Tendonitis is able to affect the hip joint
Periarticular inflammation causes joints no less harm than injuries or degenerative destructive processes. They also severely restrict the active functioning of the joint, weakening it, introducing discomfort and pain. Traumatic pathologies( fractures, sprains, ligaments) and coxarthrosis are more common for the hip joint, but there are sometimes even more problems with TBS-tendinitis( it is also identified with tendonosis).In fact, tendonosis is associated with degenerative diseases, and not with inflammation, and may be a consequence of late arthrosis. But just like the joint, the tendon is exposed to mixed pathologies( inflammatory and degenerative): in this case there will be no fundamental difference, as we call the disease - tendonitis or tendonosis.
Basic muscles of the hip and lower extremities
Tendonitis of the hip joint is the inflammation of the tendons of the femoral muscles and iliopsoas muscle.
Tendonitis of the hip joint: because of what it happens
This pathology in TBS develops gradually for many reasons, but more often because of the chronic stress associated:
- with the impact of the feet on the surface when running or jumping;
- with multiple contraction of the hip muscles.
Tendonitis TBS is a professional athlete's disease of athletes whose constant training and competitions take place on hard surfaces.
In other people as an independent disease tendinitis of the hip joint is rare. Usually it develops as a consequence:
- arthrosis or arthritis;
- infectious or systemic inflammatory process;
- of congenital dysplasia of TBS;
- calcium metabolism disorders;
- age-related periarticular tissues;
- deficient thyroid activity.
The most commonly observed tendonitis in the upper region of the thigh, in the groin and in the pelvis, since microtraumas, fatigue tendon ruptures are mainly in place of their attachment to the bones of the pelvis and hip.
Types of tendinitis TBS
There are tendonitis of the following tendons:
- of a long adductor muscle( tendinitis of the tendon of the inguinal muscle);
- ilio-lumbar( T. flexor hip);
- straight and broad hamstrings( T. quadriceps).
- tensor of the broad fascia( T. of the abduction muscle), etc.
Symptoms of tendonitis of the hip joint
For the disease, there are some common signs characteristic of any tendinitis.
General symptoms of tendinitis TBS
- Gradual development of pain symptoms.
- Symptoms of pain disappear at initial movements, but return with repeated loads with even greater force.
- The gait changes, and soon there is lameness.
- Walking, hip bending or flexing can be heard by clicking.
The clicking femur can also be a consequence of the slippage of the tendon attachment of the gluteus maximus on the large trochanter. This phenomenon occasionally occurs in young women and usually does not cause any pain and problems.
Stages of tendonitis development
Tendonitis develops in its development in three stages:
- At an early stage, pain in the upper part of the pelvis, groin or thigh arises only after physical exertion.
- On the second pain symptoms are already felt during training, active movements and increased loads.
- In the later period, pain causes serious anxiety and burdens everyday life, arising even when walking or during a night's sleep.
Specific symptoms of tendonitis TBS
It is not always possible to easily determine which tendon is inflamed, since the hip region is the richest in muscle.
In general, we can distinguish such characteristic symptoms:
- Discomfort or pain in the groin with legs sideways and the restriction of the angle of the leg lift - such signs are peculiar to the tendonitis of the tendon of the adductor muscle of the thigh.
- Pain during walking, resting on the leg, giving to the lower abdomen and groin - a symptom of inflammation of the tendon of the ilio-lumbar muscle.
- Pain in the apex of the large trochanter and the lateral external part of the thigh indicates the tendonitis of the tendon of the abduction muscle.
- Pain in the lower part of the pelvis( anterior lower iliac bones) when bending the hip, giving up to the knee, indicate a tendonitis of the quadriceps muscle.
Calcific Tendonitis TBS
This chronic pathology is associated with the deposition of calcified masses in the tendon region of the middle and minor gluteal muscles.
Calcium Tendonitis TBC: arrow shows calcium deposition
The disease is accompanied by symptoms:
- with severe pain in the TBS region;
- by the forced position of the thigh( it is bent, withdrawn, turned inward or outward);
- with muscle cramps that restrict movement;
- is painful on palpation.
