The tendonitis treatment goal is to reduce pain and to reinstall the activity. Exercise is important in the tendonitis prevention and tendonitis treatment. Tonic exercises show efficacy. Shock wave therapy stimulates the tenocytes which may be effective to treat the tendonitis. These growth factors are used for several years in tendonitis treatment to improve the cure of tendonitis. Nitric oxide applied by topical nitroglycerin is an option.
Sclerosis injections show short-term improvement. The gene therapy promises by introducing anabolic and anti anabolic factors. There have been developed reconstruction techniques to replace or repair the damaged tendons. Patients with resistant symptoms to the conservative therapy rarely require arthroscopy or surgical tendonitis treatment for the decompression of the tendon.
The tendonitis treatment options include:
Rest; in order to lower the levels of activity, there are no precise recommendation on the duration of the rest, the patients should restrict the activities that cause pain.
Ice is recommended for the first 24-48 hours
NSAIDs, (anti inflammatory nonsteroidal) are effective in relieving the pain, however, because most tendonitis are not inflammatory, it is unclear whether NSAIDs are more effective than other analgesics
Splicing or immobilization for rotator tendonitis cape
Fortified and toning exercises are performed once the pain has decreased
Low-frequency ultrasounds are not more effective than placebo studies
Peritendonitis-injections with lidocaine and steroids are options for the patients in which the sleep therapy fails, their effectiveness is still debated, and the repetitive co steroid injections should be avoided in any location as the ones directly into the tendon because there is the risk of breakage of the tendon.
There are other types of tendonitis treatment for both the proper tendonitis and Achilles tendon rupture. Before beginning these treatments, it is necessary to rest and to use analgesic medication.
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