shin tendinitis

The disease is diagnosed through an examination and a detailed questioning of the patient. As an additional measure, the doctors use ultrasound and magnetic resonance imaging. X-rays are used less often. X-rays are ineffective in determining the cause of pain because tendon tissue does not block X-rays, but fractures can be detected. Once the doctor has determined the cause of the pain, a comprehensive treatment plan will be drawn up. Treatment Achilles tendon tendon.

Diseases of the tendons and ligaments of the lower limbs

Diseases of the periarticular soft tissues – Diseases of the tendons (tendonitis, tendovaginitis), the ligaments (ligamentitis), the attachments of these structures to the bone (enthesopathies), the synovial capsule (bursitis), the tendons and fascia (aponeurositis and fasciitis) of an inflammatory or degenerative nature, caused by direct trauma , injuries and their consequences. These are some of the most common causes of joint pain and restricted movement.

Periarticular inflammation in the shoulder. Pain and restricted movement (stiffness) in the shoulder joint are typical symptoms of this disease. It can be caused by various injuries to the periarticular structures (trauma, prolonged exercise), damage to the supraspinatus, suprascapularis, scapular and lever muscles of the shoulder joint, which form the rotator cuff of the joint.

Inflammation of the supraspinatus tendon – is the most common form of inflammation of the periosteum of the shoulder muscle. It occurs in all age groups. When the supraspinatus tendon tears (or is torn), which is more common in older people after lifting weights or an awkward fall while bracing on the shoulder, pain and limited movement are accompanied by an inability to keep the arm straight (symptom the hanging shoulder) characteristic.

Tendonitis of the biceps brachii muscle Tendonitis of the biceps brachii muscle is characterized by persistent pain in the anterolateral region of the shoulder joint, significant pain on palpation and simultaneous flexion of the elbow joint.

Epicondylitis of the humerus (Epicondylitis, tennis elbow syndrome). The most characteristic symptom is pain in the elbow joint when bending and stretching the arm and lifting an object with an outstretched hand.

De Kerwen disease Damage to the tendons of the long and short extensor muscles of the thumb at the transition to the fibula canal at the styloid process of the radial bone. It manifests itself as pain when moving the thumb and a slight swelling in the area of the 'anatomical snuff box'.

Pain in the tendon, causes, diagnosis and treatment

Tendon pain is a common symptom that has plagued everyone at some point. The most common pain points are the biceps, shoulder flexor tendon, and heel, as these are the parts of the body that are the most mobile and prone to strain and injury.

Most tendon pain is caused by overexertion, previous trauma, poor posture, and some musculoskeletal conditions such as gout or psoriatic arthritis. The level of pain can range from mild discomfort to severe and debilitating pain. Regardless of the intensity of the pain, it is advisable to consult a doctor as soon as the first symptoms appear. If the injured tissue is not protected and treated properly, the healing process cannot begin and the injury becomes chronic.

Causes of tendinitis

• Congenital and acquired joint anomalies, hypermobility syndrome, forced flatfoot;
• Age-related degenerative and dystrophic changes, calcification of the Achilles tendon;
• abrupt change in training regime or increased effort without prior adjustment;
• overweight;
• gender (males are more prone to the pathology);
• daily wearing of high-heeled shoes or unsuitable footwear for sports activities.

Another factor is the Haglund deformity, a bony and cartilaginous outgrowth at the junction of the heel bone and tendon. It causes micro-injuries and additional stretching of the ligament tissue during sport.

Read the article.

Symptoms of heel tendinitis

Characteristic manifestations of the clinical picture:

• Morning stiffness, pain when walking, bending and stretching the foot
• Pain along tendon at back of shin when moving, jumping, standing on tiptoe.
• Thickening of the ankle at the tendon, local swelling and hypersensitivity
• increased sensitivity, discomfort and pain when palpating

Classification and stages of Achilles tendonitis

Achilles tendinitis is a collective term that includes various forms of pathology:

• Insertion tendonitis – the inflammation is localized at the site of tendon insertion
• Non-inflammatory tendinitis – the inflammation occurs above the point where the tendon attaches to the heel bone.