X-rays in the periarticular tissues show cloudy hazy inclusions
Treatment of tendonitis of the hip joint
You can transfer the disease by radiography, ultrasound or a more accurate examination - MRI.
Treatment is most often performed without surgery:
- The patient's hip joint should be in a state of relative rest - without active movements.
- You can apply compresses to the places of pain concentration( with the exception of calcifying inflammation of the tendons - it is treated with heat by the contrary).
- Anti-inflammatory drugs are used, and corticosteroids are injected with intense pain.
- Effective treatment with UHT( shock wave therapy), especially with calcifying tendinitis:
- is conducted from 4 to 6 sessions for 15 minutes, with breaks between them 3 to 5 days;
- energy level of shock waves - medium and high( 1500 pulses per session).
- Other types of physiotherapy are used in the form of mineral baths and therapeutic muds, which are best to take place during the sanatorium treatment.
- When the pain passes, to restore mobility TBS proceed to therapeutic gymnastics.
Surgical treatment is rarely performed - with chronic late tendinitis accompanied by severe pain:
- The most affected part of the tendon is removed.
- In calcifying pathology, calcium deposits are destroyed by a needle under anesthesia and they are then absorbed.
- If the tendon rupture occurs in the final stage of the disease, transplantation using own or donor tissues is performed.
What gymnastics are used for tendonitis TBS
For tendinitis of joints, exercises for stretching muscles help.
Performing exercise therapy is not necessary for severe pain, gradually increasing the angle of the legs and holding time in a fixed position.
After the end of the gym to avoid fatigue pain, it is recommended to lie down in a relaxed state, applying ice to the painful places.
EXAMPLES OF EXERCISES
Exercise in tendinitis of the tendon of the abducent muscle:
- Lying on one side, resting on the forearm, placing the other hand on the thigh.
- Helping the hands in the first stages, raise the upper leg upward, straining the wide fascia of the thigh.
- Lock the position in the same way as in the previous exercise.
- Over time, perform this exercise with the resistance of an elastic cord or tape.
Exercise-scratching with tendonitis of the ilio-lumbar tendon:
- On the right knee, place the left leg forward, bending it at a right angle and pressing the foot to the floor( the position of the foot - strictly under the knee or slightly ahead)
- Straighten the back, straining the stabilizing muscles.
- Feeding slightly forward of the thigh, pull the hips back, placing hands on the left knee or on the hips.
- Hold this position, then repeat scratching for the other leg.
- More complex exercises for the ilio-lumbar muscle:
- "scissors" with detachment of the waist and pelvis from the floor;
Exercise for tendinitis of the adductor muscle:
- Lying on the floor and leaning elbow, bend the upper leg and expose it in front of you, placing the foot above the knee of the lower leg.
- Pulling the toe of the lower leg toward you, slowly raise it, and then gently lower it, without laying it on the floor.
- Repeat the reciprocating motion of the lower leg, until the heat in the muscles is felt.
- Then you can lower your leg, relax, and roll over on the other side to repeat the exercise for the other leg.
- This exercise can be complicated by fixing the lower leg with an elastic band.
- Also there is another option:
- Lying on the side, put the ball between the calves of straightened legs.
- Raise and lower both legs without touching the floor.
Exercise for tendinitis of the quadriceps:
- On your knees, sit on the heel of your left leg.
- Raise the calf right leg, grab the back of the foot with your hands and pull it up until there is a noticeable tension in the quadriceps muscle.
- After fixing the position, save it as much as possible, then lower the leg and relax.
- Change the position of the legs and repeat the exercise.
Tendonitis of the hip joint can be successfully treated by controlling the load and supporting the muscles responsible for the operation of the TBS in the proper form.
Video: Exercises for stretching the leading muscles of the thigh.
Tendonitis: types, symptoms and methods of treatment
Tendonitis is a disease in which inflammation of the tendon occurs. With further development of the disease, part of the tendon, as well as nearby muscles, degenerates.
There are several disease trends:
- is chronic.
Most often, tendonitis is chronic.
Why do we need tendons?
Causes of tendinitis
Diagnosis of tendonitis
Methods of treatment
How to prevent tendonitis?
Why do we need tendons?
