Tendons connect muscle to bone and help move joints. Tendinopathy is an injury to the tendon. These injuries tend to occur in tendons near joints such as knee, shoulder, and ankle. The injuries can include:
The following tendons are often involved:
Tendinopathy and the associated pain may take months to resolve. You may need medication for pain relief.
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Tendinopathy is caused by overuse of a muscle-tendon unit. The strain on the tendon causes very tiny tears that accumulate over time. These tears cause pain and can eventually change the structure of the tendon.
Overuse can be the result of doing any activity too much, such as:
Tendinopathy is more common in women than in men. Factors that may increase your chance of getting tendinopathy include:
Symptoms may include:
The doctor will ask about your symptoms and medical history. A physical exam will be done.
If your symptoms are severe your doctor may need some images of the tendon and bone. Imaging tests may include:
Treatment depends on:
Talk with your doctor about the best treatment plan for you. Options may include:
Your doctor or physical therapist may recommend exercises or a rehabilitation program.
To manage pain or swelling, your doctor may recommend:
A medication call cortisone may be used. It can be injected into the sheath around the tendon.
To prevent tendinopathy:
American Academy of Family Physicians
American College of Sports Medicine
Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
Exercise-induced leg pain. American College of Sports Medicine website. Available at: http://www.acsm.org/docs/current-comments/exercis-inducedlegpain.pdf. Accessed March 18, 2013.
Mayor RB. Treatment of athletic tendinopathy. Conn Med. 2012;76(8):471-475.
Patellar tendinopathy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated November 3, 2012. Accessed March 18, 2013.
Patellar tendon tear. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00512. Updated August 2009. Accessed March 18, 2013.
10/26/2010 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance: Massey T, Derry S, Moore R, McQuay H. Topical NSAIDs for acute pain in adults. Cochrane Database Syst Rev. 2010;(6):CD007402.
Last reviewed February 2013 by Teresa Briedwell, PT, DPT, OCS
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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