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Tendon Injury Tips

How To Deal With Achilles Tendon?

Dr. Mohammed Faizan 86% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Orthopedist, Nagpur
How To Deal With Achilles Tendon?

Achilles Tendon pain is an orthopedic condition that can originate from tears and ruptures to the AchillesTendon, which is known as one of the strongest and also the longest tendon in the human body. It is a band of tissues that decides the quality of your movements and motions to a great extent, as it connects the heel with the calf. Therefore, any injury to this tendon can decrease the strength and support to the muscles and create a painful situation. So how can you deal with this pain? Read on to know more.

  • Rice Therapy: Rice is a commonly used term by orthopedic specialist. It refers to Rest, Ice, Compression with a bandage, and finally Elevation. The patient must take lots of rest as well as use ice packs to deal with the injury and acute pain. Finally, the area must be compressed with a bandage and kept elevated on cushions.
  • Surgery: For very severe cases, the orthopedic specialist can recommend surgery as well. This kind of surgery aims at reattaching the displaced or ruptured tendon which may have reached such a fate through a sports or any other kind of injury. The doctor may also place your leg in a cast for a few weeks to keep it at complete rest. 
  • Pain Medication: The doctor can also prescribe pain relievers that contain Ibuprofen as well as acetaminophen or even naproxen. These medicines should be taken in moderation as per the doctor's prescription. Usually, this kind of medication is taken only when unbearable pain is experienced by the patient.
  • Thermotherapy or Heat Treatment: The use of heat for chronic pain or even pain that has been ailing for over 48 hours is known as thermotherapy. This therapy uses heating pads and hot water bottles to help relieve the pain. One must be careful while applying anything hot to the site of the injury. Use a towel to wrap the hot water bottle or heating pad so that there is no scalding or leaking on to the skin.
  • Footwear: It is important to prevent continuous injury and pain to the already injured Achilles tendon. To do this, you must wear supportive and comfortable footwear that has heel lifts and other customized orthotics built into the shoes. 

Taking care of Achilles Tendon pain is a matter of taking various precautions and supportive actions that lead to better healing.

3718 people found this helpful

Tendinitis - Ways It Can Be Managed!

Dr. Bharat Singh 90% (37 ratings)
MBBS, MD-Medicine, DM - Clinical Immunology
Rheumatologist, Jaipur
Tendinitis - Ways It Can Be Managed!

Bones and muscles, together known as the musculoskeletal system, are responsible for all bodily movements. The bones and muscles move in unison, as they are connected by what are known as tendons, which are thin fibrous tissue. These tendons are prone to damage and inflammation known as tendinitis (this can cause inflammation in any organ). It can occur in any bone/joint but most common in areas which are prone for repetitive use including the wrists, arms, elbows, shoulder, knees, and ankles.

Read on to understand how it happens and how it can be managed.

Causes: Depending on the onset, tendinitis can be acute or chronic. Though it can occur in any individual, the risk increases with age, as bones lose their elasticity and can tear.

  • Acute is caused by a sudden injury like a fall or accident or infections
  • Chronic is caused by repetitive movements, poor posture, poor stretching, overuse, etc. Some common movements include carpentry, painting, golfing, tennis, gardening, lawn mowing, badminton, etc.

Symptoms: As with any inflammation, the symptoms of tendinitis would include swelling, pain, redness, and warmth. There is also a reduced range of motion of the affected joint, producing what is known as adhesive capsulitis.

Prevention: Tendinitis is preventable to some extent by avoiding repetitive work and overuse of the joint. Those who are used to a lazy week and an active weekend should definitely watch out. Sudden, excessive stress can cause tendinitis. The tendons should be subjected to limited stress and activity. With any kind of activity, if there is even a slight hint of pain or any issue, get it checked with the doctor. Continuing to do the same activity will only make it worse. Symptoms to watch for include fever, swollen and painful joints, and limited movement of the affected joint.

Management: If identified and arrested in the early stages, tendinitis can be managed conservatively. Progressive measures of treatment would include the following.

  • As soon as there is discomfort identified, rest the joint and stop any activity, which you think could have caused the problem. Usually, this should help the condition to subside on its own. Ice and heat therapy can also help.
  • If it is the ankle or the knee, keep it elevated.
  • Pain killers may be taken if the pain cannot be tolerated or is affecting daily routine.
  • After the initial week, mild exercises to strengthen the tendon can be started.
  • Steroid injections may be required in cases where the joint pain and swelling is significant.
  • As a last resort, if the above measures do not work, surgery may be recommended. This will again be followed by rest, medications, and physical therapy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4543 people found this helpful

Tendinitis Symptoms In Hands!