The tendon is a dense, inelastic stitch that connects two bones or muscle and bone to each other. The tendon consists of bundles of collagen fibers. The task of the tendons:
- to support the joint;
- accurately transmit the motion, preserving its trajectory.
Causes of the disease
Tendonitis can develop in any person, but more often they suffer sportsmen and people of manual labor. Due to high loads on the tendon, microtraumas appear on it, which leads to the development of the disease.
The main causes of the development of the disease include:
- monotonous physical labor, that is, when the load is constantly on the same zone;
- bacterial infections( gonorrhea);
- presence of rheumatic diseases( arthritis, gout and others);
- allergy to medicines;
- anatomical and physiological features of the body structure( different lengths of the lower extremities may wash the knee tendinitis);
- abnormal tendon development;
- the presence of scoliosis;
- disturbed metabolism;
- frequent physical activity.
The most common tendonitis affects the muscles:
- the first finger base;
- Achilles tendon;
- of the knee;
Tendonitis of the shoulder joint
The disease is characterized by pain in the shoulder area, the patient can hear a creak when moving the joint. The skin above the aching tendon will be red, swollen and hot to the touch. When you try to rotate the hand, the pain will be given back, along the way of the large brachial muscle.
Tendonitis of the elbow joint
The disease is called epicondylitis of the elbow joint in another way. It can be lateral and medial.
Lateral epicondylitis affects players in golf, tennis and badminton.
Pain localizes in the elbow from the outside, gives to the shoulder or forearm.
Medial epicondylitis - develops in golf players, tennis, squash, basketball. Pain occurs on the inside of the elbow.
This form of tendinitis affects people doing hard work with their hands: builders, miners. Often, the disease occurs in musicians.
Patient complaints will be on the pain in the wrist area. When you squeeze your fingers into a fist, the patient will contract more slowly. When trying to bring the little finger and index finger to the thumb, there will be a lot of pain. Tendonitis 1 finger has a similar clinic, but the pain will appear when you bring not only the little finger and the index finger, but also the big one. There are several ways to differentiate a disease. For example, when bending 1 finger, the doctor will be able to grope the very painful point. Above it you can detect swelling and local fever.
Tendonitis of the hip joint
The disease has similar symptoms with tendonitis of the knee joint. Pain and signs of inflammation are localized above the knee, so additional research is needed to establish an accurate diagnosis.
If a hip is affected, a person will complain of pain and crackling in the upper thigh. The patient will change his gait, he will begin to limp. Symptoms of the disease grow slowly.
Tendonitis of the knee joint
Several stages are distinguished during the course of the disease:
- Stage 1 is characterized by the appearance of pain only with strong physical activity. In peace, a person does not bother.
- Stage 2 is characterized by the appearance of pain after exercise or other physical activity. The pain is aching, it goes by suddenly.
- Stage 3 - pain at rest, which only increases with physical exertion. Independently does not pass or take place, reception of anesthetizing preparations is necessary.
- 4th stage - a person has a rupture of the ligament. This stage is possible if the person has not been treated properly.
Pain with a form of disease such as tendonitis of the knee joint, occurs between the knee and the upper third of the shin. From the beginning, it interferes with training, then get up off the chair, and then even walk. When looking at the knee, the doctor will detect swelling, redness of the skin. When feeling, you can feel hot skin over the site of inflammation.
At the onset of the disease, pain occurs only during exercise, then pain occurs when walking, with further development of the disease, the pain will disturb even at rest.
If you have pain in the joint area, you need to seek help from a therapist. How does the doctor diagnose "tendonitis", that is, conducts the diagnosis of this unpleasant disease?
The doctor will examine the patient area, determine the presence of edema. Important in diagnosing the disease is the ability to distinguish between tendonitis and other diseases. For example, from arthritis. When arthritis pain is a constant character, the whole joint hurts, and with tendonitis, pain occurs only with physical activity and it hurts one particular place.
Also, a doctor can prescribe a general blood test, but the changes in it will only be eaten by an infectious agent.
X-ray examination will be useful only if the joint is the deposition of calcium salts.
When performing magnetic resonance imaging, you can find a rupture of the tendon, as well as areas of degenerative changes: this most likely indicates that such tendonitis requires surgery.
