Chapter 5: Tendonitis

Question 1

___________ - Painful inflammation and scarring of a tendon.

Answer 1

Tendonitis

Question 2

These structures are made up of dense, regular connective tissue in which the tissues consists of predominantly collagen fibers, arranged in bundles.

Answer 2

Ligaments and Tendons

Question 3

___________ - sheath-like tendons that attach muscle to muscle or muscle to bone, are also made up of dense regular connective tissue.

Answer 3

Aponeuroses

Question 4

The articular capsules, which form synovial joints, are strengthened by ligaments. These ligaments may be part of the fibrous capsule, in which case they are referred to as ____________ , or may be separate from them, in which case they are called _____________ .

Answer 4

intrinsic ligaments

extrinsic ligaments

Question 5

What are the common sites of tendonitis?

Answer 5

• Shoulder (rotator cuff tendons)
• Elbow (golfers or tennis elbow)
• Patella tendon
• Achilles tendon

Question 6

Signs and Symptoms of tendonitis includes all. Except:

a. Insidious onset (creeps up on you)
b. Pain varies from low grade ache only following irritating activity, to pain at the onset of activity which the patient is able to work through but returns following the activity, to finally constant pain.
c. The pain and fibrosis combines to limit range of motion
d. Lack of movement can lead to muscle atrophy
e. Hypotonicity in compensating muscle groups

Answer 6

Except: e

Correct: Hypertonicity in compensating muscle groups

Question 7

What are the assessment used to identify the presence tendonitis?

Answer 7

• Palpation for pain and tenderness
• Stretch
• Resisted action

Question 8

The following are aims or goals in the treatment of tendonitis. Except:

a. Reduce any low grade inflammation
b. Increase circulation to enhance healing of hypovascular tendon tissue
c. Reduce full range of motion and muscle strength
d. Reduce chronic inflammatory process – stop doing what irritates
e. Decrease fibrosis

Answer 8

Except: c

Correct: Restore full range of motion and muscle strength

Question 9

True or False:

The use of massage in tendonitis.

a. Work on the nerve roots of associated nerve plexus
b. Start with unaffected side, working compensating muscle groups

Answer 9

TRUE

Question 10

What are the techniques that can be used for tendonitis in the treatment of affected side?

Answer 10

• Hydrotherapy
• Breathing technique
• Lymph pump Working proximal to distal for drainage and relaxation, towards periphery of pain

Question 11

False statement regarding tendonitis when swelling subsides, or patient’s pain tolerance allows.

a. Gentle petrissage and frictions on site, progressing to deep transverse frictions.
b. Determine the fibre direction of the tendon and work at a 90 degree angle to it (work in a transverse direction)
c. You begin to work transversely for 15 seconds (up to 5 minutes) at a tolerable comfort level. If at any time during the frictioning the pain gets worse, stop. It is a sign that the underlying inflammation is still not severe for fractioning

Answer 11

False: c

correct: You begin to work transversely for 30 seconds (up to 2 minutes) at a tolerable comfort level. If at any time during the frictioning the pain gets worse, stop. It is a sign that the underlying inflammation is still too severe for fractioning.

Question 12

__________ - attach muscle to bone and _________ attach bone to bone.

Answer 12

Tendons

ligaments

Question 13

What are the home care for tendonitis?

Answer 13

a. Hydrotherapy: have them ice the area 3 times a day
b. Remedial exercises
c. Re - education : recreational or occupational repetitive action syndromes (e.g.- assembly line work)
d. Self massage to affected muscles