- Tendonitis—An inflammation of the tendon. Although this term is used often, most cases of tendonopathy are not associated with significant inflammation.
- Tendonosis—Microtears in the tendon tissue with no significant inflammation
- Achilles tendon —back of heel
- Patellar tendon , which is attached to the kneecap
- Rotator cuff in the shoulder
- Biceps in the shoulder
- Wrist extensors near the elbow, on the outside
- Wrist flexors near the elbow, on the inside
- Quadriceps tendons
- Ankle tendons
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- Overuse can be the result of doing any activity too much
Strenuous or repetitive activities:
- Physical labor
- Muscle imbalance
- Decreased flexibility
- Alignment abnormalities of the leg
- Pain in the tenon or surrounding area, particularly with activity
- Decreased motion of related joints
- Local swelling
- Severity of symptoms
- The tendon involved
- Length of time symptoms have lasted
- Restricting activities. Normal activities will be reintroduced gradually.
- Ice therapy to help relieve swelling
- A cast, splint, or counterforce brace to support the tendon
- Shoe inserts or orthotics
- Gradually work yourself into shape for a new activity.
- Gradually increase the length of time and intensity of activities.
- If you have a tendon that has been a problem, gradually stretch out that muscle/tendon unit.
- Strengthen the muscle to which the tendon is attached.
- If you have pain, do not ignore it. Early treatment can prevent the problem from becoming serious.
- Learn to back off from activities if you are tired or not used to the activity.
- Warm-up the affected area before activity.
American College of Sports Medicine http://acsm.org
FamilyDoctor—American Academy of Family Physicians http://familydoctor.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Exercise-induced leg pain. American College of Sports Medicine website. Available at: http://www.acsm.org/docs/current-comments/exercis-inducedlegpain.pdf. Accessed March 9, 2015.
Mayor RB. Treatment of athletic tendinopathy. Conn Med. 2012;76(8):471-475.
Patellar tendinopathy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 18, 2014. Accessed March 9, 2015.
Patellar tendon tear. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00512. Updated August 2009. Accessed March 9, 2015.
10/26/2010 DynaMed's Systematic Literature Surveillance. http://www.ebscohost.com/dynamed: Massey T, Derry S, et al. Topical NSAIDs for acute pain in adults. Cochrane Database Syst Rev. 2010;(6):CD007402.
4/24/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Wise JN, Weissman BN, et al. American College of Radiology (ACR) Appropriateness Criteria for chronic foot pain. Available at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/Diagnostic/ChronicFootPain.pdf. Updated 2013. Accessed March 9, 2015.
- Reviewer: Michael Woods, MD
- Review Date: 03/2015 -
- Update Date: 04/24/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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