Arthritis Institute Internet Resources home
Arthritis Institute Services
Frequently Asked Questions
General Tips and Information
General Arthritis Links

TENDONITIS

WHAT IS TENDONITIS?

Tendonitis occurs when your tendon is strained, torn, or hit. This causes pain, swelling, warmth, and redness, known as the inflammatory response. When inflammation occurs in your tendon, it is called tendonitis.

Tendons connect muscles to bones. They are very strong with only a small amount of stretch to them. Each tendon is surrounded by a sheath. As you move the tendon glides within the sheath. Injury to a tendon is often caused by repetitive movements, very quick movements, strong effort, stretching or hitting a tense muscle, or unnatural movement. These types of movements often occur during sports and some types of jobs.

When a tendon is stressed too much, tiny fibres in the tendon tear. The more your tendon is stressed, the more fibres are torn. This weakens your tendon, and the sheath surrounding the tendon becomes irritated and inflamed.

Right after an injury, the inflammatory response starts and lasts about a day. During the next two weeks, scar tissue grows in the injured area. During this time your muscle needs to rest to allow the healing to take place. Once repair is finished, gentle movement of your tendon should start to reduce the amount of scar tissue that grows.

THE TREATMENT PLAN

  • Rest: Reduce all activities that strain the tendon.
  • Splinting: The splint prevents the injured tendon from moving to promote healing. Wear it as much as possible during the first two weeks. After this, wear the splint while you sleep and during activity. Gradually, you will need the splint less often.
  • Ice and Heat: Follow the instructions given by your therapist to control pain and swelling.
  • Deep Massage: Your occupational therapist may teach you how to deep massage in order to reduce the scar tissue that forms on your tendon, allowing it to glide more easily within the tendon sheath.
  • Ultrasound: A physiotherapist may use ultrasound to reduce the amount of scar tissue that forms on the injured tendon as it heals.
  • Exercise: Your occupational therapist will give you a stretching and strengthening program to begin after the first two weeks of rest. This helps the healing process and keeps the joints supple. Keep this up for one to four weeks.
  • Medication: Your doctor may prescribe anti-inflammatories or cortisone shots to reduce your symptoms.
  • PREVENTION

    Changing your environment or the way you do things could be key to avoiding further injury to your tendon.

    REVIEW OF JOB DEMANDS: Can any adaptations be made to the workplace, or home environment?

  • Change in location and position of equipment
  • Shortened work day and activities
  • Rotating work stations and activities (heavy to light)
  • Modify work habits (avoid unnecessary repetition)
  • Splint for support while working
  • More frequent rest/stretch breaks
  • Energy conservation and joint protection techniques

 


Our apologies - the page is not found | St. Joseph's Health Care London

Our apologies - the page is not found

The page you are looking for may have moved or does not exist.

Please double check the web address or use the search function to find what you are looking for.

Other helpful tools:

For further assistance or to report a problem with our website, please use our feedback form or contact us directly.

Last updated: Fri, 2012-01-06 12:11

We recommend that you have JavaScript enabled in order to toggle the hospital contact details!