Tendonitis symptoms. Tendinitis is the inflammation of the tendon and the sheath surrounding the tendon. The synovial sheath surrounding the tendon is the site for maximal inflammation. The cause of this disorder is generally unknown but is seen in middle aged to older people as there vascular condition of the tendon itself deteriorates over time.
Repeated trauma to the area along with accentuated exercise may also precipitate the condition. Most common sites affected are the rotator cuff, the achilles tendon, patellar tendon as well as the knee, and the elbow.
Achilles tendinitis symptoms; the Achilles tendon does not have a true synovial sheath but is surrounded by a paratenon(fatty areolar tissue that separates the tendon from its sheath). The early pain of achilles tendinitis is caused by injury to the paratenon rather than the tendon itself. The pain is found to be greater when the patient wakes up in themorning and often improves with continued walking, as the tendon moves more freely inside the paratenon. Similarly pain increases as the exercise is begun and often improves as exercise continues.
The Achilles tendon is tender when squeezed between the fingers. If pain is ignored and running is continued, inflammation spreads to the tendon, which is eventually replaced by mucoid degeneration and fibrosis pain is then constant and exacerbated by movement. The treatment specific for Achilles tendinitis entails; the athlete should stop running and the tension on the tendon can be reduced by placing a heel lift on the show. This stretches the hamstring and as a result reduces the pain, wearing shoes with soles that bend easily just behind the 1 st metatarsophalangeal joint. Rear foot control may improve by inserting orthotics in shoes with tight, stiff heel counters. Achilles tendon can be strengthened by performing toe raises. Fast uphill and down hill running should also be avoided.
Patellofemoral pain or runners knee: patellofemoral pain is caused by a congenitally high riding patella bone and not necessarily a form of tendinitis. During the pronation, the lower leg twists medially, while the three quadriceps pull the patella laterally and the vastus medialis pulls the patella medially. The most common cause of the condition is combination of excessive pronation and lateral pulling of the patella, which causes it to rub against the lateral condyle of the femur. In time it becomes severely debilitating and pain full this condition is generally seen in runners and hence is known as the runners knee. The general treatment for tendinitis entails symptomatic treatment, and relief provided by rest and immobilization of the affected area.
One should remember that in case of chronic tendinitis heat application should be done and cold compressions are required for the acute form of the inflammation. Localized NSAID treatment for 7 to 10 days is usually sufficient but sometimes injections and symptomatic treatment maybe required every 2 or 3 weeks for 1 to 2 months. Surgical exploration and resolution of the inflamed and calcific deposits, followed by physiotherapy maybe considered in persistent cases. Surgery is generally avoidable unless very chronic and debilitating in nature.