What
is Tendinitis
This condition
refers to the tender swelling of tendons, the rope or cord like
structures which connect muscles to bones in order to work the joints
of the body. When any group of tendons are overused, microscopic tears
can result leading to inflammation. Even a minor contraction in the
muscle can then lead to further irritation.
In RSI, Tendinitis more commonly affects the hand, wrist, elbows and
shoulders, although it may occur at any joint in the body. Other
conditions may be linked to inflammation of the tendons, such as
Tenosynovitis and Carpal Tunnel Syndrome or it may appear under
specific names related to the area affected, for example Lateral (or
Medial) Epicondylitis (tennis or golfers' elbow).
Pain in the muscles is not Tendinitis and, by itself, it will not give
neurological symptoms such as tingling and numbness.
The Symptoms
Tendinitis results in pain and local tenderness. The thickening and
scarring may prevent the affected fingers or limbs from going through
their normal range of movements. The increase in pain and disability is
usually gradual, unless the injury is the result of sudden strain
(tearing) or a direct blow.
The Causes
The most common recognisable factor is overloading the tendon through
repetitive physical activity. Certain sports may cause discomfort and
at work it can occur from overuse of the keyboard, computer mouse or
through routine assembly line work.
The
Doctor's Examination
In the UK, GPs receive little training in the diagnosis and treatment
of musculoskeletal disorders. With a chronic case, your doctor will
ideally refer you to a specialist who has taken an interest in RSI-type
conditions, usually a rheumatologist or neurologist. Tenderness and
swelling over and around the inflamed tendon are the obvious signs that
a doctor will look for.
Treatment
Treatment by rest is only effective if the original cause is also
addressed. Tendon injuries are not conditions that can be worked
through. Tablets may ease the pain or quieten the inflammation, but the
problem will not go away unless some changes are made at work. Areas to
consider include pacing, rest breaks, reducing repetition and force,
posture and the use of ergonomically designed tools and equipment to
reduce the risk of further injury.
Tendons need only a small amount of nourishment and therefore have only
a minimal blood supply. This means that when a tendon is damaged it
heals quite slowly. Some physiotherapists treat Tendinitis with
connective tissue manipulation and manual lymph drainage reduce tension
in the affected area, improve the circulation and settle the
inflammation. A programme of personal exercises, designed to stretch
and strengthen the site of the injury, will assist with recovery.
Chiropractors and osteopaths have some expertise in this area as well.
Nutritionists may recommend taking calcium and magnesium supplements,
as they are vital for tissue and muscle repair. However it is wise to
check that any complementary therapist is a registered practitioner, in
the same way you would expect your doctor to be.
For more
information please see the 'Treatment & Managing RSI' section
of this website.
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