Mild sprains or excessive use can contribute to the onset of pain in the shoulder or elbow region. Typically, this can be attributed to minor tendon tears or inflammation, affecting the connective tissues that link the muscles to the bones.
Symptoms:
Notably, discomfort and tenderness in the vicinity of the joint, particularly in the outer regions of the elbow or shoulder.
Tendinitis predominantly manifests in the shoulder and elbow joints. X-ray imaging may be employed to evaluate the presence of any underlying osseous abnormalities.
Tendinitis has the potential to induce lasting damage to the tendons. Attempting to minimize movement in the affected area may inadvertently contribute to stiffness. Prolonged and repetitive strain can escalate this initially indistinct condition, gradually resulting in fibrotic changes within the tissues and subsequent loss of elasticity. At times, alleviation of tendinitis-related discomfort can be achieved within a few weeks by providing adequate rest to the elbow or shoulder. However, in the elderly population and individuals subjecting the affected region to chronic usage, tendinitis tends to exhibit a protracted healing process, often leading to a chronic state. The progressive stiffening of ligaments and tendons within the shoulder joint can consequently impede joint mobility, clinically referred to as adhesive capsulitis or frozen shoulder.
Treatment:
Rest is a vital component of tendinitis treatment, as it allows the affected area to heal. Immobilizing the area by avoiding excessive use and providing support through the application of an elastic bandage or the use of a sling can be beneficial. Additionally, the application of cold therapy, such as ice packs, to the affected area can help alleviate pain and reduce inflammation.
Medication:
Nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin can be administered to alleviate pain and reduce inflammation. In cases of persistent tendinitis, corticosteroid injections may be recommended to provide localized relief and reduce inflammation.
Surgery:
Surgical procedures aim to repair or reconstruct the damaged tendon, restoring its function and alleviating symptoms.
Physical therapy and exercise:
After an initial period of rest, gradual and controlled movement exercises can be initiated to promote flexibility, strength, and proper healing of the tendon. Physical therapists may employ various techniques, including stretching exercises, range of motion exercises, and eccentric strengthening exercises, tailored to the specific needs of the patient.
Prevention:
Prevention strategies focus on minimizing the risk of tendinitis recurrence. These include proper warm-up exercises before engaging in physical activity to prepare the tendons and muscles, maintaining good overall physical conditioning and flexibility, using appropriate equipment and techniques during physical activities, and implementing adequate rest periods to allow for tissue recovery. It is also essential to listen to the body’s signals and avoid overuse or repetitive movements that can strain the tendons.
A comprehensive and individualized approach, incorporating both conservative measures and surgical interventions when necessary, along with targeted rehabilitation programs, can contribute to the effective management and prevention of tendinitis.
