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Why isn't your tendinitis getting better? Because you don't have tendinitis!
Before you run away, let me explain. Tendinitis is an EXTREMELY common diagnosis. The problem is that tendinitis is incredibly rare! Unfortunately, tendinitis is one of the most overdiagnosed and misdiagnosed conditions in the body. This means that the treatment you are receiving is not making you better – in fact, it could be making you worse!
Tendinosis, is most likely a term that you have never heard before. It's a term you will get to know if you continue to read, and may be the answer to your problem.
Tendinosis was a term started way back in the 1940's. It is a term used to describe a non inflammatory tendon condition. Tendinitis is a term used to describe an inflammatory tendon condition. Tendinitis has been proven time and time again through research to be a misnomer for several reasons. Since inflammation is the key pathological process involved with the term, while research continues to prove that there are very few inflammatory cells present in the condition, tendinosis, not tendinitis, should be the more popular term and is the CORRECT diagnosis!
Now some of you may be sitting there asking what's the big deal over a simple name change. The DIAGNOSIS has a significant impact on how the condition is treated. Tendinitis is treated often with rest, ice, and anti-inflammatories like NSAIDs and cortisone injections. Treatment of tendinosis is focused around manual therapy to eliminate degenerated tissue, eccentric exercise, and load management.
Getting the right diagnosis from the start is a VERY BIG DEAL! Mistreatment of either condition means, you get worse, not better. Unsurprisingly, research has also shown that those treating tendinitis with NSAIDS and cortisone injections are actually worse off after a year than those who did not! Why is that?
NSAIDS and cortisone are used to treat inflammation. Most cases of "tendinitis" as we discussed, aren't inflammatory! These types of drugs accelerate degeneration and weaken tendons. These are horrible options if you have been misdiagnosed.
Fortunately, better options are available for the proper diagnosis and treatment of tendinosis. At Thrive Spine and Sport in Cedar Rapids, our office specializes in the diagnosis and treatment of overuse injuries like tendinitis and tendinosis. We see patients daily who have failed to fix this issue with multiple providers and treatments. If you have been experiencing pain in the shoulder, elbow, under the glutes, knee, or ankle, have been diagnosed with tendinitis, and aren't getting better, call our office today at 319-423-0925, or schedule an appointment by clicking here.
We do hope that you have found this article to be beneficial, please share with those in need!