Question By: Tendonitis and tendinosis are two conditions that often get mixed up due to their similar-sounding names and shared association with tendon pain. However, they are distinct conditions with different underlying causes, symptoms, and treatment approaches. Delve into the differences between tendonitis and tendinosis to help you better understand these common tendon-related issues.
Tendonitis: The Acute Inflammation
Tendonitis, also known as tendinitis, is a condition characterized by the inflammation of a tendon. Tendons are thick, fibrous cords that attach muscle to bone, and they play a crucial role in joint movement. When a tendon becomes irritated or inflamed, it results in tendonitis.
Causes of Tendonitis:
Overuse or repetitive strain:
Engaging in activities that involve repetitive movements, such as sports or certain jobs, can lead to tendonitis.
Injury or trauma:
A sudden injury or excessive force can cause acute tendonitis.
Age-related degeneration: As we age, tendons naturally become less elastic and more prone to inflammation.
Symptoms of Tendonitis:
Pain, tenderness, and swelling in the affected area.
Pain worsens with movement or activity.
Limited range of motion.
Sometimes, a sensation of warmth or redness in the area.
Tendonitis is often referred to as an "acute" condition because it usually develops suddenly and is associated with active inflammation. The good news is that acute tendonitis typically responds well to conservative treatments like rest, ice, anti-inflammatory medications, and physical therapy.
Tendinosis: The Chronic Degeneration
Tendinosis, on the other hand, is a chronic degenerative condition of the tendon. Unlike tendonitis, tendinosis doesn't involve significant inflammation. Instead, it represents structural changes within the tendon itself.
Causes of Tendinosis:
Untreated or repetitive tendonitis:
If tendonitis is left untreated or becomes chronic, it can progress to tendinosis.
Overuse or ongoing stress on the tendon.
Poor blood supply to the tendon, which impairs its ability to heal properly.
Symptoms of Tendinosis:
Pain and stiffness in the affected area, often without significant swelling.
Pain may develop gradually and persist over a longer period.
Reduced function and strength in the affected limb.
Tendinosis is often considered a "chronic" condition because it develops slowly over time and is characterized by the breakdown of collagen fibers in the tendon. Unlike tendonitis, treating tendinosis can be more challenging. Management typically involves rest, physical therapy to strengthen the surrounding muscles, and sometimes, more advanced interventions like ultrasound-guided injections or shockwave therapy.
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