So, you0ve been diagnosed with tendonitis and you0ve gone through the usual types of treatment programs like physical therapy, anti-inflammatory drugs, and even cortisone shots.
What else is available?
Before we discuss the exciting new ways of managing chronic tendonitis, let0s talk about what tendonitis is0 and what it isn0t.
Tendons are thick cords of fibrous tissue that connect muscles to bones. It is this connection that allows joint motion. When muscles contract, they pull on the tendons which cause the bones to move.
In order for tendons to glide they move inside a lubricated sheath of tissue that is lined with synovial tissue. This synovial tissue is the same type of tissue that lines the inside of joints. Tendonitis occurs when the sheath through which a tendon glides becomes inflamed. This leads to severe pain. The pain usually gets worse with use of the affected joint. However, when tendonitis becomes severe, there may be pain at rest, particularly at night.
Since muscles and tendons surround most joints, tendonitis is rather common. The diagnosis of tendonitis is relatively simple for the experienced clinician. Generally, the diagnosis is made by history and physical examination. In difficult diagnostic cases, diagnostic ultrasound or magnetic resonance imaging is helpful […]

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