tendinitis vs tendinosis

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tendinitis vs tendinosis - April 9, 2001 4:35:00 AM

henryryry

Posts: 100
Joined: September 6, 2000
From: Brisbane, Australia.
Status: offline

To all,

I want to ask whether the management of tendinits vs a tendinosis will change at all?? Are there any manual techniques or electrotherapy settings one would vary if the diagnosis was a tendinosis instead of a tendinitis.

Thank you in advance.

Henry***

Post #: 1

Re: tendinitis vs tendinosis - April 12, 2001 8:03:00 PM

chrishkpt

Posts: 23
Joined: January 29, 2001
From: hong kong SAR
Status: offline

Just want to add sth here

Are we really able to differentiate tendinitis from tendinosis clinically?
i mean no imaging is done, solely from clinical test.

(in reply to henryryry)

Post #: 2

Re: tendinitis vs tendinosis - April 12, 2001 8:54:00 PM

luizaperez

Posts: 13
Joined: March 31, 2001
From: tn
Status: offline

I usualy find for heat not a lot of heat some heat in the itis - this does not help alway, and take pressre from the tendon form tendonosis. This helps recovery length.

(in reply to henryryry)

Post #: 3

Re: tendinitis vs tendinosis - April 13, 2001 10:00:00 AM

mcap

Posts: 652
Joined: February 8, 2000
Status: offline

Henry:

Tendinosis and tendonitis are completely different clinically and they should be treated as such.

I think Tendonitis requires rest, meds, ionto, phono, stretching, etc.

Tendinosis requires repeated heavy loading. The inflammation is presumably not present anymore. The tendon is degenerated and scarred. Presumably deep friction massage and eccentric loading will cause the collagen to mature and align along the lines of stress.

A recent article in the advance claimed that PT is not so effective for tedinopathies because we treat everything like tendonitis when in most cases, it is tendinosis.

As a clinican....how do we differentiate.........not easy at all. There are no validated tests. You can look to the history for clues. If the tendon only hurts when the patient uses it, it may be tendinosis. If it aches all the time, then it may be tendonitis. Mark Laslett uses repeated motions or isometric contractions to differentiate. If the pain worsens upon repetition of a painful exercise, and stays worse.......then it is inflammed. If it subsides after exercise, then it is degenerated.

This has not been validated and we need to be careful. Treating tendonitis like tendinosis may lead to rupture!!!!

But still.....I think it is worth it to distinguish if possible and to treat accordingly.

Of course, it is only a matter of time before someone posts about how tendonitis is really dysfunction of the CNS [IMG]http://www.rehabedge.com/forums/smile.gif[/IMG]

mcap

(in reply to henryryry)

Post #: 4