn, OR
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Description of Tendinitis

• Tendinitis can cause permanent damage to the
  tendons. The natural tendency to favor the
  painful area also can lead to stiffness. A vauge
  discomfort at the age of 30, if overuse is
  continued for years, this can lead to a loss of
  flexibility due to scarring of the tissue.

Presented for Dr. Ryan Lambert Bellacov,
chiropractor in West Linn, OR
3
Types of Tendinitis

• There are three types of knee tendinitis
• Patellar tendinitis (also called jumpers knee)
  affects the patellar tendon just below the
  patella. (knee cap). The person complains of pain
  during an activity such as landing from a jump
  and going downstairs, or lack of activity, such
  as sitting for long periods of time.
• Quadriceps tendinitis affects the patellar tendon
  just above the knee cap. The condition is likely
  to be found in athletes who do a lot of rapid
  acceleration and deceleration.
• Popliteus tendinitis affects the sight of
  insertion of the popliteus tendon on the lateral
  epicondyle of the femur. Runners particularly
  runners who run down hills or sloping surfaces,
  are likely to complain of this tendinitis.

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Foot Tendinitis

• Tendinitis can affect four different tendons
  of the foot
• The achilles tendon
• The posterior tibial tendon
• The anterior tibial tendon
• The peroneal tendon
• Symptoms of achilles tendinitis are pain and
  tenderness anywhere along the back of the tendon,
  limited ankle flexibility, redness or heat over
  the painful area, a nodule growth forming on the
  tendon and a crackling sound that can be heard
  when the ankle moves. This condition is caused by
  tight or fatigued calf muscles, inadequate warm
  up of muscles, overtraining, excessive hill
  running, speed work and inflexible running shoes.

Presented for Dr. Ryan Lambert-Bellacov,
chiropractor in West Linn, OR
5
Elbow Tendinitis

• Elbow Tendinitis affects the lateral epicondyle
  and the medial epicondyle. The lateral epicondyle
  is the outside bony portion of the elbow where
  the large tendons attach to the elbow from the
  muscles of the forearm, when strained, this is
  called lateral epicondyleitis or tennis elbow
• Tennis elbow results in pain over the outside of
  the elbow with flexion (bending down) or
  extension (bending up) of the wrist and
  tenderness, warmth and swelling of the affected
  area.
• The treatment for tennis elbow includes ice
  packs, resting the elbow, anti-inflammatory
  medications ( such as aspirin, naproxen and
  Motrin) and bracing the elbow. Injecting
  cortisone and a local anesthetic into the area
  surrounding the tendon usually provides
  substantial relief within 24 to 72 hours.

Presented for Dr. Ryan Lambert Bellacov,
chiropractor in West Linn, OR
6
Shoulder Tendinitis

• There are three types of shoulder tendinitis.
• 1. rotator cuff
• 2. calcific tendinitis
• 3.biceps tendinitis
• The rotator cuff consists of four muscles around
  the shoulder joint that help control the
  shoulders position and keep it stable. With
  rotator cuff tendinitis the pain is located about
  three inches below the top of the shoulder and is
  felt when reaching over head or behind the back.
  Rotator cuff tendinitis will usually resolve with
  rest, anti-inflammatory medications or an
  injection of cortisone and a local anesthetic
  into the areas surrounding the tendon, as well as
  exercising using light weights.
• Calcific tendinitis is caused by calcium deposits
  in the rotator cuff region. Symptoms include
  excruciating pain and sever restriction of
  shoulder motion. X-rays reveal calcium deposits
  within the rotator cuff or overlying the head of
  the humerus. Treatment includes injection of
  cortisone and a local anesthetic into the area
  surrounding the tendon. Multiple needle punctures
  into the calcium deposit may break up the
  deposit.
• Biceps tendinitis is inflammation of the biceps
  tendons that attach to the shoulder. Biceps
  tendons that attach to the shoulder. Biceps
  tendinitis usually affects individuals whose
  occupation involves repetitive biceps flexion
  against resistance or whose activities include
  forceful throwing of a ball. Biceps tendinitis
  will resolve with rest, anti-inflammatory
  medications or an injection of cortisone and a
  local anesthetic into the area surrounding the
  tendon, as well as a sling to immobilize the
  shoulder. Surgery is occasionally required to
  stabilize a displaced tendon

Presented for Dr. Ryan Lambert-Bellacov,
chiropractor in West Linn, OR
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Prevention of Tendinitis

• Proper conditioning
• Gradual introduction of activity
• Warm-up and stretching prior to exercise
• Wearing appropriate shoes for the activity

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Causews and risk factors of Tendinitis

• The most common causes of tendinitis are injury,
  overuse, infection of the tendon sheath or
  disease (tendinitis is evident in rheumatoid
  arthritis, gout and psoriatic arthritis). More
  often than not, the cause of tendinitis is unknown

Presented for Dr. Ryan Lambert-Bellacov,
chiropractor in West Linn, OR
9
Diagnosis of Tendinitis

• In order to properly and accurately diagnose
  tendinitis a careful study of medical history and
  physical examination is required by the health
  care provider. X-rays are of great help for
  excluding any bone abnormalities or conditions
  like arthritis. As tendons are not generally
  visible to the naked eyes on x-rays. MRIs and
  ultrasound are often found to be useful in the
  detection of tendinitis. Blood tests may be taken
  in order to confirm presence of any other
  underlying conditions. But such tests are
  generally not necessary in the process of
  diagnosing tendinitis.

Presented for Dr. Ryan Lambert-Bellacov,
chiropractor in West Linn, OR