Depending on the severity of the disease, a distinction is made between acute and chronic tendonitis. In the first form, symptoms last no more than three weeks. In the second form, the symptoms last longer than this period.

tendonitis Achilles tendinitis Achilles tendinitis

Achilles tendonitis is inflammation of the tendon fibers. It's most common in professional runners, tennis, basketball, and volleyball players because they don't control the intensity and flow of their athletic training. The disease is accompanied by the classic symptoms of redness, swelling, pain and stiffness. The pain usually occurs with exertion and subsides with rest.

The following happens during the inflammatory process: The removal of salts and metabolic products in the tissue is impaired, so that the fibers lose their strength and elasticity. When they are subjected to constant stress, cracks and microcracks appear. The tendons regenerate over time but lose elasticity and scarring, which is why early treatment is important to avoid chronic consequences.

inflammation processes Achilles tendon Achilles tendinitis

Achilles tendonitis, medically known as tendinitis, is a condition characterized by pain and impairment of the musculoskeletal system. In particular, competitive athletes who do jumps and long-distance runs are affected by tendinitis. Other causes of tendinitis include:

• increased physical activity without prior preparation;
• falls from a great height;
• the development of achillobursitis;
• heel bone injuries;
• wearing tight shoes or heels;
• Infectious tendinitis;
• heel spur;
• Rheumatoid arthritis;
• Gout;
• Diabetes.

The symptoms of the disease are classic: a burning pain that increases with movement and in the morning. It may be accompanied by flaccidity, stiffness, swelling, and fever. It often occurs in conjunction with inflammation. Crack Achilles tendon rupture of the tendonIf left untreated, can develop into muscle wasting. It is worth remembering that tears are not repairable and must be repaired surgically.

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What happens to a muscle when it is overstretched?

Primarily by a key signal of overstretching - sharp or increasing, throbbing pain. The hallmark of the latter overextension syndrome is that it increases with any activity of the injured leg and decreases with complete inactivity of the muscle.

• redness of tissue;
• Subcutaneous hematoma or bruising may occur;
• Local temperature increase (the skin becomes hot and throbbing at the site of the sprain);
• swelling of the leg.

How can a muscle be distinguished from a ligament?

An important task for the trauma surgeon when dealing with complaints about a dislocation of the muscle tissue in the leg is to distinguish correctly and quickly between muscle fiber and tendon dislocations. There is no difference in difficulty: the same three levels from easy to hard. In contrast, the response to a muscle strain is not as complex and complicated as with joint components.

To diagnose a dislocation, an objective examination is carried out (the doctor can already draw the first conclusions from the appearance of discomfort in the leg). At the next stage, an ultrasound scan of the part of the leg where the dislocation is located is done to monitor the inflammation. Radiological monitoring is indicated for severe soft tissue injuries in the leg.

Pain treatment - self and professional

The treatment of muscle injuries should initially be carried out independently by the patient or his environment. Initial treatment of the leg:

• immobilize;
• position leg over upper body;
• apply cold
• administer painkillers;
• ' Pinch the fibers of the injured muscle with a compression bandage to prevent inflammation and reduce leg swelling.

If after 2-3 days the pain has subsided and the swelling of the muscle has decreased, warming baths can be used. On the 4th and 5th day you can gently massage the muscle, apply special patches (tapes) and do exercises.

If the leg still hurts badly, changes in the muscle are visible (swelling, pulsation), the swelling does not go down - consult a traumatologist. The physical therapist will prescribe an individual therapy program, appropriate pain medication, and a referral for physical therapy. Acupuncture, acupuncture, and kinesio taping are commonly used to relieve the symptoms of the condition.

Muscle recovery usually takes between 2 weeks and a month. With appropriate support (massage, compresses, LOP), the strain has no consequences.

Causes of tendinosis

A tendon is a bundle of connective tissue with a fibrous, elastic structure attached at one end to a muscle and the other to a joint. When a muscle contracts or relaxes, the ligaments also contract and stretch, allowing the muscles to transmit movement impulses to the joints. Pathological changes in the ligaments begin at their attachment points on the cartilage of the joint heads.

