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.
In the case of Achilles tendonitis you may consult a physiotherapist who will prescribe an individualized tendonitis treatment, an exercise program for each patient:
Stretching and flexibility exercises that will help the tendon to heal without the occurrence of shortening and occurrence of chronic pain
Ultrasound and heat tendonitis treatment, improves blood circulation, helping to speed the healing process
Trans cutaneous nerve electro stimulation, reduce pain in some patients
Massage, increases the flexibility and the blood flow in the foot, preventing the occurrence of subsequent injuries
Wearing an immobilizing device at night that keeps the foot in flexion, preventing the stretching of the tendon during sleep.
If tendonitis treatment does not have the desired effect and does not reduce pain, the doctor may indicate the wearing of a restraining device (boot plaster, splints) for a period of 4 to 6 weeks allowing the tendon to heal, mandatory followed by physiotherapy and changes of the activities.
Achilles tendon ruptures treatment:
Immobilizing devices can also be used in Achilles tendon ruptures treatment, allowing the tendon to heal by immobilizing the joint. The device is to be kept up to six weeks. After removing the device is indicated physiotherapy.
Complications tendonitis includes: