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Article by Zoe Russell Bursitis

What is a Tendinopathy? Calf

Elbow

Foot

Groin

Hamstring

Hand
Tendonitis or its aliases: tendinitis, tendinopathy and tendinosis are all tendon injuries.
Headache

Tendinopathy (tendon injuries) can develop in any tendon of the body.

Heel

Typically, tendon injuries occur in three areas: Hip

musculotendinous junction (where the tendon joins the muscle) Jaw (TMJ)

mid-tendon (non-insertional tendinopathy)

Knee
tendon insertion (eg into bone)
Leg
Non-insertional tendinopathies tend to be caused by a cumulative microtrauma from repetitive
Ligament
overloading eg overtraining.

Muscle
What is a Tendon Injury?
Neck
Tendons are the tough !bres that connect muscle to bone. Most tendon injuries occur near
joints, such as the shoulder, elbow, knee, and ankle. A tendon injury may seem to happen Pain
suddenly, but usually it is the result of repetitive tendon overloading. Health professionals may
use di"erent terms to describe a tendon injury. You may hear: Sciatica

Tendinitis (or Tendonitis): This actually means "in#ammation of the tendon," but Shin
in#ammation is actually only a very rare cause of tendon pain. But many doctors may still use
Shoulder
the term tendinitis out of habit.

Tendinopathy
The most common form of tendinopathy is tendinosis. Tendinosis is a nonin#ammatory
degenerative condition that is characterised by collagen degeneration in the tendon due to Thigh
repetitive overloading. These tendinopathies therefore do not respond well to anti-
in#ammatory treatments and are best treated with functional rehabilitation. The best results Upper Back
occur with early diagnosis and intervention.
Vertigo

What Causes a Tendon Injury? Women's Health

Most tendon injuries are the result of gradual wear and tear to the tendon from overuse or
Wrist
ageing. Anyone can have a tendon injury, but people who make the same motions over and
over in their jobs, sports, or daily activities are more likely to damage a tendon.

Your tendons are designed to withstand high, repetitive loading, however, on occasions, when
the load being applied to the tendon is too great for the tendon to withstand, the tendon begins
to become stressed.

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When tendons become stressed, they sustain small micro tears, which encourage in#ammatory
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chemicals and swelling, which can quickly heal if managed appropriately.
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However, if the load is continually applied to the tendon, these lesions occurring in the tendon
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can exceed the rate of repair. The damage will progressively become worse, causing pain and
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dysfunction. The result is a tendinopathy or tendinosis.
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Researchers current opinion implicates the cumulative microtrauma associated with high
tensile and compressive forces generated during sport or an activity causes a tendinopathy.
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For example, in explosive jumping movements, forces delivered to the patellar tendon can be
eight times your body weight. Cumulative microtrauma appears to exceed the tendon’s capacity
to heal and remodel.

What are the Symptoms of Tendinopathy? Receive Special

Tendinopathy usually causes pain, sti"ness, and loss of strength in the a"ected area. O"ers and the
16 Latest Injury
The pain may get worse when you use the tendon.
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You may have more pain and sti"ness during the night or when you get up in the morning.

The area may be tender, red, warm, or swollen if there is in#ammation. Enter Details Below to Signup:

You may notice a crunchy sound or feeling when you use the tendon. First Name

154 The symptoms of a tendon injury can be a lot like those caused by bursitis. Last Name

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The inability of your tendon to adapt to the load quickly enough causes tendon to progress Submit
through four phases of tendon injury. While it is healthy for normal tissue adaptation during
phase one, further progression can lead to tendon cell death and subsequent tendon rupture.

1. Reactive Tendinopathy
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Normal tissue adaptation phase
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Prognosis: Excellent. Normal Recovery!
supports the free access to our educational content and its

updates. Check out the links below for more speci!c health
2. Tendon Dysrepair information from your trusted PhysioWorks team.

Injury rate > Repair rate

Prognosis: Good. Tissue is attempting to heal. Pengapuran Sendi / OA

- Cara mudah
It is vital that you prevent deterioration and progression to permanent cell death (phase 3). mengatasinya
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3. Degenerative Tendinopathy Trusted Psoriasis
Treatment
Cell death occurs

Poor Prognosis - Tendon cells are giving up! Ad Tangs Clinical

Achilles Tendon
Rupture
4. Tendon Tear or Rupture
Catastrophic tissue breakdown physioworks.com.au

SportVis™ - Ligament
Loss of function. and Tendon Repair
Prognosis: very poor.
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Surgery is often the only option. Eccentric
Strengthening
It is very important to have your tendinopathy professionally assessed to identify it’s injury
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phase. Identifying your tendinopathy phase is also vital to direct your most e"ective treatment,
since certain modalities or exercises should only be applied or undertaken in speci!c tendon Strength Exercises
healing phases.
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How is a Tendon Injury Diagnosed? Meniscus Tear

