VCSST_Overuse Injuries

Tendonitis or Tendonosis?

to grow in and around the tissue, small nerves travel with them, and this is thought to partly contribute to the discomfort when the tissue is then “loaded” or used. This persistent condition may take 3-6 months of proper care to fully heal. One aspect to keep in mind when treating tendonopathies is time. All tissues take time to heal and that time is dependent, in part,on available blood supply. Tendons have poorer blood supplies as compared to muscles, which makeshealingharder. Muscle,whichhasamuch greater blood supply can take 4-6 weeks to heal fromamild-moderatestrain,whereasamoderate tendon issues can take between 3-6 months. However, simply resting and avoiding activity will not help you heal! While your pain may alleviate, your tissues will not be ready to resume activity. During that time, the best treatment is a progressive loading process including strengthening and possibly some stretching along with adequate rest, proper nutrition, stress management, and sleep!

Tendonitis is a common overuse injury among athletes as well as the general public. Common areas affected include the lateral elbow, rotator cuff of the shoulder, knee, hip, and Achilles tendon at the ankle. Every bone in the body is connected to muscles with thick fibers called tendons. Tendons are flexible and allow the body to move freely by letting bones move in various directions. While tendons are designed for active movement, if individuals do too much activity too soon or when they haven’t prepared their bodies for the type or volume of activity, injuries of overload or overuse can occur. A more generalized term for overuse injury is “tendonopathy”, which indicates any disorder of a tendon, and may be further differentiated as tendonitis or tendonosis.

occurring early on. The suffix “-itis” implies inflammation, so tendonitis is actually the acute inflammatory stage of an injury caused by repeated micro-traumas. Swelling, warmth, and redness may be present at this stage but may respond well to POLICE (Protection, Optimal Loading, Ice, Compression, and Elevation). It can resolve within 6 weeks with proper care and may respond well to NSAIDS or injections. Tendonosis is the more common and chronic type of tendonopathy which occurs when there has been repetitive stressing of a tendon without adequate time to heal. It is non-inflammatory and does not respond to NSAIDS or injections. This failed healing process is actually due to a mismatch of stress and recovery resulting in changes in the actual structure and composition of the tissue. As new blood vessels attempt

Tendonitis is one type of overuse injury typically For more information about preventing or treating pain from tendonitis, contact us. PREPARE TO SWIM IN THE WATER SAFELY!

Swimming is a great recreational sport thatcanbeenjoyedbypeople ofallages.But it’s importanttoknow how to be safe while you’re in the water. These important swimming safety tips are what you should be awareofbeforeyouheadout to the pool or beach. • Swim in designated areas supervised by lifeguards. • Always swim with a buddy; do not allow anyone to swim alone. • Never leave a young child unattended near water and do not trust a child’s life to another child; teach children to always ask permission to go near water.

• If you have a pool, secure it with appropriate barriers. Many children who drown in home pools were out of sight for less than five minutes and in the care ofoneorbothparentsat the time. • Protect your skin. Limit the amount of direct sunlight you receive between 10:00 a.m. and 4:00 p.m. and wear sunscreen with a protection factor of at least 15. • Drink plenty of water regularly, even if you’re not thirsty. Avoid drinks with alcohol or caffeine in them.

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