Tendonitis 

There are many causes of tendonitis including irritation, injury, trauma,  and misalignment. Tendonitis is a form of inflammation of the tendon that gets worse with activity. Treatment is designed to determine the cause of the inflammation and establish the best method for reducing the problem. Typical treatment consists of oral anti-inflammatories, immobilization with a soft cast, splint, or walking boot and orthotics to reestablish proper alignment. If not treated properly, tendonitis may develop into Tendinosis, which is a more chronic condition.

 

Tendinosis 

Chronic tendon injuries may develop hardened, thickened nodules within the fibers, called “tendinosis”. If the normal healthy fibers in a tendon are separated, torn, or injured and not allowed to heal properly, the fibers may develop into a disorganized, degenerated tissue. This chronic thickening weakens the tendon and disrupts normal movement of the tendon, causing pain and swelling.

 

Tendinosis may occur in any tendon, but typically occurs in the Achilles Tendon after an injury and other major tendons that cross the ankle joint and insert on the foot, such as the Posterior Tibialis Tendon. Diagnosis is usually made by clinical exam and by ordering an MRI. Treatment consists of anti-inflammatory medications, ice, rest, and immobilization. Some chronic conditions may require surgery to remove the degenerated tissue and strengthen the tendon.

© Dr. Warby 2006