- Tendinitis—an inflammation of the tendon. Although this term is used often, most cases of tendinopathy are not associated with significant inflammation.
- Tendinosis—microtears (tiny breaks) in the tendon tissue with no significant inflammation.
- Achilles —back of heel
- 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
- Patellar tendon , which is attached to the kneecap
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- Sport activities
- Physical labor, especially those with repetitive motions
- Muscle imbalance
- Decreased flexibility
- Advancing age
- Alignment abnormalities of the leg
- Pain, particularly with activity
- Decreased motion of related joints
- Local swelling
- Severity of symptoms
- The tendon involved
- Length of time symptoms have lasted
- Avoiding the activity that is responsible
- Reduce shock vibration on the joint
- Rest for the affected tendon
- Ice after activity
- Cast or splint for immobilization of the affected area
- Counterforce brace over the painful tendon
- Shoe orthotics for foot alignment problems
- Over-the-counter pain relievers, such as acetaminophen or non-steroidal anti-inflammatory medication (NSAIDs)
- Prescription pain relievers
- Topical pain relievers, such as creams or patches that are applied directly to the skin
- 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 Academy of Family Physicians http://www.aafp.org
American College of Sports Medicine http://acsm.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 18, 2013.
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/what.php . Updated November 3, 2012. Accessed March 18, 2013.
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 18, 2013.
10/26/2010 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Massey T, Derry S, Moore R, McQuay H. Topical NSAIDs for acute pain in adults. Cochrane Database Syst Rev . 2010;(6):CD007402.
- Reviewer: Teresa Briedwell, DPT, OCS
- Review Date: 06/2013 -
- Update Date: 06/20/2013 -
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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