Tendonitis is etymologically the inflammation of a tendon and its sheath. In reality, there is no inflammation in a chronic tendonitis. A tendonitis is occured by micro-traumas caused by an unusual or excessive use of the tendon.

It may also be the result of an irregularity of the tendon, for example due to a strain or break, wether can be complete or partial. Palpation on the area of a tendons reveals a sharp pain expecially when pressured.

Everyone has already had a tendonitis. After a weekend of doing odd jobs, gardening, practicing an unusual physical activity. The most common causes of tendonitis are excessive strain, overuse of a joint, injury, repetitive movements.

In general, a tendonitis is temporary and disappears after a few days of complete rest. But sometimes it doesn't. Some tendonitis persist because despite the pain, one continued to use their muscle and can not find an effective solution relieve their pain.

Top sportsmen never wait to come see me when they suffer from tendonitis, and they are right. The sooner a tendonitis is treated, the quicker you can go back to your personal and professional activities.

What are the possible complications of untreated tendonitis ?

When a tendonitis isn't treated as it should, it can become tough. The tendon and its sheath stick to each other and calcify, triggering pain and a decrease in the mobility of the joint.

Serious complications of tendonitis and tenosynovitis include muscle atrophy and disability.

To relieve and treat tendonitis, one should consult a therapist. The methods used at home can be effective for a while, but an untreated tendonitis tends to reappear quickly, becoming a handicap in everyday life. Treating the cause of a tendonitis is the only way to stop suffering from it for good.

normal tendon without tendonitis
tendonitis tendinosis treatment

Healthy tendons are like these ropes. Not only are the fibers all running uniformly in the same direction, there is little or no fraying.

Tendinosis and not tendonitis is characterized by incredible fraying, fragmenting, tangling, and twisting of the tendon. This causes weakness and inelasticity that can not only painfully debilitating, it can lead to tendon rupture.

"Tendonitis such as that of the Achilles, lateral elbow -tennis-elbow-, and rotator cuff tendons -shoulder tendonitis- is a common presentation to family practitioners and various medical specialists. Most currently practicing general practitioners were taught, and many still believe, that patients who present with overuse tendinitis have a largely inflammatory condition and will benefit from anti-inflammatory medication."

"Unfortunately this dogma is deeply entrenched.

"10 of 11 readily available sports medicine texts specifically recommend non-steroidal anti-inflammatory drugs for treating painful conditions like Achilles and patellar tendonitis despite the lack of a biological rationale or clinical evidence for this approach.
Instead of adhering to the myths above, physicians should acknowledge that painful overuse tendon conditions have a non-inflammatory pathology." 1

1 - Karim Khan, MD, PhD, FACSP, FACSM, and his group of researchers at the Department of Family Medicine & School of Human Kinetics at the University of British Columbia, March 2002 edition of BMJ (British Medical Journal).