How to treat tendonitis and strains?

Written by Na Hong Wei
Orthopedics
Updated on September 24, 2024
00:00
00:00

How to treat tendinitis and strain? That is, in cases with tendinitis that have also resulted in acute injury, the approach should align with treating acute injuries associated with tendinitis.

Firstly, rest and immobilization. Resting helps to prevent further injury, and immobilization allows joints or tendons time to relax, rest, and repair.

Secondly, apply ice. Ice should be applied to the injured area immediately after the injury. Typically, the first icing lasts for half an hour, followed by subsequent half-hour sessions every three hours, continuing up to 48 hours, after which it should switch to heat application.

Thirdly, immobilize the joint or tendon. Immobilization serves two purposes: first, to prevent the injury from worsening; second, to help prevent further swelling.

Fourthly, the injured limb should be elevated, raised above the level of the heart by 30 degrees.

This is the internationally renowned RICE principle for treating tendon strains and injuries, focusing primarily on four aspects: rest, ice, compression, and elevation.

Other Voices

doctor image
home-news-image
Written by Na Hong Wei
Orthopedics
1min 15sec home-news-image

Can tendinitis be treated with an injection?

Tendonitis can be treated with injections, which provide both anti-inflammatory and pain-relieving effects, often resulting in a very satisfactory therapeutic outcome. However, there are some considerations to keep in mind when performing these injections: First, the injection site must be free of infection and dermatitis; the skin must be clean and intact. Second, it is best to avoid injecting the medication near the attachment points of muscles or tendons on bones. In some cases, such as with femoral condyle osteoarthritis, injections near these points are necessary, but care should be taken not to inject directly into the attachment points to prevent tendon rupture at those sites, which are currently irreplaceable with current scientific techniques. Third, do not exceed three tendonitis injections. Many patients may recover after one or two injections, but some might go for a third if they do not feel significant improvement. If there is no noticeable benefit after three injections, or if the treatment is ineffective, the injection therapy might not be suitable for you, and other treatments should be considered. Therefore, while tendon injections can be an option for tendonitis, it is essential to apply the correct methods.

doctor image
home-news-image
Written by Na Hong Wei
Orthopedics
52sec home-news-image

Tendonitis

Tendonitis refers to a sterile inflammation of the tendon itself or its surrounding sheath caused by various reasons. The term "tendonitis" means that, firstly, the affected area is either the tendon or the surrounding tissue. Secondly, it is a sterile inflammation. The causes of tendonitis are generally the following four points: The first point is acute injury. The second point is chronic overuse. The third point is an increased load on the tendon itself, causing some micro-damage inside the tendon. This leads to inflammation due to bleeding and inflammatory irritation in the tendon or around the tendon. The fourth point involves prolonged exercise or excessive exercise load, which then leads to congestive hematoma around the tendon, ultimately leading to inflammation.

doctor image
home-news-image
Written by Na Hong Wei
Orthopedics
47sec home-news-image

What should be paid attention to for tendinitis?

Things to pay attention to for tendinitis, which occurs due to overuse of muscle fibers or repeated intense pulling. It involves internal factors, which are your own factors, and external factors. This includes the incorrect intensity of training increase, which not only brings about technical fatigue, but the training environment is also very important. Therefore, after getting tendinitis, you need to start addressing both intrinsic and extrinsic factors. Intrinsic factors mean finding a suitable exercise method based on your own situation, and not doing things you are incapable of. Extrinsic factors mean that you must pay attention to your exercise intensity, and specifically, the techniques and training environment, mainly to prevent injuries during training.

doctor image
home-news-image
Written by Na Hong Wei
Orthopedics
57sec home-news-image

How to treat shoulder tendinitis?

Shoulder tendinitis is commonly seen in supraspinatus tendinitis, infraspinatus tendinitis, and long head of the biceps tendinitis. The treatment is mainly conservative. During the acute phase of tendinitis, resting, immobilization, and wearing protective gear are recommended. Secondly, oral intake of non-steroidal anti-inflammatory drugs can be considered. Thirdly, traditional Chinese medicines can be taken orally or applied topically. Fourthly, injection therapy can be considered, which usually has good effects. Fifthly, physical therapy is an option, including heat therapy and microwave therapy, with a special recommendation for shockwave therapy, which is very effective for tendinitis throughout the body. If conservative treatment is ineffective, surgical treatment may be necessary, tailored to the specific tendon involved.

doctor image
home-news-image
Written by Na Hong Wei
Orthopedics
51sec home-news-image

How to treat tendinitis?

Treatment of tendonitis is divided into four types. The first is conventional treatment, which involves following the RICE principle during the acute phase. The second is medication, which includes the use of non-steroidal drugs and the option of local injections, but repetitive injections are not recommended as they can lead to tendon rupture, such as the rupture of the Achilles tendon often caused by such treatment. The third approach is for patients with chronic conditions where the affected area has developed adhesions and conservative treatment is ineffective. In such cases, surgical treatment should be considered, though the drawbacks include significant trauma, pain, and a long recovery period. The fourth method involves physical therapy, including heat therapy, ultrasound treatment, and microwave treatment. Thus, the basic treatments for tendonitis encompass these four approaches.