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Orthopedics, Fellowship In Joint Replacement
Orthopedist, Mohali
Tendinitis Symptoms In Hands!

Tendinitis is a discomfort of the tendon. It results in pain outside the joint. There are many tendons in the body, but this condition is mainly witnessed in wrists, heels, shoulders and elbows. Some frequently used names for different kinds of tendinitis includes pitcher’s shoulder, tennis elbow, jumper’s knee, golfer’s elbow and swimmer’s shoulder.

Symptoms of tendinitis:
Symptoms of tendinitis are witnessed at the point of contact between bone and the muscle. Some of the visible signs of tendinitis are tenderness, swelling and a dull ache while moving the affected joint. Even constant pain can be felt in some cases.

What are the causes of tendinitis?
Tendinitis is frequently observed among sportsmen and athletes. If a job involves repetitive motion of a particular joint, the stress on the tendons can result in tendinitis. It is therefore very important for sportsmen to use the right technique in order to refrain from tendon related problems. Sudden accidents can also result in an injury to the tendon.

Risk factor of tendinitis:
Risk factors for this condition include job, occupation, and sports. As a person gets older, tendons tend to lose their flexibility which can lead to an injury of the tendon. If the job of a person involves frequent reaching of the overhead, vibration, repetitive motion and forceful exertion, he might face an injury to the tendon resulting in tendinitis. Last but not the least, tendinitis is very common among players who are involved in sports such as basketball, tennis, golf, baseball, running , cricket and bowling.

What are the complications involved?
Tendinitis can aggravate to tendon rupture of proper treatment is not done on time. Tendon rupture needs a surgical procedure to fix. If tendon pain lasts for few weeks at stretch, there is a good chance that the condition has turned into tendinitis.

Diagnosis:
Diagnosis of tendinitis can be done with the physical exam itself. A doctor might want to look at an X-ray scan to negate other condition that might be causing the pain.

Treatment:
Treatment includes the prescription of pain relievers, such as ibuprofen and aspirin. Tropical creams can also be prescribed to relieve the pain. Doctors often suggest corticosteroids be injected along the tendon in order to relieve tendinitis. If the condition is not very serious, a doctor might suggest specific exercise such as eccentric strengthening to fix the condition.

If the condition is severe, the doctor might want to go for a surgical procedure to fix tendinitis. Especially in conditions where there is a tear in the tendon and the bone. Another invasive technique to treat tendinitis is the focused aspiration of scar tissue. This procedure is performed under anesthesia thereby causing less pain to the patient.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2371 people found this helpful

How Extracorporeal Shock Wave Therapy Is Helpful For Your Muscles and Bones?

Dr. Saurabh Rawall 93% (124 ratings)
MBBS, MS - Orthopaedics , FNB - Spine Surgery, Fellow in Spine Surgery, Fellowship In Paediatric Spine Surgery
Orthopedist, Noida
How Extracorporeal Shock Wave Therapy Is Helpful For Your Muscles and Bones?

Extracorporeal Shock Wave Therapy (ESWT) is a highly effective and innovative treatment option in a variety of fields, from urology to cosmetology including orthopedics. This is a non-invasive method that employs high-energy shockwaves to bring about the healing of the affected tissues. It has been found to provide good results for recalcitrant orthopaedic problems like frozen shoulder to certain chronic degenerative or tendon conditions such as Achilles tendinitis (injury of the Achilles' tendon due to overuse) and plantar fasciitis in heel pain.

How does it work?

The procedure is basically an outpatient/ daycare job. It involves the application of a non-invasive probe to the affected tissue. This is followed by the external generation of shockwaves focused on the target area. The shockwaves cause a force to be created that brings about healing. Although it's still not clear as to why this kind of therapy works, the dominant understanding is that shockwaves render an improvement in the flow of blood so as to promote the body to fix and heal itself.

Depending on individual cases, high or low energy waves may be employed. While pain may occur during the transmission of high energy waves and would require short general anaesthesia, low-energy ESWT is carried out without anesthesia.


What problems can this form of therapy effectively tackle?

ESWT can be used to treat a number of musculoskeletal disorders. From plantar fasciitis (heel pain), tennis elbow, shoulder rotator cuff, degenerated tendons (Achilles' tendon) to hip and knee pain, the therapy has been found to reduce pain as well as accelerate healing in individuals.

