Tendons are cords attached at parts of the skeleton. They serve as attachment bases for muscles. Their structure and composition of bundles of collagen fibers make them very resistant. They may, however, be weakened and sometimes cause pain. In this sense, intensive sports training can lead to injuries such as inflammation of the tendons, called tendinitis (or tenosites), a weakening of the tendon or even rupture. Tendinopathy is generally defined as a condition affecting the tendons.
Symptoms related to tendinopathy are:
- Pain caused by certain movements or positions using the tendon in question;
- pain upon direct palpation of the tendon;
- signs of local inflammation with warmth and sometimes redness;
- hardening of the tendon;
- limitation of joint mobility.
If passive mobilization, that is to say, made by the examiner and not by individual voluntary contraction is strictly painless while active mobilization is painful, signs point to a problem of the tendon.
Diagnosis is mainly clinical and is determined by examining the clinical symptoms of the pain. No further examination is usually necessary and X-rays do not allow a visualization of tendons. However, an ultrasound can be used to identify a suspected tendon rupture.
In most cases, the tendon pain will disappear after rest and the taking of anti-inflammatory drugs. In some cases, recourse to injections of corticosteroids to reduce inflammation and pain is necessary. Braces or splints can sometimes also be used to speed up the healing process. Surgery is rarely used in cases of tendonitis.
Simple steps can help prevent tendinitis. For example, it is recommended to take a break for 5 to 10 minutes after each hour spent in the same position, to relax muscles and stretch and especially to warm up before any physical practice.
Original article published by
. Translated by Jeff