What is Tendonitis?
Tendons attach muscles to bone. As our muscles contract and our joints flex and extend, the tendons move backwards and forwards to allow for this movement. Tendons have a cover called a sheath that protects the tendon during the constant movements and keeps it lubricated. Tendonitis occurs when these tendons become inflamed and damaged causing pain and stiffness. Strain, overexertion, injury, repetitive movements and sudden, unfamiliar movements typically cause tendonitis. Tendonitis usually occurs in the senior populations due to the years of overuse and repetitive movements and decreasing elasticity of the tendons. Some common types of tendonitis are Rotator Cuff Tendonitis, Achilles Tendonitis, Flexor Digital Tenosynovitis, De Quervain’s Tenosynovitis, Golfers Elbow and Tennis Elbow. Some common activities that can increase a person’s likelihood to develop tendonitis are raking leaves, vacuuming, shoveling the snow, painting the house, scrubbing, tennis, golf, throwing and pitching. Improper posture both at home and at work and participating in exercise and sports without proper stretching are also known to increase a person’s chances of developing the condition.
Symptoms of Tendonitis
- Mild to moderate swelling around a joint
- Pain associated with moving the affected joint that is mild to moderate
- The affected joint is tender to the touch
How is Tendonitis diagnosed?
The diagnosis of any condition begins with a in depth health status history questionnaire, which will include a detailed account of any hobbies, sports or work related movements that might aggravate the injury, what seems to make the injury better or worse, when you first started noticing problems, and how your day to day life is affected by the symptoms.
You will then have a thorough and all-encompassing physical assessment where our Registered Healthcare Practitioner will look at your whole body but focus mainly on your affected joint.
A treatment plan is then formulated to help you get back to YOUR normal, active, healthy lifestyle.
What are my treatment options?
Physiotherapy is a non- invasive health modality where surgery would be the last possible option. The goal of any physiotherapy program is to help to reduce your pain. When your tendonitis is in its acute phase, the Registered Physiotherapist at the RNS Health & Wellness Centre will prescribe ice therapy and some form of bracing or immobilization. The Physiotherapist will instruct on some gentle stretches of the affected limb to help it maintain its range of motion. As the pain in the affected limb decreases, a stretching and strengthening program will be established ultimately finishing with eccentric exercises that will strengthen the tendons throughout their range of motion.
Chiropractic Care is another non-invasive health care modality looking at treating pain and inflammation of current injuries and preventing future injuries. The Chiropractor at RNS Health & Wellness Centre will immobilize the affected limb with bracing. A typical treatment plan for Tendinitis would include any of the following: ultrasound to help break up scar tissue, ice, TENS/ IFC, manual trigger point therapy and stretching and strengthening exercises. The Chiropractor will also assess the surrounding joints and will complete joint manipulations if it is deemed that there is impaired joint movements.
Massage therapy is a fully hands on manipulation of the body’s soft tissues. The goal of a massage therapy treatment for tendonitis is to help relieve tension and help to prevent the building up of scar tissue in the tendon. Ice therapy will usually be implemented before and after a treatment. Deep Transverse Friction Massage is the type of massage that seems to be the most beneficial for the treatment of tendonitis as it stabilizes the tendon. The Active Release Technique will also be used as it has shown to be very beneficial in reducing scar tissue in an injured tendon, muscle, ligament and/or nerve.
The RNS Health & Wellness Centre’s Rehabilitation Program
At RNS Health & Wellness Centre, we understand that everyone is different and every injury process is unique. We use YOUR rate of recovery as a guideline for our treatment protocols. We believe in utilizing an all-encompassing, multi-disciplinary approach to rehabilitation and health care. We have highly skilled, friendly and knowledgeable Healthcare Practitioners who work together as a team to help you regain your lifestyle. We treat the whole human when an injury occurs utilizing every health modalities strengths.
Our focus at RNS Health & Wellness Centre is to help you reduce your pain and inflammation using ice and/ or heat and electrical stimulation treatments such as IFC, TENS, Ultrasound and our Grade 4 Deep Tissue laser. Our therapists will have a very hands on treatment approach to your care, taking into account YOUR treatment goals. Once our Physiotherapist, Chiropractor and/ or Registered Massage Therapist deems your condition is stable, you will be introduced to our state of the art gym, where you will instructed on proper posture and body mechanics during exercises that will help you to keep you safe throughout your exercises and day to day activities. A home exercise program will be developed by the rehabilitation team at RNS Health & Wellness Centre and given to you to help prepare you to go back to work if possible and/ or to help you keep safe and healthy once discharged.