Can tendinitis heal on its own without treatment?

Written by Li Jie
Orthopedics
Updated on February 15, 2025
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Tendinitis is a sterile inflammation of the tendon, manifested as localized fatigue damage to the tendon, which may involve tension, spasm, and adhesion of the tendon. Generally, there is some sterile exudation, and there may be some edema and swelling. Generally, patients with tendinitis are advised to rest initially. Some patients with milder conditions may heal on their own after resting, without treatment. However, for more severe cases, recovery may be slow and less effective if they only rest without treatment. In such cases, treatments like acupuncture, moxibustion, electrotherapy, and application of medicated plasters along with immobilization can generally achieve good results.

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Written by Li Jin
Orthopedics
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What should I do if my tendinitis is getting more painful?

When patients with tendinitis experience pain, they should first rest and avoid strenuous activities. They can also use non-steroidal anti-inflammatory drugs to relieve pain. These drugs include ointments that can be applied to the affected area, as well as oral medications that can be taken after meals for a short period to reduce inflammation and alleviate pain. Additionally, patients can use treatments such as heat application, physical therapy, and local injections, which can also effectively relieve pain. When conservative treatments are ineffective or if there is a functional impairment due to adhesions of the tendon and surrounding tissues, surgical treatment can be considered.

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Written by Lv Yao
Orthopedics
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What should be paid attention to with tendinitis?

When tendonitis occurs, the first thing to do is to rest and avoid excessive bending and extending of the tendon. Tendonitis is a sterile, chronic inflammation of the tendon due to overuse, which can lead to pain and impaired movement. It is important to avoid excessive bending and loading activities, and some physical therapy, hot compresses, and the topical application of non-steroidal anti-inflammatory drugs can be used for symptomatic treatment.

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Written by Na Hong Wei
Orthopedics
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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.

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Written by Su Zhen Bo
Orthopedics
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How is calcific tendinitis treated?

The patient suffers from calcific tendinitis, and conservative treatment can be the first choice. It is necessary to reduce the external stimulus on the local lesion and keep it warm. Apply heat treatments, frequently use spectrum meters for electrotherapy, physiotherapy devices, infrared therapy devices, and lamp treatments. Use traditional Chinese medicine washes that activate blood circulation, relieve stasis, and alleviate muscle pain for steaming and soaking. Increasing the local temperature can unblock normal circulation of Qi and blood, soften the local tendon tissues, and alleviate symptoms such as pain and swelling, and also improve the range of motion locally. If there is a clear pain point locally, closed injection techniques can be used, and small needle knife treatments can be utilized to pry and loosen the area. Alternatively, oral non-steroidal anti-inflammatory and analgesic drugs, along with strengthening functional exercises at the lesion site, can help in the recovery of the condition.

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Written by Na Hong Wei
Orthopedics
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What causes tendinitis?

Tendonitis refers to a type of sterile inflammation that occurs in the tendons and surrounding tissues due to various reasons. Its formation typically follows these four causes: First, acute injury, which usually occurs after the tendons are impacted violently, causing tears or ruptures and leading to an inflammatory reaction in the tendon and surrounding area. Second, long-term wear and tear. This is primarily seen in tendons that are repeatedly subjected to abnormal, unhealthy wear and tear, leading to increased tendon burden or instability at the attachment points, which then causes a surrounding inflammatory response. Third, increased tendon load, leading to damage in the tendon itself, and even causing tears and bleeding, forming a reactive inflammation. The final cause is due to excessively long exercise periods or overloading the tendons through exercise, causing tendon congestion and edema, and eventually leading to inflammation. This can occur in individuals who suddenly engage in heavy exercise after a period of inactivity, or athletes who train daily for extended periods without adequate rest, causing the tendons to be under constant stress. Over time, like a bowstring, this can lead to slackening or rupture, causing an inflammatory response around the tendon or in the tendon itself. Thus, tendonitis generally arises from the reasons mentioned above, often seen in chronic strain and improper posture during exercise, and less commonly from acute injuries and increased loads.