tendonitis
Introduction
Introduction to tendonitis An inflammation of the tissue surrounding the tendon or muscle. Muscle health is a graphic structure of fibromyelitis that links muscles and bones and conducts muscles. Muscle has the ability to withstand bending, stretching and twisting. But when fatigue, fiber tears or other damage, muscle health will be inflamed. If the joint's constant movement causes the damage to develop further, the pain will be noticeable or aggravated. Most musculoskeletal can heal in about two weeks, but chronic tendinitis can last for more than 6 weeks, usually due to the time the patient has not fully healed the tendon. Diseases such as diabetes, arthritis and gout can slow healing. Routine treatment for emergency treatment of tendinitis, doctors and physical therapists recommend the use of RICE ICRE steps, that is, rest, cold compress, hot compress the affected area and raise the affected limb. Aspirin and ibuprofen can also be used to help reduce inflammation and pain. Ultrasound and sauna therapy relax muscles and tendons, improve blood circulation and promote healing. Occasionally, corticosteroids can also be used. basic knowledge The proportion of illness: 0.03% Susceptible people: no special people Mode of infection: non-infectious Complications: swelling, fracture
Cause
Cause of tendonitis
Strain damage (35%):
The cause of tendinitis is due to the traumatic and mechanical trauma caused by labor injury, resulting in long-term strain, resulting in local qi and blood stasis, meridian resistance, resulting in disease. The liver yin deficiency body membrane depends on the nourishment of liver blood, only the liver blood is filled, in order to win the gluten, so that the fascia is maintained, in order to maintain normal activities.
Disseminated gonococcal infection (15%):
In younger adults, especially women, disseminated gonococcal infection can cause migratory tenosynovitis with or without localized synovitis.
Effects of other diseases (20%):
Patients with rheumatoid arthritis and ankylosing spondylitis often have tendinitis.
The most common disease sites:
(1) Shoulder joint capsule and related tendons, ulnar wrist flexor, finger total flexor, hip joint capsule and related tendons, rope tendon and Achilles tendon, and long abductor muscle and thumb extensor muscle, they are used together A fibrous sheath. The affected tendon is generally painful during activity.
(2) Quervain disease is tenosygic or flexor hallucis tenosynovitis.
(3) biceps tendonitis is caused by inflammation of the tendon that surrounds the long head of the biceps, ie the tennis elbow.
(4) The femoral greater bursal bursitis occurs in the lateral bulge of the greater trochanter of the femur.
Prevention
Tendinitis prevention
For the prevention of this disease and for the patient to recover better after the illness, the patient can be conditioned as follows:
1. Let the muscles rest, but avoid taking too long a break to avoid muscle atrophy.
2. If the occurrence of tendonitis is caused by exercise, changing the exercise program is a method that can be considered.
3, wash the massage bath can help improve body temperature and promote blood circulation.
4, can warm the wet towel on the knees.
5, usually stretch muscles before and during exercise.
6, wear knee pads, can strengthen muscles and tendons.
7, using ice to reduce swelling and pain, but people with heart disease, diabetes or blood vessels should not be used.
8, raise the affected part can control swelling.
9, taking steroid-free painkillers can reduce inflammation and swelling.
10, rest for a while, is the best way to relieve muscle tension.
11. Prepare activities before exercise, and calm, stretch, and often change the way of exercising.
Complication
Tendinitis complications Complications, swelling, fracture
In the case of patients with this disease, if you do not pay attention to rest or treatment, because the movement of the lesions is too much, often the condition is constantly worsening, pain is its most obvious performance, the main complications in the later period include the following problem:
1, chronic swelling (gravity edema).
2, muscle atrophy.
3, avulsion fracture.
4, the joint is stiff.
5. The ligament is slack.
Symptom
Symptoms of tendon symptoms Common symptoms Joint swelling Persistent pain Joint stiffness Wrist pain Ulcer pain Tennis elbow body Skeletal muscle spasm Shoulder strain
1. Tenderness near the joint or joint, especially around the wrist or heel (herein referred to as Achilles Achilles tendon) or around the elbow (where the lesion is called the tennis elbow).
2. In some cases, numbness or tingling occurs.
3. Joint stiffness with pain limits the movement of the affected joint.
4. Occasionally the joints are slightly swollen.
5, continuous pain, tendon from the original injury after recurrence of pain or a long time later. Seek medical attention in the following situations.
Pain for 7 to 10 days is not improved. If you want to avoid conversion to chronic myocarditis, or other diseases such as bursitis, wrist syndrome or phlebitis, see a doctor.
The pain is severe and accompanied by swelling, and there may be a tendon rupture that requires immediate treatment.
Examine
Examination of tendonitis
The diagnosis of this disease mainly depends on its clinical manifestations and physical examination, often using the tendon palpation:
Palpation of tendon: palpation of the wrist muscles are mainly the radial flexor digitorum, palmar long muscle, ulnar wrist flexor; the wrist muscles are mainly the radial wrist length, short extensor muscle and ulnar wrist extensor muscle, palpation The finger muscles were examined in turn for the total extensor tendon, the extensor tendon of the index finger, and the extensor tendon of the little finger. Then, the thumb long muscles, the short extensor muscles, and the long extensors of the thumb were palpated. Pay attention to whether the muscle tension changes, whether there is tenderness, and the movement is barrier-free.
The auxiliary examination is less used, but the X-ray examination shows that the tendon and its tendon sheath have calcium deposition, which is also helpful for the diagnosis of this disease.
Diagnosis
Diagnosis and diagnosis of tendonitis
Diagnosis based on clinical manifestations and findings.
The disease needs to be differentiated from the ganglion cyst.
The ganglion cyst can occur at any age, more common in young and middle-aged, more women than men. The cyst grows slowly, round, and the diameter is generally less than 2cm. There are also sudden discoveries. A few can dissipate on their own, and they can grow again. In addition to local tumors, there were no conscious discomforts, sometimes mild tenderness, and most cases had local soreness or discomfort, affecting activities.