At the initial stages, the patient's tendon needs complete rest and elimination of physical activity. You can apply cold to the sore spot. Also with tendinitis, it is possible to use auxiliary devices: bandage, cane, crutches, bandaging, tires, orthopedic shoes and others.
To relieve pain in the treatment of tendonitis, patients are prescribed pain medications:
To reduce inflammation - non-steroidal anti-inflammatory drugs:
- is Voltaren.
These drugs have side effects - they affect the gastric mucosa and can provoke an exacerbation of gastric ulcer. They can also affect the development of gastritis. With prolonged admission of patients, nausea, vomiting, and stool discomfort may be disturbing. Therefore, these drugs should be taken only as prescribed by the doctor.
In some cases of tendonitis, patients are given antibacterial therapy:
Antibiotics cause many complications:
- fungal diseases;
- allergic reactions.
Therefore, taking them without prescribing a doctor is prohibited. Also it is necessary to remember, that it is necessary to be treated under the scheme or plan, not breaking reception time. Since an irregular reception will not help cure the underlying disease.
In advanced cases, patients perform injections of corticosteroid hormones( prednisolone).These injections are performed both intramuscularly, and in the joint and surrounding tissues.
For patients with tendinitis, the use of laser and magnetic therapy, ultraviolet, ultrasound is indicated.
In the chronic course of the disease, paraffin and mud applications, electrophoresis with lidase, massage are prescribed.
Exercise in a disease such as tendonitis, may be performed only after the end of the acute period. Classes should include stretching and strengthening exercises.
Operations are performed with a rupture of the tendon, degenerative changes, stenosing tendinitis - when the narrowing of the blood vessels. In the presence of pus in the joint, an urgent opening and pumping it out of the tendon sheath.
Rehabilitation after surgery takes about 3 months, the patient can fully exercise the load after 4 months, after consulting with the doctor in charge. During rehabilitation, it is necessary to perform various physical exercises.
Popular treatment of
Traditional treatment of tendonitis is possible only after consultation with the attending physician. Remember that without traditional therapy it is impossible to cure the disease. Folk remedies can help reduce pain, enrich your body with various vitamins and minerals, so necessary during illness.
- Take the ginger root and the sassaparel root and crush them.1 teaspoon of the mixture you need to pour 200 ml of boiling water. Take morning and evening. It helps with diseases of the tendons and joints.
- Salt bandages well relieve pain in diseases of joints and ligaments, including with such a disease as tendonitis. In a glass of water, stir 1 spoonful of salt. Dampen the bandage and apply to the sore spot.
- Take a handful of dry berries of bird cherry and pour a glass of boiling water. Insist on a water bath for 15 minutes. Take 3 times a day. You can also use fresh berries, but take 3 times more. Sweet cherry juice contains tannins and has anti-inflammatory effect.
Any disease is better to prevent than cure. For the prevention of tendonitis do not need to perform something special. All recommendations are very simple:
- conduct a warm-up before training;
- avoid performing repetitious movements for a long time;
- try not to overwork and not injure joints and tendons;
- gradually increase the duration and intensity of the load;
- in a good time.
Tendonitis can deliver a lot of trouble. To avoid them, you need to take precautions during training or lifting heavy objects. If the disease does begin, it is better to see a doctor right away. Do not delay, because the disease can progress and worsen your condition.
Do not neglect the prescribed treatment. Strictly follow all the recommendations of the doctor and then you can restore your health and remain a healthy person.
Inflammation of the hip joint - symptoms and treatment
The musculoskeletal system of the human body wears out over time, leading to various diseases. For example, in women after the age of 40, often there is inflammation of the hip joint - symptoms and treatment of this problem depend, first, on the causes of pathology, and secondly, on the nature of the course of the disease, the duration of its progression.
Symptoms of inflammation of the ligaments and tendons of the hip joint, muscles and cartilaginous tissue
Common signs of diseases causing inflammation in the area under consideration are:
- increase in local temperature;
- pain syndrome, giving in the groin, lower back;
- redness of the skin above the joint;
- stiffness of movements;
- increased sweating;
Traditional treatment for hip inflammation
An effective therapeutic regimen can only be developed after an accurate cause of inflammation has been established. To do this, you need to pass a series of tests of urine, blood, do several X-ray and ultrasound studies, magnetic resonance imaging.
