Tendinitis - Treatment and Condition

Question 1

What is Tendinitis?

Answer 1

Irritation of a tendon.

Question 2

What contributing factors / Causes for Tendinitis?

Answer 2

Mm imbalances, Poor biomechanics, Lack of flexibility, Degenerative changes.

Question 3

What are the grades of Tendinitis?

Answer 3

Grades 1-4.
1, pain after activity only.
2, pain at the beginning of an activity and goes away during and returns after.
3, pain at beginning, during, and after, pain may restrict activity.
4, Pain with activities of daily living and continues to get worse.

Question 4

What is the Symptom picture for Acute Tendinitis?

Answer 4

Tenderness local to tendon,
Pain relieved with activity and progresses into pain during activity,
Inflammation Heat and swelling,
Decreased rom of the affected mm.

Question 5

What is the symptom picture for Chronic Tendinitis?

Answer 5

Pain occurs during and after activity,
Chronic inflammation, fibrosis, and adhesions are present,
Chronic swelling,
Decreased ROM and decreased strength,
Flare-ups to the Acute stage may occur with overuse,
Tendon may become disused enough that it may rupture.

Question 6

What does Testing of the AF ROM of a client with Tendinitis look like?

Answer 6

AF testing of the affected limb is usually painless.

Question 7

What does Testing of the PR ROM of a client with Tendinitis look like?

Answer 7

PR testing may reveal pain on actions that fully stretch the affected tendon.

Question 8

What Special test could be used for testing a client with Tendonitis?

Answer 8

Supra, infra and sub scap. 
Speed's for bicep. 
Mills, reverse mills, cozens. 
Finklestein for (deQuervains tenosynovitis). 
Drop arm, empty can, hawkins kennedy. 
Thompsons. 
Painful arc, Neer impingement.

Question 9

What test could be used to Differentiate between a client having Bursitis or Tendinitis?

Answer 9

You would use a Bursitis Differential test.

Question 10

How would you do Treatment of a client with Acute Tendinitis?

Answer 10

It would include:

Cold hydro applied to the affected tendon, MLD on affected limb.

Question 11

How would you Treat a client with Chronic Tendinitis?

Answer 11

It would include:
Positioning chosen for comfort,
Deep moist heat proximal to and on affected area,
Frictions are used on chronic scaring of the tendon,
Joint play used for Hypomobile joints.