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Tendinitis may be common, but the solution to finding relief for some reason is NEVER easy!  Fortunately, fixing it can be as easy as a 5 step process!

STEP ONE:  GET THE PROPER DIAGNOSIS

Tendinitis is one of the most overdiagnosed conditions in the body!  It is also one of the most mistreated.  What research has shown over the last few decades is that tendinitis is not the tendinitis that we know.  Tendinitis is most often a DEGENERATIVE condition and rarely an INFLAMMATORY one.

This is a game changer when it comes to treatment.  The classic treatment of tendinitis with rest, ice, compression, elevation, or R.I.C.E, as the common acronym refers, could actually make you worse!  Tendinosis, a degenerative condition, is more prevalent between the 2 diagnosis’ yet less diagnosed, and treatment of the condition requires almost the exact opposite of “R.I.C.E.”  Its treatment is also a 4 step process, but doesn’t come with the fancy acronym.

It is absolutely vital that you get the correct diagnosis for the correct treatment!

For more information between the differences between tendinitis and tendinosis watch this highly informative video here.

Since we already discussed the classic treatment for tendinitis, we will finish the final four steps for fixing tendinosis, the more prevalent yet less treated condition.
STEP TWO:  REDUCE YOUR LOAD

Tendinosis, as mentioned, is degenerative.  This means the tendon is actually breaking down from overuse.  In order for proper recovery to happen a general guideline is to reduce your load by a minimum of 50%.  Each case is unique, though, so it’s important to discuss your load and current activity with your provider.

STEP THREE:  MANUAL THERAPY

As tendon breaks down, weakened, dysfunctional tendon is the result.  Adhesion is the most common, most misdiagnosed and mistreated condition in the body.  When present it also speeds of the rate of degeneration in the body by placing increased stress on muscles, ligaments, nerves, and joints.  The bad tissue has to be removed for complete resolution.  Specifically applied manual therapy is the best treatment option to break down adhesion and the degenerated tendon.

Below is a short video over adhesion.

STEP FOUR: ECCENTRIC EXERCISE

Eccentric exercise is a very specific exercise used to load a tendon.  This helps to regrow stronger, healthier tendon!  Each eccentric exercise is different for each body part.

It is important to note that this type of exercise should only be instated AFTER manual therapy has been effective at breaking down a majority of bad tissue, and it has been determined you are ready for more load to be placed on the injured area.

STEP FIVE:  BRACING

Really, this is a step that can be implemented at any time.  Sometimes bracing should be used at the onset of care.  Other times bracing is used after treatment is going slower than thought.  Depending on the amount of degeneration, tendinosis is a condition that can take more than a few weeks to cure.  Bracing helps to offer support through treatment to aid in recovery and further reduce the load being placed on the injured area.  Usually, you can get away with using a fairly inexpensive brace from a local sporting goods or department store.

Tendinitis is a real pain – often misdiagnosed and mistreated.  If you, or someone you know has been struggling to find relief from tendinitis, you may have been misdiagnosed. You should seek a second opinion.  You deserve better answers and solutions to your problem!


We do hope that you have found this post helpful!  If you or someone you know is struggling with pain and have been diagnosed with tendinitis, we encourage you to share this article with them or get a second opinion.  If you live in the Cedar Rapids/Iowa City area, we would be happy to help! 

At Thrive Spine and Sport, we specialize in the diagnosis and treatment of adhesion and overuse conditions like tendinitis and tendinosis.  Currently, we are the only full body certified Integrative Diagnosis providers in the State of Iowa.  Integrative Diagnosis is the most advanced diagnosis and treatment system for musculoskeletal pain.  To fast track your recovery, call 319-423-0925 or fill out an appointment request here.

Thanks for reading!

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