Tendonpathy Flashcards
What is tendinopathy
Pin and dysfunction in the tendon, defined as a failed healing response of the tendon. A generic description of the clinical condition associated with the overuse of tendons. Characterised with pain, reduced function and exercise intolerance
Epidemiology and risk factors of tendinopathy
Lateral/medial epicondylitis
Patellar tendon
Achiliies tendon
Rotator cuff
Rotator cuff tendinopathy
Women> men
Most common in sports/ repetitive motions involving tendons
Age
Obesity
Certain medical conditions such as RA and diabetes
Gout
Clinical presentation of tendinopathy
Pain in the affected tendon, worsens with activity
Tender to touch over the tendon and surrounding site
Swellings around the tendon
Limited ROM of the affected joint
Weakness in the muscles that use the tendon
Crepitus: cracking or popping sound
Instability
Pain at rest
Potential muscle spasm
Psychological distress
Burning
Systemic effects of tendinopathy
Chronic pain, associated with quality of life
Reduced ROM and pain may lead to muscle strains in areas that are compensating
Muscle atrophy: inactivity
Physical health; inactivity may lead to obesity, cardiovascular problems and decreased overall fitness
Pathology of tendinopathy
A degenerative condition of the tendon that is caused by overuse or injury. The degenerative changes can lead to pain and inflammation or weakness
Differential diagnosis of tendinopathy
Tendinitis, inflammation of the tendon that is caused by overuse
Tendinitis, degenerative condition of the tendon caused by chronic overuse
Bursitis, inflammation of a bursa (fluid filled sac)
“Relative to which area is affected with the tendinopathy “
Treatment of tendinopathy
Rest, ice, compression, elevation —subject to change
Physical therapy/ mobilisation
Surgical interventions
Medication
Corticosteroidal injections