Complications are very few and far between with this therapy. Individuals who suffer from hypersensitivity or poor sensation in the affected area are usually not recommended this procedure. Even individuals with heart conditions, seizures and open sores need to consult a doctor before going forward with the therapy.

The therapy has also been found to be very effective in bone healing as well as treatment of bone necrosis (a disease that occurs due to permanent or temporary loss of blood flow to the bones). Additionally in place of surgery, ESWT may also be a valuable option for non-healing fractures.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2896 people found this helpful

Achilles Tendon - Ways To Deal With It!

Fellowship in Knee Replacement, D.N.B. (Orthopaedics) , MBBS
Orthopedist, Mumbai
Achilles Tendon - Ways To Deal With It!

Achilles Tendon pain is an orthopedic condition that can originate from tears and ruptures to the AchillesTendon, which is known as one of the strongest and also the longest tendon in the human body. It is a band of tissues that decides the quality of your movements and motions to a great extent, as it connects the heel with the calf. Therefore, any injury to this tendon can decrease the strength and support to the muscles and create a painful situation. So how can you deal with this pain? Read on to know more.

  • Rice Therapy: Rice is a commonly used term by orthopedic specialist. It refers to Rest, Ice, Compression with a bandage, and finally Elevation. The patient must take lots of rest as well as use ice packs to deal with the injury and acute pain. Finally, the area must be compressed with a bandage and kept elevated on cushions.
  • Surgery: For very severe cases, the orthopedic specialist can recommend surgery as well. This kind of surgery aims at reattaching the displaced or ruptured tendon which may have reached such a fate through a sports or any other kind of injury. The doctor may also place your leg in a cast for a few weeks to keep it at complete rest. 
  • Pain Medication: The doctor can also prescribe pain relievers that contain Ibuprofen as well as acetaminophen or even naproxen. These medicines should be taken in moderation as per the doctor's prescription. Usually, this kind of medication is taken only when unbearable pain is experienced by the patient.
  • Thermotherapy or Heat Treatment: The use of heat for chronic pain or even pain that has been ailing for over 48 hours is known as thermotherapy. This therapy uses heating pads and hot water bottles to help relieve the pain. One must be careful while applying anything hot to the site of the injury. Use a towel to wrap the hot water bottle or heating pad so that there is no scalding or leaking on to the skin.
  • Footwear: It is important to prevent continuous injury and pain to the already injured Achilles tendon. To do this, you must wear supportive and comfortable footwear that has heel lifts and other customized orthotics built into the shoes. 

Taking care of Achilles Tendon pain is a matter of taking various precautions and supportive actions that lead to better healing.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4182 people found this helpful

Rotator Cuff Tendinitis

BPTh/BPT; certificate in sports medicine, PGCR, Diploma in Sports Medicine
Physiotherapist, Delhi
Rotator Cuff Tendinitis

Rotator Cuff Tendinitis

1 person found this helpful

Innovative Treatments For Chronic Tendon Pain!

M.S. Orthopedics, MBBS
Orthopedist, Ahmedabad
Innovative Treatments For Chronic Tendon Pain!

Human body moves in an agile manner because of the wonderful coordination between the muscles and bones. The bones are connected to the muscles by what are known as tendons. These are fibrous, thinner than bones, but thicker than muscles and enable movement.

However, due to overuse, trauma, or inflammation, these tendons can be affected. Symptoms include constant dull ache, weakness, stiffness, and limited movement of the affected area. With exercise or sudden movement, the pain can be more sharp and severe. This condition is known as chronic tendinopathy. Depending on the actual clinical presentation, rest, ice therapy, heat therapy, exercise and pain medications are usually used in combination to relieve the tendon pain.

However, if there is no relief of symptoms, surgery may be indicated to remove the injured tissue. This will allow for healing of the affected tendon, thereby reducing pain and inflammation and improving range of motion of the affected joint. Many questions have been raised about the traditional methods of therapy and treatment for tendon pain. More and more innovative, but conservative measures are being used to treat chronic tendon pain, as they produce better results and have gained more popularity. Three of the most common ones are listed below:

  1. Platelet rich plasma therapy: Traditionally, corticosteroids were used for treating chronic tendinopathy. This was believed to reduce inflammation and therefore relieve the pain. Instead, injecting the affected joint with platelet-rich plasma provides the body with rich supply of oxygen, nutrients, and growth factors. This triggers natural healing. It is done as an outpatient, nonsurgical procedure, where the patient’s blood is drawn and centrifuged to remove the platelets. This plasma is then injected back into the tendon area to promote healing.
  2. Mechanical therapy: Conventionally, static stretching of the injured tendons was believed to repair the injury. However, this belief is slowly replaced with doing the exercise with resistance in place. This helps collagen synthesis and therefore helps in promoting the tendon injury. After the initial healing phase, slowly introducing heavy, slow resistance therapy helps build back muscle and improve strength.
  3. Tenex procedure: Traditionally, if all other measures for tendon repair failed, surgery would be the last resort. A large incision was made, through which the injured tendon would be accessed and repaired. Recovery would sometimes take months. With advancements, however, currently, a 3-mm incision is made, through which ultrasound image is used via probe. This probe removes the damaged tissue and the surrounding tissue is also debrided. This minimally invasive procedure takes about 20 minutes and recovery takes about 2 to 6 weeks.

The next time there is someone suffering from chronic tendon injury, try these innovative and less invasive ways. Treatment and recovery would be more effective. If you wish to discuss about any specific problem, you can consult an Orthopedist.

2678 people found this helpful

Pain In Fingers - Can It Be A Sign of Tendinitis?

MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, Mch
Orthopedist, Delhi
Pain In Fingers - Can It Be A Sign of Tendinitis?

Tendinitis is a discomfort of the tendon. It results in pain outside the joint. There are many tendons in the body, but this condition is mainly witnessed in wrists, heels, shoulders and elbows. Some frequently used names for different kinds of tendinitis includes pitcher’s shoulder, tennis elbow, jumper’s knee, golfer’s elbow and swimmer’s shoulder.

Symptoms of tendinitis:
Symptoms of tendinitis are witnessed at the point of contact between bone and the muscle. Some of the visible signs of tendinitis are tenderness, swelling and a dull ache while moving the affected joint. Even constant pain can be felt in some cases.

What are the causes of tendinitis?
Tendinitis is frequently observed among sportsmen and athletes. If a job involves repetitive motion of a particular joint, the stress on the tendons can result in tendinitis. It is therefore very important for sportsmen to use the right technique in order to refrain from tendon related problems. Sudden accidents can also result in an injury to the tendon.

Risk factor of tendinitis:
Risk factors for this condition include job, occupation, and sports. As a person gets older, tendons tend to lose their flexibility which can lead to an injury of the tendon. If the job of a person involves frequent reaching of the overhead, vibration, repetitive motion and forceful exertion, he might face an injury to the tendon resulting in tendinitis. Last but not the least, tendinitis is very common among players who are involved in sports such as basketball, tennis, golf, baseball, running , cricket and bowling.

What are the complications involved?
Tendinitis can aggravate to tendon rupture of proper treatment is not done on time. Tendon rupture needs a surgical procedure to fix. If tendon pain lasts for few weeks at stretch, there is a good chance that the condition has turned into tendinitis.

Diagnosis:
Diagnosis of tendinitis can be done with the physical exam itself. A doctor might want to look at an X-ray scan to negate other condition that might be causing the pain.

Treatment:
Treatment includes the prescription of pain relievers, such as ibuprofen and aspirin. Tropical creams can also be prescribed to relieve the pain. Doctors often suggest corticosteroids be injected along the tendon in order to relieve tendinitis. If the condition is not very serious, a doctor might suggest specific exercise such as eccentric strengthening to fix the condition.

If the condition is severe, the doctor might want to go for a surgical procedure to fix tendinitis. Especially in conditions where there is a tear in the tendon and the bone. Another invasive technique to treat tendinitis is the focused aspiration of scar tissue. This procedure is performed under anesthesia thereby causing less pain to the patient. If you wish to discuss about any specific problem, you can consult an orthopaedic.

3913 people found this helpful

Orthopedic and Musculoskeletal MRI

DNB (Radio Diagnosis), MBBS
Radiologist, Hyderabad
Orthopedic and Musculoskeletal MRI

Gone are the days when bone ailments and damages were detected based on the experience and superficial conversations made by the physicians. These days with the advent of radio waves, medical science has made significant progress that has enabled a detailed overview of what exactly is going on inside your body and what should be the most relevant treatment in that regard. Magnetic Resonance Imaging or more commonly known as MRIs are a boon when it comes to diagnosing orthopedic and musculoskeletal complaints.

Common Uses of the Procedure:

MR imaging is usually the best choice for examining the:

  1. body’s major joints.
  2. spine for back pain
  3. soft tissues (muscles, tendons and ligaments) and bones of the extremities.