It is very difficult to diagnose tendinosis in the early stages. Patients do not report these symptoms to their doctor, thinking that muscle and ligament pain are normal signs of fatigue after heavy physical work.

The main cause of tendinosis is overloading of the ligaments, which leads to micro-tears in the ligament fibers. Other triggers are:

• infections of various kinds;
• autoimmune diseases;
• arthropathies of various etiologies;
• degenerative joint diseases;
• Congenital and acquired defects of the musculoskeletal system – joint dysplasia, clubfoot and flatfoot.

According to ICD 10 (International Classification of Diseases, 10th version), tendinosis belongs to the class of diseases of the musculoskeletal system and connective tissue. It is included in the subgroup 'Other soft tissue disorders' with codes M70 to M79.

Interesting!!!

Untreated tendinosis can lead to serious complications – ligament deformities, muscle wasting and claudication.

Types and symptoms of tendinosis

Tendinosis of the tendon most often occurs in the joints of the arms and legs, since the upper and lower limbs are most stressed during movement. Tendinosis of the supraspinatus tendon is one of the most common and difficult to treat weightlifting injuries.

It can take different forms in the leg joints, such as:

• Tendinosis of the hip – the tendons of the adductors and adductors of the thigh, the trochanter of the thigh bone and the iliopsoas muscle are damaged;
• The patella tendon is a disease of jumpers and people who have to stand on their knees for a long time due to their job;
• The ankle tendon is the most common form of pathology.

It is a pathology of the ankle that occurs in different forms:

• tendinosis of the plantar fascia, or inflammation of the plantar fascia (the wide, dense band that supports the arch of the foot and runs from the crest of the heel to the head of the metatarsal bone);
• tendonitis of the heel bone;
• Tendonitis of the heel bone with osteophytes (bony growths commonly referred to as heel spurs);
• Tendinosis of the Achilles tendon, which connects the calf muscle to the biceps muscle.

The main symptoms of tendinosis include pain, swelling and redness of the skin around the tendon, deformation of the tendon attachment point and thickening that is visible on palpation of the tendon. Symptoms also depend on the location of the anomaly - a symptom of heel tendinosis is pain in the heel when walking and when trying to stand on your toes.

A word of warning!!!

At the first sign of a heel tendon, you should see your doctor as soon as possible. Otherwise, there is an increased risk of developing ossifying tendinosis, in which the ligaments become calcified and their elasticity and strength is compromised.

Treatment

Tendonitis can be treated either on an outpatient or inpatient basis. Therapy is tailored to each patient individually, depending on the causes, symptoms and degree of neglect of the pathology.

Conventional treatment includes prescribing the following drugs:

Additional medication can only be prescribed by a doctor.

If fluid accumulates in the joint cavity, the patient must undergo LP. If the tendinitis is associated with infection and pus accumulation, the person will need surgery.

Important!!! The treatment of ankle tendinitis must be done under the careful supervision of the attending physician. It is extremely dangerous to conduct uncontrolled therapy with the help of herbs or unproven folk remedies. You should always coordinate all your actions with your doctor to avoid complications.

Treatment with shock wave therapy

If the tendinitis is not very complicated, it can be treated with shock wave therapy. With this technique, acoustic waves with a specific frequency are used in a targeted manner.

The benefits of shock wave therapy are.

• an effective non-surgical treatment;
• quick pain relief;
• Treatment without the use of drugs
• speed of treatment (no more than 20 minutes);
• high effectiveness;
• no pain during the procedure;
• low risk of side effects.

Tendonitis is a serious condition that requires careful treatment. At the first suspicion of this type of lesion, it is worth immediately consulting a doctor before the disease causes dangerous complications.

types of injuries

tendon injuries – The tendon is dislocated or torn. A strain is caused by excessive stress, e.g. B. through sport or physical work. Pathological strains can also be distinguished. These are caused by osteoarthritis, arthritis, or osteoarthritis, where the tendon loses strength. If the tendon is stretched more than half of its thickness, it is called a rupture.

