Tendinosis corresponds to the process of tendon degeneration, which often occurs as a consequence of tendinitis that has not been treated correctly. Despite this, tendinosis is not always related to an inflammatory process, and it is up to the doctor to identify tendinosis based on diagnostic tests, such as ultrasound and resonance, for example.
In tendinitis there is inflammation around the tendon, while in tendinosis the tendon itself is already weakened, presenting areas of fluid accumulation and small areas of rupture that can lead to complete rupture of the tendon even with small efforts. See what the symptoms of tendonitis are.
Tendinosis most commonly affects the supraspinatus tendons, close to the shoulders; patellas, on the knees; Achilles tendon, in the heel, and the rotator cuff, also in the shoulder. Shoulder tendinosis generally occurs in athletes and people who have to keep their arms raised for a long time, as is the case with artists and teachers, for example.
The treatment of tendinosis is carried out with the aim of regenerating the joint by stimulating collagen production, in addition to rest.
Main symptoms
The symptoms of tendinosis are the same as tendonitis, and include:
- Dor local;
- Muscle weakness;
- Difficulty performing movements with the affected joint;
- Mild local swelling;
- Joint instability.
The diagnosis of tendinosis is made through magnetic resonance imaging, in which the process of tendon degradation can be observed.
Tendinosis is normally associated with the chronicity of tendonitis, which is mainly caused by repetitive movements. However, it can be the result of great muscular effort, leading to joint overload and directly compromising the tendon. Vascular involvement of the tendon itself and overuse of the joint are also common causes of tendinosis.
How the treatment is carried out
Tendinosis treatment is done with the aim of stimulating collagen production and increasing muscle strength, allowing tendon regeneration and reducing pain. In addition, the use of analgesics may be indicated to relieve pain, and several physiotherapy sessions to reduce inflammation. Anti-inflammatories are not always indicated, as in some cases there is no associated inflammation, making their use unnecessary. However, corticosteroid infiltrations can be used.
To help with tendon recovery, it is important to rest the joint, avoid immobilizing the joint, perform stretching and kinesiotherapy exercises. Furthermore, a technique that has good results when used to treat tendinosis is shock wave therapy, in which a device emits sound waves through the body with the aim of stimulating the repair of various injuries and relieving inflammation. Understand how shock wave therapy is performed.
Recovery time varies between 3 and 6 months, depending on the degree of degeneration of the tendon and whether the treatment is being carried out as recommended by the doctor.
Also find out how to prevent tendonitis before it progresses to tendinosis in the following video:
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