Chronic Tendonitis

The evolution of chronic tendonitis of the shoulder is caused partly by the repetition of acts (usually the elevation of the arm) causing the friction of the tendon, on the other hand by the poor blood supply to the tendon at this location , which makes the chronic tendonitis less effective to heal. Some even think that this chronic tendonitis is actually degeneration “normal” of the tendon with aging.

This explains the poor efficiency of the anti-inflammatory systemically: the local concentration of products arriving via the blood is not good in order to treat chronic tendonitis. Chronic tendonitis in the shoulder is not always very painful. This may be a vague discomfort in certain positions, punctuated by more free pain after repetitive efforts but still very tolerable and does not require necessarily consulting a physician.

So many people in their fifties and beyond have already weakened tendons without having many complaints so far. It is not unusual that the chronic tendonitis to be indicated by a brutal rupture, seemingly spontaneous, in fact triggered by a trivial effort on a very thin tendon.

The evolution of chronic tendonitis is in fact neglected when the tendon weakness or is ruptured. Here is a very important thing you should never do: do not ignore the pain in the shoulder, though still tolerable. Any chronic pain in the shoulder involves a conflict, perhaps with irreversible progression of your tendons. You should take the advice of a physician, specifying the best type of conflict, and will offer a real therapeutic program.

Clear at once that “prolonged pain” does not match necessarily to “botched tendon”. A classic cause of evolution of chronic tendonitis is the presence of a calcification on the surface of the tendon: that brittle formation, filed in excess of the body on the wound tendon trying to “consolidate”, occupies a certain volume and increases actually the conflict between the tendon and the arch of the acromion bone. Calcification sometimes disintegrates suddenly, its shoulder acute calcium, sometimes gradually, maintaining a chronic inflammation of the tendon to the surface without it really being spoiled: when the pain will last several months and then disappear without apparent reason. If calcification was known, a control radio shows its decrease in size or even its disappearance.

Doctors often speak of the “rotator cuff”. This is the name of the tendons that cover the head of the humerus: their principal action, it was thought in the beginning of anatomical medicine, is the rotation of the humeral head and thus the arm. In fact, they have mainly a role of maintaining the centering of the humeral head in the glenoid, the cavity of the scapula where it articulates. The glenoid surface was very small and shallow; the humeral head come out easily if the cuff tendon did not be in double ligaments. The other muscles are longer and tickers, which exert efforts rotations.

This explains that we can recover a largely normal function of the chronic tendonitis shoulder after a rotator cuff tear tendon. But there is instability of the joint that requires substantial rehabilitation work. Bicep chronic tendonitis manifests through pain before the shoulder in the bicep hole. It worsens with flexion f the shoulder. Sensitivity is present on the humeral ditch between the large and small tuberosity. Biceps resistance test result in wrist pain or at the elbow flexion at 90 degrees and the arm brought to the body.

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