Here's what to do with inflammation of the hip joints before finding out the diagnosis:
- Relieve pain syndrome. Non-steroidal anti-inflammatory drugs will be suitable in the form of tablets, injections and local forms - Indomethacin, Diclofenac, Piroxicam, Ketorolac.
- Stop the spread of the inflammatory process( in acute course).Steroid hormones are used - Methylpred, Hydrocortisone, Kenalog.
- Restore blood circulation in a damaged joint. Used vasodilator medications - Trental, Nikospan, Theonikol.
- Protect cartilage tissue from destruction. Recommended chondroprotectors - Rumalon, Glucosamine, Artra, Arteparon.
Treatment of of hip joint inflammation with folk remedies
A good way to enhance the effect of drug therapy and alleviate clinical manifestations of pathology is rubbing on the basis of plant material.
- pine buds - 1.5 kg;
- sugar - 1,5 kg.
Sterilize the glass 3-liter jar. At the bottom pour a few pine buds, a layer of 1-1.5 cm from above sprinkle them with the same amount of sugar. Repeat until the bank is full. Insist a capacity of about 8-9 days in the refrigerator.
The resulting means to rub the sore spots, while taking it inside - 2 times a day for 3 teaspoons. To be treated 3 months.
Tendonitis( tendonosis) of the hip joint
Tendonitis is, for the most part, a disease of athletes, because they are the ones that most heavily load the joints, which contributes to microtraction. As a result, inflammation begins in the tendons, which is intensified by various factors, in particular, chronic infectious diseases or non-observance of the optimal sports regimen.
Types of hip tendonitis
When diagnosing the disease, doctors conduct a thorough examination and are scheduled to take an X-ray, go to ultrasound, and, if possible, an MRI.As a result, it turns out to find out what character defeat has, and how widespread it is. The disease can occur in different locations:
- tendon of a long adductor muscle - ligament damage leads to a strong restriction of motor activity, and pains most often occur with the leg withdrawn;
- tendon of the ilio-lumbar muscle - is diagnosed more difficult, and in addition to the characteristic pain, pain impulses may appear, which give off in the lower abdomen and across the entire surface of the thigh;
- tendons of the abject muscles - the most striking symptom is the severe pain from the outside of the thigh.
Finding the place of inflammation determines not so much the general medical therapy, but the choice of pain medications. It becomes clear where exactly the injection of directional action is needed to quickly quench the pain syndrome.
Basic principles of treatment
First of all, you need to provide the tendon with maximum rest to relieve the pain, which is sometimes impossible without the help of medications. After some time, doctors recommend starting a special gymnastics, stimulating the strengthening of muscles. It is carried out regularly and at first with minimal stress, but with the appearance of pain, it is necessary to stop training for 3-7 days, and to adhere to bed rest. Massage and various physiotherapy procedures can also be recommended.
Alternative treatment of tendonitis
In the fight against tendonitis, you can try and folk remedies that will enhance the effectiveness of traditional therapeutic measures. You can take alcoholic infusion from the walnut partitions, which is done very easily. It is only necessary to pour a glass of washed partitions of 0.5 liters of alcohol, and insist in a dark place for three weeks. You need to consume the medicine three times a day for 1 tablespoon, but you must first consult with your doctor.
Tendonitis of the hip joint is difficult to treat, and even complex therapy requires much more time, compared with lesions in the knee, elbow or shoulder joint. In addition, the joint can still be a little worried in the future, manifested by aching pains "on the weather."In order to avoid such discomfort, it is recommended to visit the sanatoriums and medical resorts annually, where you can feel the healing effect of mineral waters, mud and thermal springs.
Trochantitis: all about symptoms and treatment
Trochantritis( TX) - translates as "trochanteritis inflammation" or verbal pain syndrome or bursitis is a disease in which the gluteal muscles attach to the synovial bag that covers the large trochanter of the femoralbones. Sometimes the tendons of the surrounding muscles and ligaments become inflamed. One( one-sided bursitis) or both hip joints( bilateral syndrome) can be affected.
