music playing tendonitis is an inflammatory condition of the tendon due to overuse or trauma. There’s typically some degree of microtearing within the tendon, which leads to the inflammatory cycle. Common symptoms of tendonitis are pain at the elbow, either on the inside or the outside of the elbow, with lifting, gripping, carrying activities, even with opening doors or opening or closing jars or other containers.
Tendonitis is caused by overusing the arm with gripping or lifting activities, or other things like golf or tennis, where there’s actually too much stress on the tendon where the microtrauma has occurred. And that then leads to the inflammatory cycle. Treatment for an elbow tendonitis would initially involve resting, icing, and potentially taking some antiinflammatory medications, along with potentially bracing the site to allow for rest of the area for two to three weeks. After a period of two to three weeks of rest.
To allow the initial recovery, we would want to start stressing the tendon gently. we would perform some gentle stretches in order to do that. One stretch you would perform would be to bring the arm down like this, in order to stretch the top part of the forearm muscles. We would perform 30 second stretches, two to three repetitions. And we could also perform a stretch with palm up, bringing the arm down like this, to stretch.
This side of the musculature. we would perform, again, two to three repetitions for 30 second stretches. These stretches should be performed two to three times a day in a completely pain free range of motion. Once we’ve started some pain free stretching, we can also starting stressing the tendons in a pain free way also. We could start performing some wrist extension exercises. We could perform 10 to 15 repetitions, two to three sets. Again, also in a completely pain free range of motion.
We can also perform wrist flexion. 15 repetitions, two to three sets, completely pain free. and then we can also hold the dumbbell on the end, and bring the arm down this way and this way. These should be performed one time per day, two to three sets of 10 to 15 repetitions, all maintaining pain free range. When we start the resistance exercises, a very light level of resistance should be used. One to three pounds maximum should be used. And then you can progress up from there, once.
Achilles Tendonitis Part 2 Symptoms Evaluation
(upbeat rock music) Welcome back to The Art of Medicine. Now that we’ve seen the parts list, let’s identify the symptoms of Achilles tendonitis. In general the symptoms of Achilles tendonitis are basically swelling, pain, difficulty walking,.
Difficulty going up and down stairs, not feeling good unless you have shoes on, sometimes the shoe will rub the back of the foot and they’ll start to bother your ankle and foot. They’re feeling the pain mostly behind the heel, in the back of the heel and up the back of the leg.
They’ll feel cramping and difficulty walking and pain with putting their foot to the ground. What happens to the tendon when you have Achilles tendonitis is initially it becomes just swollen. You have a condition of peritendinitis.
Where you just really the outside fibres become irritated. As time goes on, there becomes more and more swelling, more fluid goes into the area. Ultimately you get a lot of scarring in the area because the tendon itself is not very well vascularized. Achilles tendonitis pain is usually worst when you begin.
Your exercise program. It’ll be worst in the morning when you first get out of bed. It can also be worst as you go up a set of stairs. The weekend warrior athlete or the older person who has been relatively sedentary who starts up a new program can be really prone to Achilles tendonitis.
They can get overuse injuries that make it very difficult to return to what they want to do, even activities of daily living. Achilles tendonitis, in general, is the sedentary person, their Achilles tendon hasn’t been stretched, it’s working in a shortened position.
And they get into their old sneakers and they can develop a terrible overuse injury of that Achilles tendon. When we suspect Achilles tendonitis, we’re looking for pain and tenderness of the Achilles tendon either at the insertion into the heel bone or the calcaneus.
Or a little further up the tendon itself. We’re looking for a history of pain. Either in the morning or when they go up steps or when they start their activities. We’re looking to see if some shoes are more comfortable. Are they happier in an athletic shoe than they are.