Inflamed Tendons (Tendonitis) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
Tendonitis is the inflammation and swelling of the enclosed or sheathed tendons.
Tendons are the strong fibrous structures that attach muscles to bones.
When these tendons become swollen or inflamed, it is termed tendonitis.
In many patients, tendinosis (tendon degeneration) is also present.
It can happen together with synovitis (inflammation of the tendons sheaths or synovium).
It can also produce stenosing tendonitis (tightened inflammation of the tendon sheaths).
Causes:
The most frequent cause is excess use of the involved tendon.
These disorders are more frequent in middle-aged adults and mostly in people who are play sports.
They may be more frequent if the work requires repetitive movements such as writing, typing or use of a computer mouse.
Some risk factors are:
1. Injury or damage to the tendon
2. Repetitive movements of finger and wrist joints
3. Arthritis of the joints may be prone to tendonitis
4. Systemic disorders such as multiple sclerosis, amyloidosis, rheumatoid arthritis
5. Tendonitis happens in families, and is normally appear more often in males than in females
6. Tendonitis can happen as a result of injury or excess use.
7. Playing sports is a frequent cause.
8. Tendonitis also can happen with aging as the tendon’s elasticity becomes loosen.
Body-wide (systemic) diseases, such as rheumatoid arthritis or diabetes, can also result in tendonitis
The main symptoms are pain, tenderness and occasionally swelling of the affected part of the tendon.
1. Pain on movement of the tendon
a. Pain and tenderness along a tendon, normally near a joint
b. Pain at night
c. Pain that becomes worse with movement or action
2. Swelling of part of the tendon affected
3. Stenosis of the tendon sheath may be present
4. Stiffness in the morning
5. Stiffness of the tendon - inability to stretch
Signs:
1. Swelling over the affected tendon
2. Passive stretching of the tendon is painful.
3. There may be local tenderness of the inflamed tendon.
4. The tendons sheaths are normally swollen and thickened
5. The tendons may become stuck in the narrowed tendon sheaths (Trigger Finger)
6. There may be crepitations over the tendon as it travels across the sheaths
There are definite tests for specific tendons.
The tendon may be inflamed, and the skin over it may be warm and red.
If an infection is the suspected cause (rare) then blood tests and other tests may be performed to find the cause of the infection.
Occasionally, if the diagnosis is not certain, the doctor may suggest:
1. Ultrasound scan
2. X-ray
3. MRI
Treatment may be conservative:
1. Rest of the tendon
2. Splints or brace
3. Cold or ice
4. Pain killers such as NSAID
5. Muscle relaxant
6. Physiotherapy
A physiotherapist will give the patient a program of exercises to slowly make the muscles of the involved tendon stronger.
This will require doing exercises that raise the load that the muscle can carry.
7. Injection of local anesthetic and long acting steroid into the affected sheath or tendon nodule may help to reduce inflammation
Surgery Treatment:
Surgical opening of the synovial sheath may be necessary for tendon release.
In rare cases, surgery is needed to remove the inflamed tissue from around the tendon.
Other treatments are also being given to treat tendonitis:
1. Shock-wave therapy
2. Autologous blood injection
Blood is taken from the patient and then injected into the region around the injured tendons.
TABLE OF CONTENT
Introduction
Chapter 1 Inflamed Tendons (Tendonitis)
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Trigger Finger
Chapter 8 De Quarvian’s Disease
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Inflamed Tendons (Tendonitis) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Inflamed Tendons
(Tendonitis)
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2017 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Inflamed Tendons (Tendonitis), Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Inflamed Tendons (Tendonitis))
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Conditions
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical conditions.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Inflamed Tendons (Tendonitis)
What is Inflamed Tendons (Tendonitis)?
Tendonitis is the inflammation and swelling