Types of Tendinopathy

When the collagen in the bones breaks down, patients develop tendinopathy. The condition is also referred to as tendinitis. The breakdown of collagen can happen by overusing the muscle and tendon. This overuse causes a strain to occur which in turn changes the structural makeup of the tendon. Although tendinopathy does not improve over time, there are multiple ways in treating the pain, stiffness, or loss of strength in the affected area. Exercise is always recommended and passive treatments such as massage, therapeutic ultrasound, injections, and shock-wave therapy.

At CSSI, we have found that PRP is the most effective. The process involves drawing blood and extracting platelets + plasma that is then injected into the affected area. It’s a preferred treatment option for tendon injuries and joint pain. Not only does PRP help with the pain, but it also has healing agents that can aid in recovery.

According to Physio Works, tendinopathy commonly occurs in 3 areas of the body: tendon insertion, mid-tendon, musculotendinous junction. Tendons are tough fibers that connect the muscle so, with repetitive movement, the fibers become strained. Tendinitis is accompanied by mild inflammation which is incidentally a normal tendon’s response to healing an injury. When the movement becomes excessive, the body’s ability to heal, and the reoccurrence of the injury cannot catch up.

Common Types of Tendonitis

• Lateral Epicondylitis Tendinopathy– also referred to as tennis elbow occurs with repetitive motion and overuse of elbows. It involves the extensor muscles of the forearm.
• Achilles Tendinopathy– Signs include pain, swelling, and stiffness of the Achilles tendon. The result of repeated, small injuries that accumulate over time to develop tendinopathy of the Achilles.
• Patellar Tendinopathy– Occurs as a result of activities related to storing and releasing energy in the patellar tendon. A common complaint is pain in the anterior, or front of the knee. If treated in a timely manner, it can be cured within 6 weeks.
• Quadriceps Tendinopathy– These tendons are found right above the patella (knee). Quadriceps Tendinopathy is an inflammation of the tendons in your thighs (quadriceps). With nonsurgical procedures and physical therapy, it can heal in approximately 6 weeks.
• Rotator Cuff Tendinopathy- Also referred to as Shoulder Tendonitis or Impingement syndrome and is recognized by an inflammation of the tendons and muscles that support your shoulder.
• Gluteal Tendinopathy- This type of tendonitis can be debilitating with severe pain in the hips. It is often described as tenderness or constant aching over the area. The pain can sometimes radiate into the upper thighs.