Species of the disease
Trochantitis of the hip joint can arise due to various reasons, therefore it is common to distinguish tuberculosis( the most common), septic and aseptic forms of the disease.
|Lesion of bones and joints with tuberculosis||Radiography in which a tuberculosis focus( several cm) is seen and specific tests for tuberculosis.|
|Septic TX||The presence of non-tuberculous microorganisms in the body, most often staphylococcus. As a rule, this is a complication of osteomyelitis or sepsis.||High temperature and fever, massive destruction of tissues.|
|Aseptic TX||Develops without the direct involvement of microorganisms due to abnormalities in the anatomical structure of the skeleton, injuries, hypothermia, high physical exertion.||Inflammation of the synovial pouch of the spit|
Symptoms and Diagnosis
The main symptoms of trochanteritis are pain( pulling or pulsating) in the area of the "breeches" of the hip joint. First, they can arise only when walking or physical exertion, then begin to appear and at rest. Moreover, during the situation - lying on the sore side, the pain intensifies. In addition, suspicion of the presence of trochanteritis will be assisted by symptoms such as:
- , the preservation of joint mobility in the presence of even intense pain,
- in the case of a tuberculous variety of the disease, swelling of the affected side of the thigh and the appearance of abscesses,
- manifestation of vegetative-vascular disorders( eg, pain) in the foot of the affectedlegs,
- appearance of the first pain after significant overload of the legs, injuries, diseases, intensive weight gain.
Doctors diagnose bursitis, pay special attention to the examination of the patient, looking for specific symptoms. These include, for example, the identification of special points on the thigh, which are very painful on palpation. A clinical blood test, rheumatic test and x-ray of the hip joints are done solely to exclude other diseases with similar symptoms.
With regard to tuberculosis and septic forms of the disease, their causes are already contained in the names themselves, and those who are prone to aseptic inflammation of the thighs( trochanteritis) should be called. The risk group includes:
- of women older than 30-35 years old, who, due to hormonal changes in the body before and during menopause, can be disturbed metabolism, including in bones, ligaments and joints;
- people who have other rheumatic diseases, osteoporosis, arthrosis, etc.;
- of those who lead a sedentary or sedentary lifestyle;
- post traumatic trochanteritis can occur in those who have suffered trauma and fall;
- people who for various reasons( pregnancy, weight gain, etc.) have increased the load on the hip joints;
- of those who have increased the physical load, especially if it was accompanied by hypothermia.
Treatment of trochanteritis
Depending on the type of trochanteritis of the hip joint, the treatment is performed using various means, usually antibiotics .
When tuberculosis TX, antituberculous drugs are used, if necessary, puncture the incurable abscess and remove the affected tissue of an isolated tuberculosis focus.
For the treatment of septic trochanitis, long doses of antibiotics are used for a long time, in serious cases, surgical intervention is possible to remove part and all of the affected trochanter of the femur.
If aseptic trochanteritis is diagnosed, the treatment is aimed at relieving inflammation and complete restoration of joint function. The package of activities can include:
- providing resting foot and easy massage;
- use of ointments and gels with joints useful for joints;
- reception of non-steroidal anti-inflammatory drugs to relieve pain and inflammation;
- physiotherapy procedures conducted on the area of inflamed tendons( laser therapy, shock wave therapy, electrophoresis, ultrasound, etc.);
- after the complete elimination of pain appoint a special set of physical exercises.
In any case, only an integrated approach can help get rid of trochanteritis, folk remedies may include, for example, the use of anti-inflammatory tinctures and ointments based on herbs. Usually these are the following herbs:
- tincture of calendula;
- tincture of sage and chamomile;
- tincture of bitter wormwood;
- other anti-inflammatory tinctures.
But always remember that appoint a treatment and follow its course should a doctor, be sure to contact a specialist.
Tendonitis: what it is and what tendons are susceptible to this disease
Inflammation of the tendons is a fairly common cause of pain and stiffness in the joints. Tendonitis: what is it, what is it and where does it come from? This disease has an inflammatory nature, but usually it does not appear on level ground. Most tendonitis is preceded by pathological processes in the constitution, and the catalyst is in most cases a trauma, an infection or a stressful situation.IMPORTANT TO KNOW!Doctors are dumbfounded! The pain in the joints is FOREVER!Just before bedtime. .. Read on - & gt;
The human body has its own wear limit .When the load is too high, microtraumas are formed, which have the property of regenerating during rest. If the joint overload becomes critical, the recovery mechanisms do not have time to fully work, and the muscles - adapt to the super-action. As a result degenerative processes begin in the place of defeat.