From an orthopedic point of view, the ruptures are particularly dangerous. They appear in the form of:

• Open rupture. It occurs as a result of an open injury - fracture, cut, etc. In addition to the tendon, nerves and blood vessels are also damaged;
• closed. After injury, the skin remains intact.

Depending on the localization, a distinction is made:

diagnosis

Tendon injuries of the extremities are primarily diagnosed by anamnesis. The main symptoms are:

• characteristic cracking and sharp pain at the site of the tear at the time of injury;
• swelling of the injured area;
• impairment of motor function. With a torn toe tendon, the person cannot flex or straighten the finger, with an Achilles tendon injury, they cannot stand on the toe, etc.;
• Deformity or numbness of the limbs and fingers.

Doctors prescribe tests to confirm the diagnosis:

The main causes are.

• Heavy and frequent physical exertion, overwork. This is common among professional and amateur athletes who do insufficient training.
• Lack of pre-exercise warm-up and cool-down, resulting in muscles not being properly prepared and warmed up before exercise.
• Previous tendon injuries without proper treatment or lengthy self-treatment.
• Scoliosis and other postural abnormalities that lead to increased stress on musculoskeletal structures, including tendon fibers.
• Systemic connective tissue and metabolic diseases, e.g. B. systemic lupus erythematosus, arthritis with psoriasis and other pathologies.

Depending on these causes, the patient can develop various pathologies on the tendons: tendinosis, tendonitis or tendonitis.

Tendinosis leads to dystrophic changes or hypertrophy of the connective tissue in the tendon fibers. In tendinitis, the connective tissue membrane adjacent to the tendons becomes inflamed, causing severe pain. Tendonitis is a disease characterized by acute inflammation and degenerative changes.

pain in the leg

Tendon pain that occurs with walking is common in athletes. It is associated with microtrauma of the tendon fibers that resolves spontaneously within 1 to 2 days with normal recovery. In some cases, the pain syndrome persists. In such cases, those affected are advised to consult a doctor.

Unpleasant tendon sensations often occur with prolonged immobilization of the leg. For example, after wearing a cast after an injury. Then areas with connective tissue hypertrophy form in the tendon fibers, which restrict mobility and become noticeable through pain.

The doctors at the clinic of Dr. Long have extensive experience in eliminating leg pain. A comprehensive approach is always followed. This includes the use of therapeutic massage, kinesitherapy and osteopathy. Through a series of carefully selected techniques, it is possible to restore the structure and function of the tendon and prevent the development of recurrent pathology.

What are the causes of a hamstring rupture?

This injury is very common in athletes. It is most common on fast starts and to a lesser extent on proper starts. The problem most commonly occurs when the foot is hyperextended, such as when sprinting.

Injury can also occur when the quadriceps are hyperextended at the same time as the adductors, or when vigorously starting an activity without adequate warm-up.

Some people have an underdeveloped hamstring, which predisposes them to this injury.

Other sports where a hamstring rupture can occur include basketball, soccer, rugby and tennis.

What are the first steps to take?

If the pain in the back of the shin is severe or you are unable to straighten your leg while walking, you should see your doctor for appropriate treatment.

Stop the activity causing the pain and place an ice pack on the back of the thigh as soon as possible.

Rest the legs for one to three weeks depending on the severity of the injury. Repeat application of ice packs at least once a day for 2 to 4 days after cessation of activity; this will reduce the pain and swelling.

Putting an elastic bandage around the thigh during exercise relieves pressure by compressing the quadriceps and hamstring tendons. In any case, keep your legs slightly elevated and stretched forward.

Do not resume physical activity until the pain has subsided. Gently and gradually bend and straighten the leg. Under the guidance of a physical education instructor or physical therapist, perform exercises to strengthen the tendons and quadriceps.

With strict observance of rest periods and recovery exercises, no long-term consequences are to be expected.
To avoid recurrence, you should warm up sufficiently before exercising and work the muscles in the problem area.

• supporting muscle.
• Heel bone tendon sac in Latin.
• Lamb Muscle Soreness.
• shin tendon.
• tendons of the ankle.
• Long fibula muscle.
• muscles and tendons of the foot.
• Anatomy of the heel bone.