Definition of tendinitis

Tendinitis is a common condition involving inflammation of a tendon, often caused by repeated strain or minor injuries. It typically affects areas where tendons connect muscles to bones, with the shoulder being a frequent site.

Symptoms and risk factors

Symptoms include pain, swelling, and a crackling or grinding sensation during movement. Risk factors include repetitive physical tasks, certain sports, and aging, which reduces the tendon’s ability to handle stress.

Managing the condition

When tendinitis occurs, it is advised to avoid activities that worsen the condition while maintaining gentle movement to prevent stiffness. Complete immobility should be avoided, as it can lead to further complications.

Diagnosis and imaging

A clinical examination and ultrasound can help identify the exact location of the issue. Additional imaging, like MRI or X-rays, may be used to rule out other conditions such as arthritis or fractures.

Rehabilitation and treatment

Physiotherapy aims to restore mobility, strength, and flexibility. Properly guided exercises stimulate collagen production in the tendon. Certain movements, like reaching behind the back, should be avoided to prevent further injury.

Dental connection

In cases of recurring tendinitis without an obvious cause, consulting a dentist may be recommended. Dental infections can sometimes trigger inflammation in the tendons, highlighting the importance of oral health.

Calcifying tendinitis

Calcifying tendinitis involves calcium deposits in the tendon, which can cause inflammation. This condition often resolves on its own, but persistent pain may require medical intervention.

Immediate relief and treatment

Cold packs and paracetamol can help manage pain initially. If symptoms last more than eight days, a doctor may prescribe anti-inflammatory medication or recommend physiotherapy.

Long-term outlook and specialist care

Most cases of tendinitis resolve within three months. If symptoms persist, consulting a specialist like a rheumatologist or sports doctor is advised to rule out other conditions such as arthritis or rotator cuff tears.

Advanced treatment options

Treatments such as corticosteroid injections or extracorporeal shock wave therapy can be effective. These are often partially covered by insurance if prescribed by a doctor, while other options like hyaluronic acid injections are usually not covered.

Rotator cuff anatomy

The rotator cuff consists of four muscles and their tendons that stabilize the shoulder joint. These tendons are prone to wear and inflammation, leading to rotator cuff tendinitis, a common form of the condition.