The most obvious and frequent reason for the formation of inflammation in the tendons is excessive and prolonged stress on the joint, as a result of which the places of attachment of muscles to the bone most suffer.
This is confirmed by the fact that this pathology is most often observed in athletes, gardeners and builders. Prerequisites for the development of tendonitis can be such factors:
- single or frequent injuries of the joints;
- is a bacterial infection that spreads through the bloodstream and affects the most vulnerable places - in this case, the elements of bone joints;
- already available rheumatic or degenerative joint diseases;
- problems with the spine, posture disorders;
- anatomical disorders in the joints resulting from degenerative processes( for example, limb shortening);
- immune and endocrine diseases;
- congenital and acquired joint dysplasia;
- neuropathies that cause muscle spasm and other disorders.
The inflammatory process that occurs when a tendonitis of the tendon of a muscle is a normal response of the body to a stimulus.
As a result of exposure to harmful agents, the immune system reacts in a special way, and certain changes occur in the focus. The purpose of complex complex work of the human body at this time is to restore the functions of the affected organ.
Symptoms of tendonitis:
- pain. Usually it is persistent and prolonged, occurs either suddenly or increases with the development of inflammation, during movement and immediately after the strain of the limb. When you feel the affected tendon by the nature of unpleasant sensations, you can determine the boundaries of the pathological process;
- edema. Formed in the focus of inflammation, trans- and exudate are secreted into the tissue, because of which the lesion site increases in size and loses its shape;
- function violation. Limitation of mobility( contracture) is due to the filling of the joint with liquid, hardening and tightening of the tendon as a result of inflammation. The limb can not fully bend-unbend or make other habitual movements up to complete immobility( ankylosis);
- creaking sound( crementation).Occurs during movement can be heard both by the patient himself and from the outside;
- local redness and fever. Observed with examination and palpation of the limb.
Tendinitis actually does not have specific specific symptoms that would distinguish it from many other pathologies of the joint or surrounding tissues.
With hardware examinations, you can trace only some characteristic signs of tendon inflammation. Therefore, differential diagnosis is very important. Methods for determining the disease:
- examination by a physician. As a result of this simple method, you can detect the presence of edema and asymmetry in the tendon area, feel the boundaries of the lesion, determine the nature and cause of the pain( active or passive movements) and restrict mobility in the joint;
- laboratory tests. Are indicative only if there is a bacterial infection or rheumatoid process;
- radiography. It is always prescribed when the above symptoms appear, both to exclude a fracture, and to determine some obvious signs: salt deposits with calcifying tendinitis, the presence of calcaneal spurs in inflammation of the Achilles tendon, as well as aseptic necrosis with tendonitis of the patellar ligament;
- computer or magnetic resonance imaging. Assigned to differential diagnosis, in case of doubt, to avoid rupture of tendons, as well as some degenerative changes;
- ultrasound examination. It can be informative to detect changes in the structure of the tendon.
Because the diagnosis of tendonitis is sometimes difficult, orthopedics use specially designed tests that can be informative only if the tendon is inflamed. For example, with differential detection of tendonitis of the shoulder, the disease is confirmed when pain is discontinued after the short-acting anesthetic is injected into the focus of the anesthetic.
The most frequent lesions of tendonitis
The inflammatory process can affect any tendon .But there are places in the human body, features of location and functional overload which cause the most frequent development of tendonitis.
In addition, the localization of the pathological focus introduces its own characteristics in the symptoms and course of the disease. Consequently, to some extent, the therapeutic measures that will be most useful for this type of pathology also differ.
Lateral and medial epicondylitis
Lateral tendinitis of the muscles, which unbend the wrists( long and short radius extensors, and also the brachial muscle), often occurs in professional athletes. The disease begins with weakness in the hand and difficulties in performing simple familiar actions.
When testing by movement, you can identify a clear focus of soreness from the outside of the elbow. Unpleasant sensations can give up - in the shoulder, or down - to the outside of the forearm.
