Symplicured

Musculoskeletal

Tendinitis

Also known as: Tendinitis (Tendonitis)

Tendinitis is inflammation or irritation of a tendon — the thick fibrous cords that attach muscles to bones. It commonly affects the shoulders, elbows, wrists, knees, and heels.

Understanding Tendinitis

Tendinitis is one of the most common causes of musculoskeletal pain, particularly in adults over 40. Common types include tennis elbow (lateral epicondylitis), golfer's elbow (medial epicondylitis), Achilles tendinitis, patellar tendinitis, and rotator cuff tendinitis.

Tendons naturally lose elasticity and develop micro-tears with age and repetitive use. When the rate of damage exceeds the body's ability to repair, inflammation and pain develop. Some experts now prefer the term 'tendinopathy' to reflect that chronic cases involve degeneration rather than pure inflammation.

Most cases resolve with rest, ice, and progressive rehabilitation. Chronic tendinitis may require more advanced treatments.

Common Symptoms

People with Tendinitis often experience the following symptoms.

Localised Pain

A dull ache at the tendon site that becomes sharp with movement or activity, often described as 'just where the muscle meets the bone'.

Tenderness

The tendon is painful to touch or press, and the surrounding area may feel warm.

Stiffness

The affected joint feels stiff, especially in the morning or after periods of inactivity.

Crepitus

A crackling or grating sensation when the tendon moves, sometimes audible, indicating roughening of the tendon surface.

Risk Factors

Certain factors may increase your likelihood of developing Tendinitis.

Repetitive motions

Age over 40

Sports with repetitive movements

Poor workplace ergonomics

Treatment Options

Common approaches to managing tendinitis. Always consult a healthcare provider for personalized treatment.

RICE Protocol

Rest, Ice, Compression, and Elevation during the acute phase to reduce pain and swelling.

Physical Therapy

Eccentric strengthening exercises are particularly effective for tendinitis, gradually loading the tendon to promote healing and remodelling.

Anti-Inflammatory Medications

NSAIDs like ibuprofen can help manage pain and inflammation in the acute phase but should not be used long-term.

Corticosteroid Injection

May provide short-term relief for severe cases but is used sparingly as repeated injections can weaken the tendon.

How It's Diagnosed

Diagnosis is primarily clinical, based on the location and pattern of pain, physical examination findings, and aggravating activities. Imaging (ultrasound or MRI) may be used to confirm the diagnosis and assess the severity of tendon damage.

When to See a Doctor

See a doctor if pain persists beyond a few days of rest, if you cannot move the affected joint, or if the area becomes red, warm, and significantly swollen.

Prevention Strategies

Steps that may help reduce the risk of developing or worsening tendinitis.

Warm up properly before exercise

Use correct technique and ergonomics

Strengthen supporting muscles

Gradually increase activity intensity

Potential Complications

If left untreated or poorly managed, tendinitis may lead to:

  • Chronic pain if not properly treated
  • Tendon rupture
  • Calcific tendinitis
  • Limited range of motion

Frequently Asked Questions

How long does tendinitis take to heal?

Acute tendinitis typically improves within 2–4 weeks with proper rest and treatment. Chronic cases may take 3–6 months of consistent rehabilitation to fully resolve.

Should I rest completely or keep moving?

Complete rest may actually slow healing. Relative rest (avoiding aggravating activities) combined with gentle, progressive exercises is generally more effective.

Is tendinitis the same as a tendon tear?

No. Tendinitis involves inflammation or degeneration of an intact tendon. A tendon tear is a partial or complete rupture that may require surgical repair.

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Tendinitis — Symptoms, Causes & Treatment | Symplicured | Symplicured