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- Tendonitis—An inflammation of the tendon. Although this term is used often, most cases of tendinopathy are not associated with significant inflammation.
- Tendinosis—Microtears in the tendon tissue with no significant inflammation.
- Achilles—back of heel
- Patellar tendon, which is attached to the kneecap
- Rotator cuff in the shoulder
- Biceps in the shoulder
- Wrist extensors near the elbow, on the outside
- Wrist flexors near the elbow, on the inside
- Quadriceps tendons
- Ankle tendons
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- Overuse can be the result of doing any activity too much
- Strenuous or repetitive activities
- Physical labor
- Physical problems
- Muscle imbalance
- Decreased flexibility
- Advancing age
- Alignment abnormalities of the leg
- Pain in the tenon or surrounding area, particularly with activity
- Decreased motion of related joints
- Local swelling
- Severity of symptoms
- The tendon involved
- Length of time symptoms have lasted
- Rest for the affected tendon
- Ice after activity
- Avoiding the activity that is responsible
- Cast or splint for immobilization of the affected area
- Counterforce brace over the painful tendon
- Reduce shock vibration on the joint with shoe inserts
- Shoe orthotics for foot alignment problems
- Over-the-counter pain relievers, such as acetaminophen or nonsteroidal anti-inflammatory medication (NSAIDs)
- Prescription pain relievers
- Topical pain relievers, such as creams or patches that are applied directly to the skin
- A medication called cortisone. It can be injected into the sheath around the tendon.
- Gradually work yourself into shape for a new activity.
- Gradually increase the length of time and intensity of activities.
- If you have a tendon that has been a problem, gradually stretch out that muscle/tendon unit.
- Strengthen the muscle to which the tendon is attached.
- If you have pain, do not ignore it. Early treatment can prevent the problem from becoming serious.
- Learn to back off from activities if you are tired or not used to the activity.
- Warm-up the affected area before activity.
American College of Sports Medicine http://acsm.org
FamilyDoctor.org - American Academy of Family Physicians http://familydoctor.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
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. 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. http://www.ebscohost.com/dynamed: Massey T, Derry S, et al. Topical NSAIDs for acute pain in adults. Cochrane Database Syst Rev. 2010;(6):CD007402.
4/24/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Wise JN, Weissman BN, et al. American College of Radiology (ACR) Appropriateness Criteria for chronic foot pain. Available at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/Diagnostic/ChronicFootPain.pdf. Updated 2013. Accessed April 24, 2014.
- Reviewer: Michael Woods, MD
- Review Date: 02/2014
- Update Date: 00/42/2014