Tendonitis, There is Help Which Physical Therapy Can Offer

Kimberly Susskraut, MPT

Definition:

Tendonitis is inflammation or irritation of a tendon. A tendon is a group of cord like fibers which attach a muscle to a bone. Tendons can become irritated either through overuse or trauma. Overuse is the most common cause of tendonitis and generally occurs after an activity is resumed too quickly after a long period of inactivity. Repetitive activity is also a form of overuse, such as the constant use of a drill or typing.

Diagnosing Symptoms:

Pain is the primary symptom. The discomfort is commonly described as hot or burning and the areas may actually feel warm or be red. Swelling may also be present. On physical exam the area will be tender to palpation and full active range of motion could be limited. Common areas of tendonitis are the elbow, knee, shoulder, and ankle.

Treatment:

Treatment depends on the severity of the inflammation. Your physician may prescribe anti-inflammatory medications and rest as a primary consideration. Since the tendon attaches directly to the muscle, use of the muscle places stress on the tendon which will continue to irritate the tendon. A splint may be issued to temporarily immobilize the affected area.

Physical Therapy's Treatment Intervention:

Physical Therapy can also help in combination with what is prescribed by your physician. Therapeutic modalities such as ultrasound, electrical stimulation, and iontophoresis can be used to decrease pain and inflammation. Manual techniques such as trans- fiber massage and soft tissue mobilization can also be used in combination with ice. Therapeutic exercises with a focus on eccentric loading of the tendon and a combination of low load long duration stretches can also be incorporated into your treatment routine. Your physical therapist might also try certain taping techniques which can help to support the tendon and allow it time to heal.