What Are the Treatments for Tendonitis?

Tendons are cords of tissue within the body that connect bone and muscle. Tendonitis (also spelled tendinitis) occurs when a tendon becomes inflamed or aggravated. Adults over 40 are most likely to suffer from tendonitis. The Achilles tendon, located between the heel and calf, is especially susceptible. Other commonly affected areas are the knee, elbow, shoulder and wrist. Causes range from playing sports such as baseball and tennis to jobs that require repetitive physical movement, such as gardening and construction. Symptoms include pain, tenderness and swelling.

Rest

• Rest is critical for relieving tendonitis symptoms and allowing the area to heal. Modify your routine for at least a week, avoiding activity that requires repeated use of the injured joint. A splint or wrap can help restrict movement and relieve pain.

Medication

• Nonprescription drugs such as ibuprofen can ease pain and help reduce inflammation.

Cold Packs

• Applying ice to the area decreases swelling and promotes greater ease of movement. This treatment is better suited to acute or sudden injuries, rather than chronic cases of tendonitis. Use for 15 to 20 minutes every 4 to 6 hours for several days, or until symptoms diminish.

Steroid Injections

• If problems persist, your doctor may suggest injecting a steroid such as cortisone into the affected area. This provides more long-term management of inflammation and pain.

Therapy

• If your doctor feels you might benefit from physical therapy, there are several techniques your therapist can try, including massage, sound waves, electrical currents or exercises designed to stretch and strengthen the tendon(s).

Surgery

• When tendonitis symptoms remain after 6 to 12 months, the tendon may be torn or damaged and may require surgery to repair.