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| Tendinitis Classification and external resources |
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| ICD-10 | M77.9 |
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| ICD-9 | 726.90 |
| eMedicine | emerg/570 |
| MeSH | D052256 |
Tendinitis (informally also tendonitis), meaning inflammation of a tendon (the suffix "itis" means "inflammation"), is a type of tendinopathy often confused with the more common tendinosis, which has similar symptoms but requires different treatment.[1]The term tendinitis should be reserved for tendon injuries that involve larger-scale acute injuries accompanied by inflammation. Generally tendinitis is referred to by the body part involved, such as Achilles tendinitis (affecting the Achilles tendon), or patellar tendinitis (jumper's knee, affecting the patellar tendon).
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Swelling in a region of inflammation or partial tear can be detected visually or by touch. Symptoms can vary from an ache or pain and stiffness to the local area of the tendon, or a burning that surrounds the whole joint around the inflamed tendon. With this condition, the pain is usually worse during and after activity, and the tendon and joint area can become stiffer the following day as swelling impinges on the movement of the tendon. Many patients report stressful situations in their life in correlation with the beginnings of pain which may contribute to the symptoms. If the symptoms of tendinitis last for several months or longer it is probably tendinosis.
Standard treatment of tendon injuries is largely palliative. Use of non-steroidal anti-inflammatory drugs combined with rest, orthotics or braces, and gradual return to exercise is a common therapy. Initial recovery is typically within 2 to 3 days and full recovery is within 4 to 6 weeks.[2] As tendinosis is more common than tendinitis, and has similar symptoms, tendinitis is often initially treated the same as tendinosis would be. This helps reduce some of the chronic long-term risks of tendinosis, which takes longer to heal.
In chronic tendinitis laser therapy has been found to be better then conservative treatment at reducing pain. Not other outcomes were however accessed.[3]
Tendinitis injuries are common in the upper and lower limbs (including the rotator cuff attachments), and are less common in the hips and torso. Individual variation in frequency and severity of tendinitis will vary depending on the type, frequency and severity of exercise or use; for example, rock climbers tend to develop tendinitis in their fingers, swimmers in their shoulders. Achilles tendinitis is a common injury, particularly in sports that involve lunging and jumping while Patellar tendinitis is a common among basketball and volleyball players owing to the amount of jumping and landing.[4] A veterinary equivalent to Achilles tendinitis is bowed tendon, tendinitis of the superficial digital flexor tendon of the horse.
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