Tendinitis and Tendinopathies

What is Tendinitis and Tendinosis (Tendinopathy)

 

Tendon issues arise when the thick cords connecting muscle to bone become irritated or damaged. While often referred to generally as tendonitis, there is a distinction between an acute condition and a more chronic issue with the tendon which have slightly different implications as well as treatment approaches:

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• Tendonitis: This refers to the acute inflammation of a tendon, often due to a sudden injury or overuse.

• Tendinosis: This describes a more chronic condition involving the breakdown of collagen in the tendon, leading to pain and reduced function. This can develop from repetitive strain or unresolved tendonitis. An interesting fact is that tendinosis often doesn't have inflammation.

Note: We now use a term that encompasses both of these conditions which is tendinopathies. This allows us to use a more effective approach to your treatment based on symptoms and how long you've been experiencing the condition.

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How Is Tendon Pain Treated at 4 Points Health

 A Return to Activity:

At 4 Points Health, we believe in a holistic, patient-focused and patient involved approach to managing tendon pain. -One size does not fit all - Everyone is different and may need a unique treatment plan. We offer a variety of evidence-based therapies, including physiotherapy, acupuncture, massage therapy, and chiropractic care, tailored to your specific condition and preferences. Our goal is to not only alleviate your pain but also address the underlying factors contributing to your tendon issue.

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We understand that you might have a preference for how you begin your care. Some individuals may feel more comfortable starting with the hands-on approach of physiotherapy, while others may find the targeted relief of acupuncture or chiropractic adjustments more appealing. Our team is here to listen to your needs and guide you toward the most suitable treatment path. If you're unsure where to start, we can facilitate a comprehensive assessment with the appropriate practitioner to ensure you receive the right care from the outset.

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1. Physiotherapy: Our physiotherapists utilize targeted exercises to strengthen the muscles supporting the affected tendon, improve flexibility, and restore proper movement patterns. They can also employ manual therapy techniques to address any joint stiffness or muscle imbalances that may be contributing to the tendon issue.

2. Acupuncture: Acupuncture, a well-established treatment, can help reduce pain and inflammation in the affected tendon by stimulating the body's natural healing mechanisms and improving circulation to the area.

3. Massage therapy: Massage treatments can address muscle tightness and tension surrounding the affected tendon, improving blood flow and promoting tissue healing. Specific techniques can also target trigger points that may be contributing to your pain.

4. Chiropractic Care: While not directly targeting the tendon itself, chiropractic care can address any underlying musculoskeletal imbalances or joint restrictions that may be contributing to abnormal stress on the tendons. Restoring proper alignment can help reduce strain and promote healing.

5. Shockwave Therapy: Radial Shockwave therapy has been demonstrated to help especially with chronic tendinopathies.

 

Why Choose 4 Points Health for Tendon Pain Relief?

✔ Integrated Therapies: We offer a diverse range of treatments under one roof, allowing for a comprehensive and coordinated approach to your care.

✔ Focus on the Root Cause: We aim to identify and address the underlying factors contributing to your tendon pain, not just mask the symptoms.

✔ Personalized Treatment Plans: Your treatment plan will be specifically tailored to your individual needs and the nature of your tendon issue.

✔ Experienced Practitioners: Our team consists of highly skilled professionals with extensive experience in treating various musculoskeletal conditions, including tendonitis and tendinopathy.

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Self-Care Strategies for Managing Tendon Pain at Home

The traditional RICE approach (Rest, Ice, Compression, Elevation) was once widely recommended for all soft tissue injuries, including tendon pain. However, new research shows that this method may not be ideal for treating most tendon conditions, particularly tendinosis, which is a degenerative—not inflammatory—condition.

While short-term rest and ice may help reduce acute pain in cases of tendinitis (inflammation), long-term rest can actually delay recovery in chronic conditions like tendinosis, where the tendon tissue has begun to break down. Today, the focus has shifted to active recovery, emphasizing:

• ​​Activity Modification: Ensuring there is time for the condition to heal.​​

• Ice or heat depending on the injury or condition.

• ​Compression with a brace or strap for stability.

• Gentle Stretching: Once pain begins to subside, perform gentle range-of-motion exercises as recommended by your healthcare provider.

• Strengthening Exercises: Gradually introduce exercises to strengthen the muscles supporting the affected tendon.

 

When to Seek Professional Help for Tendon Pain

While self-care measures can be helpful, it's important to seek professional evaluation and treatment if you experience:

• Persistent or worsening pain

• Significant limitation in your range of motion

• Inability to perform daily activities due to pain

• Swelling, redness, or warmth around the affected area

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Don't let tendon pain limit your life – our dedicated team at 4 Points Health is here to help you find lasting relief and get back to doing what you love.

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FAQ: Tendonitis and Tendinopathy Treatment

Q: How long does it take for tendon pain to improve with treatment?

A: The recovery timeline varies depending on the severity and chronicity of your tendon issue. Acute tendonitis may improve within a few weeks with proper care, while chronic tendinopathy may require a more extended treatment period.

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Q: Is treatment for tendon issues covered by insurance?

A: Many extended health insurance plans cover treatments such as physiotherapy, acupuncture, and massage therapy. It's best to check with your insurance provider for specific details regarding your coverage.

 

Q: Can I continue exercising with tendon pain?

A:  That's a great question. It's generally advisable to reduce activities that aggravate your pain but at the same time, we find it's important to keep moving with active recovery. It really depends. For instance, sometimes working at a computer can be an underlying contributor to your condition Your healthcare provider can guide you on appropriate low-impact exercises or modifications to your routine during your recovery.

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Ready to take the first step toward relief from tendon pain? Contact us today to schedule an appointment and begin your personalized treatment plan.