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Tendon Injury Tips

Rotator Cuff Injury - How To Handle It?

MBBS, MS - Orthopaedics
Orthopedic Doctor, Ahmedabad
Rotator Cuff Injury - How To Handle It?

You must have often heard about sports person, especially those associated with tennis or baseball (that involves continuous arm movement) suffer from rotator cuff injury. But what exactly is this injury? To understand the condition better, you need to know what is a rotator cuff. A rotator cuff is a group of tendons and muscles that keep the shoulder joints stable enabling a person to rotate or lift their shoulders freely.

With time, certain activities may cause a wear and tear of the rotator cuff injuring them. The injury sustained can result from a partial or a complete tear.
A partial tear of the rotator cuff may damage the tendons, but it will remain attached to the bones. However, in the case of a complete tear, the injury is more severe that penetrates deep within detaching the tendons off the bone (humerus).

Who can suffer from a Rotator Cuff Injury?
While the condition can affect anyone, people under the following situations stand a greater chance of injuring their rotator cuff.

  • People in their old age may suffer from the Rotator Cuff injury as with age the tendons and muscles may undergo a degeneration.
  • The injury may also be genetically linked.
  • The problem is found to be common among tennis and baseball players.
  • Painters, as well as carpenters who need to move their arms and shoulders continuously in a particular direction, stand at a risk of injuring the rotator cuff.

Symptoms associated with a Rotator Cuff Injury
People with a Rotator Cuff Injury may exhibit the following symptoms and associated discomfort.

  • The rotator cuff ensures the free and comfortable rotation of the arm and the shoulder. An injury will limit this rotation. As a result, a person may experience great difficulty and pain in lifting and moving the arm.
  • Lying on the affected shoulder can be a painful experience.
  • There is instability of the shoulder joints followed by weakness.
  • A person finds it difficult to carry out the basic activities such as bringing a glass of water close to the mouth or combing the hair.

Treatment

  1. Anti-inflammatory drugs and painkillers (Acetaminophen) may be used to reduce the pain and swelling associated with the injury.
  2. Physiotherapy and various strengthening exercise can go a long way to deal with shoulder weakness, stiffness, and restricted movement. However, one needs to have patience as the treatment may take time to produce the desired results.
  3. In extreme cases, the doctor may opt for surgery.
    • Arthroscopic surgery: The procedure is simple and involves a small incision on the affected shoulder to place an arthroscope (that comes fitted with a camera and the surgical instruments) to treat the condition.
    • The doctor may also carry out an open surgery or a mini-open surgery (an amalgamation of open and arthroscopic surgery) to fix the tear.
1965 people found this helpful

What Can Trigger Pain In Shoulder?

Dr. Shekhar Srivastav 88% (19 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, AO Fellowship
Orthopedic Doctor, Delhi
What Can Trigger Pain In Shoulder?

The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collar bone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain. Let us get to know the six most common ones. 


*  Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects. 

*  Rotator Cuff Tendinitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work. 

*  Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain. 

*  Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.

*  Bursitis: This condition is known to affect the fluid filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints. 

*  Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.
Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention.
 

1210 people found this helpful

Tendinitis - Ways It Can Be Managed!

Dr. Bodhisatwa Choudhuri 89% (26 ratings)
MBBS, MD - Internal Medicine, MRCEM(UK), MEM, Diploma in Rheumatology, PGCC - Rheumatology, MACEP, FCCS
Rheumatologist, Kolkata
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.
5340 people found this helpful

What Are The Risk And Causes Of Tendinitis?

Dr. Abhijit Patil 89% (10 ratings)
MS - Orthopaedics, D.Ortho
Orthopedic Doctor, Pune
What Are The Risk And Causes 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.

2624 people found this helpful

How To Deal With Achilles Tendon?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Orthopedic Doctor, 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.

3719 people found this helpful

Tendinitis - Ways It Can Be Managed!

Dr. Bharat Singh 88% (43 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!

Dr. Manu Mengi 92% (17 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Orthopedics, Fellowship In Joint Replacement
Orthopedic Doctor, 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% (125 ratings)
MBBS, MS - Orthopaedics , FNB - Spine Surgery, Fellow in Spine Surgery, Fellowship In Paediatric Spine Surgery
Orthopedic Doctor, 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!

2897 people found this helpful

Achilles Tendon - Ways To Deal With It!

Dr. Hardeek N Ghundiyal 91% (160 ratings)
Fellowship in Knee Replacement, D.N.B. (Orthopaedics) , MBBS
Orthopedic Doctor, 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

Innovative Treatments For Chronic Tendon Pain!

Dr. Prathmesh Jain 90% (68 ratings)
M.S. Orthopedics, MBBS
Orthopedic Doctor, 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
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