To diagnose a tendon injury, your physiotherapist will ask questions about your past health,
your symptoms and exercise regime. They'll then do a physical examination to con!rm the physioworks.com.au
diagnosis. If your symptoms are severe or you do not improve with early treatment, speci!c Tibialis Posterior
diagnostic tests may be requested, such as an ultrasound scan or MRI. Tendinopathy

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How is Tendinopathy Treated? FHL Tendinopathy
In most cases, you can start treating a tendon injury at home. To get the best results, start these
steps right away: physioworks.com.au

What Causes Rotator

Rest the painful area, and avoid any activity that makes the pain worse. Cuff Impingement &
Bursitis?
Apply ice or cold packs for 20 minutes at a time, as often as 2 times an hour, for the !rst 72
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hours. Keep using ice as long as it helps.
Adductor Tendinopathy
Do gentle range-of-motion exercises and stretching to prevent sti"ness.

Have your biomechanics assessed by a sports physiotherapist. physioworks.com.au

Undertake an Eccentric Strengthen Program. This is vital! Patella Tendinopathy

How to Return to Sport physioworks.com.au

It may take weeks or months for a tendon injury to heal. Be patient, and stick with your Shoulder Exercises
treatment. If you start using the injured tendon too soon, it can lead to more damage.

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To keep from hurting your tendon again, you may need to make some long-term changes to
your activities. These should be discussed with your physiotherapist.

Try changing your activities or how you do them.

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If exercise caused the problem, check your technique with a coach or sports
physiotherapist.

Perform regular eccentric style exercises.

Closely monitor and record your exercise loads. Discuss your loading with your
physiotherapist and coach.

Always take time to warm up before and cool down / stretch after you exercise.

Persisting tendon injuries are best managed by a sports physiotherapist with an interest in
tendinopathies. Researchers have found that tendon injuries respond di"erently to muscle
injuries and can take months to solve or leave you vulnerable to tendon ruptures, which usually
require surgery. This has two important issues:

Ensure you have an accurate diagnosis.

Ensure that your rehabilitation is targeted at either the muscle injury or tendinopathy.

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Common Tendinopathies

General Information
Tendinopathies

Tendonitis / Tendinitis

Tendinosis

Tenosynovitis

Overuse Injuries

Speci!c Tendinopathies
Foot & Ankle
Achilles Tendon Rupture

Achilles Tendonitis / Tendinitis

FHL Tendinopathy

Peroneal Tendonitis

Tibialis Posterior Tendinopathy

Knee
Patella Tendonitis (Tendinopathy)

Pes Anserinus Bursitis & Tendinitis

Hip & Groin

Adductor Tendinopathy

Gluteal Tendinopathy

Proximal Hamstring Tendinopathy

Shoulder
Shoulder Tendonitis

Shoulder Impingement

Rotator Cu" Calci!c Tendinitis

Rotator Cu" Tear

Bicep Tendonitis

Swimmer's Shoulder

Elbow
Tennis Elbow

Golfers Elbow

Wrist & Hand

de Quervain's Tenosynovitis

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Common Tendonitis Treatments

Early Injury Treatment

Avoid the HARM Factors

Acupuncture and Dry Needling

Sub-Acute Soft Tissue Injury Treatment

Scapular Stabilisation Exercises

Closed Kinetic Chain Exercises

Active Foot Posture Correction Exercises

Gait Analysis

Biomechanical Analysis

Eccentric Strengthening

Balance Enhancement Exercises

Proprioception & Balance Exercises

Agility & Sport-Speci!c Exercises

Medications?

Soft Tissue Massage

Brace or Support

Dry Needling

Electrotherapy & Local Modalities

Heat Packs

Joint Mobilisation Techniques

Kinesiology Tape

Neurodynamics

Prehabilitation

Running Analysis

Strength Exercises

Stretching Exercises

Supportive Taping & Strapping

TENS Machine

Video Analysis

FAQs about Tendonitis

Common Physiotherapy Treatment Techniques

What is Pain?

Physiotherapy & Exercise

Can Kinesiology Taping Reduce Your Swelling and Bruising?

Heat Packs. Why Does Heat Feel So Good?

Rotator Cu": What is it?

Sports Injury? What to do? When?

What are Growing Pains?

What are the Bene!ts of a Standing Desk?

What are the Common Massage Therapy Techniques?

What are the Early Warning Signs of an Injury?

What is a Tendinopathy?

What is a TENS Machine?

What is Chronic Pain?

What is Musculoskeletal Physiotherapy?

What is Nerve Pain?

What is Sports Physiotherapy?

What is the Correct Way to Sit?

What to expect when you visit PhysioWorks?

What's the Bene!t of Stretching Exercises?

When is the Best Time for a Pre-Event Massage?

Why Kinesiology Tape Helps Reduce Swelling and Bruising Quicker

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Last updated 31-Aug-2018 03:17 PM

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