Medial tendinitis of the tendons involved in flexion of the forearm, most often occurs in the kinds of sports under which there is a load on these muscles: golf, baseball, gymnastics. In contrast to lateral tendonitis, pain concentrates on the inside of the elbow. In the treatment of injections requires special care because of the close location of the ulnar nerve.
Inflammation of the Achilles tendon and posterior tibialis muscle
Tendonitis of the foot is a common name for inflammatory lesions of the tendon of the thumb, arch of the foot, posterior tibial muscle, and Achilles tendon.
With the help of the last muscle, the calves are attached to the calcaneus. His inflammation is characterized by severe pain when trying to stand on your toes, and when you break - it is impossible to do it.
Tendonitis of the Achilles tendon is characterized by pain along its location closer to the heel. This ailment often occurs in athletes( because of overloads when running or jumping) and women who usually wear high-heeled shoes, and then abruptly move to a flat sole.
Tendonitis of the posterior tibial muscle, or post-tibial tendonitis, is a common disease that can lead to flatfoot, as this muscle supports the arch of the foot in the correct position when walking. Accordingly, with the reverse process - the presence of flat feet - the tendon of the muscle is affected in the first place. This pathology is characterized by the appearance and intensification of pain during running and because of weight lifting.
In tendonitis of the Achilles tendon, a frequent complication is the appearance of calcaneal spurs - osteophytes, extending from the heel bone to the sole with a sharp edge. When walking, they press on soft tissues, resulting in severe pain.
Shoulder joint tendonitis
Tendonitis of the shoulder joint is a collective name for inflammation of the tendons of this joint, which includes several muscles.
Tendonitis of the shoulder develops most often after rupture of the muscular capsule, which can occur as a result of external trauma, and because of muscle damage with the bones of the joint.
The most common first is tendinitis of the supraspinatus. If it is damaged, the tendons gradually become thinner, break down and break. The main feature of this pathology location is that the volume of joint movements is not disturbed.
Normally contracture( restriction of motor activity) is caused by capsulites, synovitis and adhesive arthritis. Peritendinitis occurs when the inflammatory process involves the tendon sheath( tendon sheath) and the synovial membrane.
Wrist tendonitis is a "favorite" inflammatory disease of pianists and PC operators. It is diagnosed on the basis of tests that detect the presence of characteristic symptoms.
For example, if you try to bring together the tips of the little finger, the index finger and the thumb, a sharp pain will appear in your wrist;when the fist is bent-unbending on both hands, the affected arm will lag far behind.
In inflammatory processes in the area of the forearm tendons, the most frequent symptom is the difficulty in performing the usual actions, in particular, problems arise in retaining objects in the hands.
Tendonitis of the hips of the hip joint
Tendonitis of the hip joint is a collective name for the inflammatory process in the tendons of the congenital joint, the different localization of which, with other common signs of the disease, can give different pain symptoms. Species and signs of lesion:
- tendinitis of the tendon of the long adductor muscle is characterized by unpleasant sensations when the leg is withdrawn and the limb is severely limb;
- tendonitis of the tendons of the abducens muscles manifests itself in a severe pain syndrome in the external part of the thigh;
- tendonitis of the tendon of the ilio-lumbar muscle declares itself unpleasant sensations throughout the thigh that can give to the lower abdomen. Diagnosis is somewhat difficult due to the similarity of symptoms with other diseases in this area of the human body.
Tendonitis of knee joint
Tendonitis of the knee is most often provoked by jumping, severe overload of the joint or uneven development of its muscles. Pain with inflammation of the tendon of the knee occurs when walking, especially when you descend or climb the stairs.
Symptoms of this ailment resemble signs of sprain of ligaments or tendons, so differential diagnostics is needed to identify the true problem. Complication with tendonitis of the patellar ligament can be aseptic necrosis of tuberosity of the tibia.
With the timely treatment of tendonitis, the improvement of the patient's condition comes within 3 days of , and complete recovery is observed after 1-1,5 months. The most common complications of the disease are the rupture of the tendon and the formation of chronic fibrosis( nodes).However, the overall outlook is favorable. Treatment is conducted conservatively, surgical intervention is required in very rare cases.