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Kamis, 27 Desember 2012

Tendinitis

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Tendinitis
Tendinitis

Definition  :
Tendinitis is inflammation or irritation of a tendon — any one of the thick fibrous cords that attaches muscle to bone. The condition causes pain and tenderness just outside a joint. While tendinitis can occur in any of your body's tendons, it's most common around your shoulders, elbows, wrists and heels.
Some common names for various tendinitis problems are:
  • Tennis elbow
  • Golfer's elbow
  • Pitcher's shoulder
  • Swimmer's shoulder
  • Jumper's knee
If tendinitis is severe and leads to the rupture of a tendon, you may need surgical repair. But most cases of tendinitis can be successfully treated with rest, physical therapy and medications to reduce pain.

Symptoms:
Signs and symptoms of tendinitis occur at the point where a tendon attaches to a bone and typically include:
  • Pain, often described as a dull ache, especially when moving the affected limb or joint
  • Tenderness
  • Mild swelling, possibly
When to see a doctor
Most cases of tendinitis can respond to self-care measures. See your doctor if your signs and symptoms persist and interfere with your day-to-day activities for more than a few days.


Causes:
Although tendinitis can be caused by a sudden injury, the condition is much more likely to stem from the repetition of a particular movement over time. Most people develop tendinitis because their jobs or hobbies involve repetitive motions, which put stress on the tendons needed to perform the tasks. Using proper technique is especially important when performing repetitive sports movements or job-related activities. Improper technique can overload the tendon — which can occur, for instance, with tennis elbow — and lead to tendinitis.

Complications:
 Without proper treatment, tendinitis can increase your risk of experiencing tendon rupture — a much more serious condition that may require surgical repair.

Treatments and drugs:
The goals of tendinitis treatment are to relieve your pain and reduce inflammation. Often, taking care of tendinitis on your own — including rest, ice and over-the-counter pain relievers — may be all the treatment that you need.
Medications
For tendinitis, your doctor may recommend these medications:
  • Corticosteroids. Sometimes your doctor may inject a corticosteroid medication around a tendon to relieve tendinitis. Injections of cortisone reduce inflammation and can help ease pain. However, repeated injections may weaken a tendon, increasing your risk of rupturing the tendon.
  • Pain relievers. Taking aspirin, naproxen (Aleve) or ibuprofen (Advil, Motrin, others) may relieve discomfort associated with tendinitis. Topical creams with anti-inflammatory medication — popular in Europe and becoming increasingly available in the United States — may also be effective in relieving pain without the potential side effects of taking anti-inflammatory medications by mouth.
Therapy
You might benefit from a program of specific exercise designed to stretch and strengthen the affected muscle-tendon unit. For instance, eccentric strengthening — which emphasizes contraction of a muscle while it's lengthening — has been shown to be effective in treating chronic tendon inflammation.
Surgery
Depending on the severity of your tendon injury, surgical repair may be needed.

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