Tendinosis is a symptom of dystrophic lesions in the area of the tendons of the large muscles.
Tendinosis is manifested by severe pains and impaired motor activity in the affected joint, pains are expressed during movements, and are practically not felt at rest. Tendinosis is dangerous by injury, that is, the separation of the affected tendons from the attachment to the bone.
If the loads on the muscles and ligaments under conditions of active sports training are so strong that the muscles and tendons do not have time to rest and restore the micro-damage caused by the loads, then they are destroyed – a so-called chronic (fatigue) injury is formed.
The most common of these injuries is tendinosis – progressive dystrophy, degeneration sites in the tendon area.
The most common causes of tendinosis:
- tendon microtraumas,
- excessive, increased motor load on the tendons.
The result is the formation of areas of necrosis, fatty degeneration of tendons and cartilage, the deposition of calcium salts. As the process progresses, the tendon ossifies, loses its elasticity and leads to dystrophy and inflammation.
Tendinosis is evidence of excess loads on these muscles, very hard training.
Most often tendinosis are post-traumatic or post-exercise as professional athletes with their heavy loads, and at construction sites and factories with workers in heavy physical labor.
However, tendinosis of rheumatic origin as a result of gout and arthritis is separately distinguished .
Common symptoms of tendinosis include:
- pain when making movements, passing at rest,
- passive limb movements are virtually painless,
- probing the affected tendon is unpleasant, painful,
- it is compacted, visible redness on the surface, the temperature rises over the affected area,
- when moving, you can hear a crunch or crackle.
Depending on the location, there are specific characteristics of tendinosis.
Tennis Elbow ( Lateral Epicondillite )
– defeat of the extensors of the wrist. In this case, pain occurs in the elbow and give up, in the shoulder, on the outer part and forearm. There may be a weakness in the hand, difficulty in raising the cups, when shaking hands or when pressing clothes.
Hand golfer , baseball player (medial epicondillitis )
– defeat of the extensors and muscles that rotate the forearm. Manifested by pain in the inner part of the elbow, pain when bending the brush down, pressing on the brush.
Querven ‘s disease
– tendinosis of the thumb tendons, will manifest by pains when straightening and lifting the thumb. Pain when palpating the base of the thumb, as well as pain when connecting the thumb pad with the little finger.
Tendinosis of the patella (jumper knee)
– pain in the knees, swelling of the tendon, swelling. With untreated tendinosis , the patellar can detach.
resembles a problem with the patella, but usually occurs in older athletes.
Post- tibial tendonitis
with damage to the tibial muscle gives pain in the tendon, pain in the heel, in the arch of the foot. Can lead to flat feet and heel spurs . The pains are aggravated by running and carrying weights.
The basis of the diagnosis of tendinosis is the patient’s complaints and their connection with excessive and prolonged exertion, mainly in athletes.
The basis of the diagnosis is the examination and thorough probing of the tendons and muscles, the conduct of active and passive movements with an assessment of their pain and the degree of restriction of movements.
X-ray inspection of the damaged joint and tendon is complemented, and data can also be supplemented by magnetic resonance scanning.
Treatment tendinous engaged trauma orthopedic.
Conservative or operative therapy is prescribed. In the early stages, conservative primary and secondary measures are shown.
To primary can be attributed:
- ensuring complete peace
- cold and rest tendon
- imposing tight or supporting dressings and giving the limb an elevated position.
Secondary measures of conservative treatment of tendinosis include the use of:
- physiotherapy and physiotherapy,
- drug injections
- rehabilitation methods
- anti-inflammatory drugs.
All methods of therapy at all stages are prescribed by a doctor, special dressings and bandages are applied based on the specific location of the injury and the type of injury. Sometimes it is necessary to use a special type of fixing bandages.
Anti-inflammatory gels and ointments are used in the first three days of injury, then they will be most effective.
For advanced tendinosis, surgical treatment is used – sections with altered tissues are excised, with subsequent plastic surgery to repair the tendon.
The rehabilitation process takes up to three months or more, using the methods of stretching and developing the strength of the operated tendon.
The prognosis for life is favorable, but relapses are possible.