Tendinopathy refers to a condition where tendons become painful due to overuse, injury, or degeneration. While many cases can be managed with self-care and home treatments, there are times when medical intervention becomes necessary. Given the milder nature of symptoms, many people think that tendinopathy is not a matter of serious concern. Recognizing when to seek professional help is crucial in preventing further damage and ensuring a timely recovery. This article will guide you on when to consult a healthcare provider if you’re dealing with persistent tendon pain.

What is Tendinopathy?

Tendinopathy is an umbrella term that includes both tendinitis (inflammation of the tendon) and tendinosis (degeneration of the tendon without significant inflammation). It commonly affects individuals involved in repetitive activities, such as athletes, manual laborers, or even those who spend long hours at a computer. While mild cases can be improved with rest and over-the-counter treatments, more severe forms may require medical attention. It is advisable to have an Orthopaedic consult for accurate assessment of the condition.

When Should You Seek Medical Advice?

• Persistent Pain After Home Treatment: If your tendon pain hasn't improved after one to two weeks of rest, icing, and over-the-counter pain relief, it's time to consult a healthcare provider.
• Severe or Debilitating Pain: Tendon pain that significantly affects your ability to move, work, or perform everyday tasks should not be ignored.
• Swelling, Redness, or Heat: If you notice swelling, redness, or a sensation of heat around the affected tendon, it could be a sign of inflammation.
• Difficulty Moving the Affected Area: If the tendon pain is limiting your range of motion or causing muscle weakness, it’s important to see a doctor.
• No Response to Over-the-Counter Pain Relief: If medications don’t relieve your symptoms, or if the pain worsens despite rest and treatment, you may need a stronger treatment plan.
• Suspected Tendon Rupture: In rare cases, untreated tendinopathy can lead to a tendon rupture, where the tendon completely tears away from the bone.

Other Possible Conditions

• Arthritis: Inflammation of the joints can also cause stiffness and pain around tendons.
• Bursitis: Inflammation of the bursae (fluid-filled sacs near the joints).
• Fractures: A small crack in the bone near the tendon can cause significant pain and swelling.
• Infection: Although rare, tendons can sometimes become infected, especially after an injury.

Why Early Intervention is Important

Ignoring tendon pain can lead to serious consequences, including chronic pain, reduced mobility, and even a complete tendon rupture. Early intervention can help prevent these complications and speed up the recovery process. Most cases of tendinopathy respond well to conservative treatments, but severe cases may require additional treatments, including surgery.

What to Expect During Your Doctor’s Visit

• Physical Examination: Your doctor will assess the range of motion, swelling, and areas of tenderness.
• Imaging Tests: An ultrasound or MRI may be used to evaluate the condition of the tendon and surrounding tissues.
• Discussion of Symptoms: Your doctor will ask about the duration of your symptoms, any recent injuries, and activities that may have contributed to the pain.

Based on their findings, your doctor will recommend a treatment plan that may include:

• Physical Therapy: Targeted exercises to strengthen the tendon and surrounding muscles.
• Medications: Prescription anti-inflammatory drugs or pain relief options.
• Supportive Nutrition: Nutritional supplements that can support tendon healing.
• Injections: Corticosteroid or platelet-rich plasma (PRP) injections to reduce inflammation and promote healing.
• Surgery: In rare cases, surgery may be necessary to repair a ruptured tendon or remove damaged tissue.

Taking Control of Your Tendon Health

Living with tendinopathy can be frustrating, but with the right care, most people can recover fully and regain full mobility. By paying attention to your body and seeking medical advice when necessary, you can take proactive steps to protect your tendons and avoid long-term complications.

If you're experiencing tendon pain that isn't improving, don’t hesitate to reach out to a healthcare provider. Early intervention can make all the difference in your recovery and help you get back to your normal activities, pain-free.

(Source: BetterHealth, Victoria State Government, Department of Health, Australia)