MR imaging is typically performed to diagnose or evaluate:

  • degenerative joint disorders such as arthritis.
  • tears of the menisci, ligaments and tendons (knee) or rotator cuff and labrum (shoulder and hip).
  • fractures (in selected patients).
  • spinal disk abnormalities (such as a herniated disk).
  • the integrity of the spinal cord after trauma.
  • sports-related injuries and work-related disorders caused by repeated strain, vibration or forceful impact.
  • infections (such as osteomyelitis).
  • tumors (primary tumors and metastases) involving soft tissues around the joints and extremities (such as muscles, bones and joints).
  • pain, swelling or bleeding in the tissues in and around the joints and extremities.
  • congenital malformations of the extremities in children and infants.
  • developmental abnormalities of the extremities in children and infants.
  • congenital and idiopathic (developing during adolescence) scoliosis prior to surgery.
  • tethered spinal cord (abnormal stretching in the spinal cord) in infants and children.

The Process:

In this process, X-rays and radio waves are subjected upon the affected region to examine the conditions of the bones, tissues, muscles and also detect the presence of tumours. This is majorly a non-invasive test and is painless. It does not use ionizing rays and therefore does not harm the body in any which way. The MRIs capture a detailed picture of the organs and the internal body structures and then transmit them onto a computer screen for the physician to monitor the inside story.

The Benefits: 

  1. MRI is an imaging technique that does not require exposure to radiation.
  2. MR images of the soft-tissue structures of the body (particularly muscles, bones and joints) are often clearer and more detailed than with other imaging methods. This detail makes MRI an invaluable tool in early diagnosis and evaluation of many conditions, including tumors.
  3. MRI can distinguish abnormal tissues from normal tissues much more accurately than most other imaging tests (x-ray, CT, etc.).
  4. MRI enables the discovery of abnormalities that might be obscured by bone with other imaging methods.
  5. The contrast material used in MRI exams is less likely to produce an allergic reaction than the iodine-based contrast materials used for conventional x-rays and CT scanning.
  6. MR images allow the physician to clearly see even very small tears and injuries to tendons, ligaments and muscles and some fractures that cannot be seen on x-rays and CT. If you wish to discuss about any specific problem, you can consult a radiologist.
5066 people found this helpful

Sports Injury in Athletes - How Homeopathy Can Help You?

Dr. Sonali Sawale 83% (36 ratings)
MD, BHMS
Homeopath, Navi Mumbai
Sports Injury in Athletes - How Homeopathy Can Help You?

Are you an athlete looking for an effective remedy for sports injuries and accidents? You should opt for homeopathy for treating sports injury of several kinds. In case of athletes, injuries of acute and chronic forms are quite common, and homeopathy offers a completely natural treatment without any side effects on your body that may affect your performance. Homeopathy provides you effective and rapid healing, and promotes natural healing of your injuries. Using homeopathic medicines for treating your sports injuries at the right time allows you to stay away from undergoing surgeries, which are inevitable in the case of serious injuries that progress over time.

Here is a list of the top homeopathic medicines that are beneficial for athletes who suffer from sports injuries of various forms:

  1. Arnica
    • This is one of the most popular and common homeopathic medicines that is used for treating sports injuries.
    • It is a part of all first aid kits at football grounds, at games of all levels.
    • Arnica is very effective when taken immediately after an injury. It is a legal medicine that can be taken by athletes and players after being inflicted with an injury in the field.
    • This medicine is ideal for dealing with bruising pain, that is a part of several sports and helps athletes in keeping fit for their upcoming events .
  2. Calcaera carbonica
    • This homeopathic medicine derived from calcium carbonate is used in case of long standing injuries, in which weakness lasts for more than two weeks in an affected athlete.
    • The medicine is effective for eliminating weakness and stiffness.
  3. Hypericum perforatum
    • This homeopathic medicine is useful in case you get your nerves crushed on account of injuries, such as dropping a heavy barbell on your toe.
    • In such cases, you should take Arnica first, and then take this medicine. It is beneficial for soothing nerve pain.
    • Such pains are common when your spine is injured.
  4. Ledem palustre
    • This is another effective homeopathic medicine for treating sports injuries in athletes.
    • It is used for curing puncture wounds and insect bites.
    • It is also used for treating a black eye and other injuries that are cold to touch. It is ideally used after taking Arnica first.
  5. Rhus toxidodendron
    • This homeopathic medicine is important for treating ligament and tendon injuries that cause intense pain, stiffness, as also when a person experiences strains and sprains.

It is recommended for you to consult a homeopathic practitioner before starting to take homeopathic medicines for treating sports injuries on your own. A doctor will be able to prescribe you the best medicines based on your condition and symptoms.

5374 people found this helpful
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