Tendonitis

FAQs on Tendonitis Treatment in Oklahoma – Shoulder, Elbow, Hip, and Achilles

 

Tendinitis happens when a tendon becomes inflamed This will cause pain and tenderness right outside of a joint. Tendinitis can affect the shoulder, elbow, or hip joint. The Achilles tendon of the foot is also commonly affected by tendinitis.

 

What are tendons?

 

Tendons are tough, fibrous tissues that attach muscle to bone. Acute or sudden tendinitis may become chronic or long-lasting if it is not treated. Tendons are connective tissue that is formed from many layers of tissue. The primary building blocks of tendons are collage fibers, which are strong, flexible, and resistant structures. These fibers are arranged in parallel bundles, which given the structure strength. The function of a tenon is to connect bones and provide strength to a body part.

 

What are the most commonly affected areas for tendinitis?

 

Tendinitis can affect:

 

  • Shoulder (rotator cuff tendinitis)
  • Elbow (tennis elbow or golfer’s elbow)
  • Wrist or thumb (de Quervain’s disease)
  • Ankle (Achilles tendinitis)
  • Knee (jumper’s knee)
  • Hip (hip tendinitis)

 

What are the signs and symptoms of tendinitis?

 

The symptoms and signs of tendinitis include:

 

  • Warmth and redness
  • Pain that gets worse with movement
  • A crackling sound (crepitus)
  • Swelling

 

What causes tendinitis?

 

Tendinitis occurs from overuse, poor technique in sports, undertraining, repetitive movements, falling, or lifting heavy objects. Certain people are more at risk for tendinitis. Risk factors include:

 

  • Having an autoimmune condition (rheumatoid arthritis or diabetes)
  • Being overweight (puts stress on tendons, bones, and ligaments)
  • Having an inflammatory condition (ankylosing spondylitis or Reiter syndrome)
  • Having an active infection

 

How is tendinitis treated?

 

Treatment of tendinitis depends on the body part affected. Treatment includes rest, applying ice to the site, use of a sling (shoulder tendinitis), and massage therapy. Treatment options also include:

 

  • Medications – For calcific tendinitis, colchicine is used to eliminate excessive joint calcium. Nonsteroidal anti-inflammatory drugs, such as ibuprofen and naproxen, will reduce inflammation and pain.

 

  • Physical therapy – The therapist uses strengthening exercises and high energy shockwave therapy to improve tendinitis symptoms.

 

  • Stem cell injections – This procedure involves taking cells from your own body and injecting them into the injured or strained tendon. The cells are obtained from the hip bone through a bone marrow extraction, or they are obtained from adipose (fat) tissue during liposuction. After being processed in the laboratory, the stem cell solution is injected into the diseased tendon.

 

Does stem cell therapy work?

 

According to a recent study, stem cell therapy has proven effective in animal subjects. A lesion was induced with a stem cell solution derived from adipose tissue. Stem cells were injected into tendons of horses. After ultrasound and histopathological analyses, improved results were seen in the treated group.

 

The researchers concluded that stem cells prevented the progression of the tendon lesion and resulted in decreased inflammation. When combined with platelet-rich plasma, stem cell therapy repairs tendons. In a clinical study, the efficacy rate was 75% for pain reduction and 90% for avoidance of surgery.

 

How does stem cell therapy repair tendons?

 

In a study involving rabbit subjects, collagen and stem cells were obtained from bone marrow and transfected with TGF beta1 genes. This solution was surgically implanted into injured animal Achilles tendons. Results showed that the solution promoted healing and strength by promoting and regulating collagen synthesis, cross-link formation, and matrix remodeling.

 

Resources

Carvalho AM, Badial PR, Alvarez LEC, et al. (2013). Equine tendonitis therapy using mesenchymal stem cells and platelet concentrates: a randomized controlled trial. Stem Cell Research, 4(85).

Mao A, Wei X, Lin L, et al. (2009). The roles of TBF beta1 gene transfer on collagen formation during Achilles tendon healing. Biochem, Biophys Res Commun, 383(2), 235-239.

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