Tendonitis. Benefits of the SWT treatment in the clinic «Awatage»

Tendonitis.

Causes and symptoms. Treatment with using shock wave therapy.

Tendinitis or "jumper's knee" is an inflammation of the tendon, which occurs at the site of attachment of the tendon to the bone, can be extended to the entire tendon to the muscle. Inflammation of the tendons may occur in any joint, but most often there are tendinitis of the knee, hip, shoulder, elbow joints, as well as tendonitis wrists and feet.

Developing of tendons tendonitis for two main reasons: as a result of inadequate load (for example athletes) and as a result of age-related changes, which occur in the tendons. People older than 40 years have this problem.

Causes of tendinitis

Tendinitis is a very common disease for athletes. Occurs in those kinds of sport, which are associated with long-term sprain or strain the tendon. The reasons for these overloads are jumping, falling, traumatic landing on the feet. volleyball, basketball, tennis, jumpers, football players and athletes have most of these overload. Sometimes the symptoms of tendinitis occur in untrained men after a heavy load on the muscles while jumping or running. Tendinopathy (tendinitis is one of the names) of the patella or "jumper's knee" can occur in young people who have suffered as a child syndrome Shlyattera.

Age-related changes in the tendons are caused by a decrease in the content of elastin fibers, which provide extensibility and elasticity of tendons and increasing of the content of collagen fibers, which provide strength and ability to resist stretching of tendons.

Tendonitis can occur as a result of the rarer causes, such as:

infections, particularly those which sexually transmitted;
autoimmune diseases (rheumatoid arthritis, systemic lupus erythematosus, etc.);
diseases, which are associated with metabolic disorders (gout);
injury in the tendon.

Symptoms of tendonitis

The main symptom of tendonitis is pain. Initially, the pain occurs only at the end of a workout or after prolonged physical work. Further, the pain may become permanent. Usually the pain is dull, felt along the ligament or on either side of it. Only active movements are painful, and the same passive movements do not cause pain. Pain increases while pressing on the area of ??the location of the injured tendon. Sometimes in this area can appear swelling and muscle weakness.

With vigorous inflammation joint stiffness may occur, redness and increased temperature of the skin over the affected area. In some cases, you may receive the crunch or crepitation in the inflamed tendon. With the long-term course of the disease you can sometimes test the elastic nodules at the site of passage of the injured tendon, which is associated with the growth of fibrous tissue at the site of damaged tissue tendon. Tendonitis of the shoulder joint in some cases may be accompanied by the deposition of calcium to form dense knots, which are called calcifications. The result of tendinitis is a complete rupture of the tendon.

Diagnosis of tendinitis

Before choosing the method of tendinitis treatment is necessary to conduct an objective examination. Diagnosis of the disease is based primarily on data from the inspection. Ultrasound of the joints and surrounding tissues is used. In some cases, ultrasound is carried and X-ray to rule out other pathologies involving the appearance of similar symptoms of tendinitis. MRI of the affected area is recommended in the cases of difficult diagnosis.

Besides, for the diagnosis those points are taken into account:

provocative tests (straightening of the squatting position), up / down the stairs;
palpation of the tendon and places to attach it;
tenderness in the relaxed muscles and tension.

Conservative methods of tendinitis treatment

First of all, you need to reduce the burden on the region muscles, tendons of which are inflamed. The patient does not immobilize the limb completely, they try to avoid movements, which cause pain. Apply a variety of bandages and elastic bandage bandaging joints, near the affected tendon. Effective physiotherapy, stretching exercises and muscle strengthening, using of various simulators, which reduce the load.

Standard drug treatments, which offer ordinary clinic or hospital. They are non-steroidal anti-inflammatory drugs, which have a temporary effect and are contraindicated for long-term using. One of the complications of the introduction of steroids is degenerative change in the tendons and ligaments. In medical practice clinic "Awatage» there were treatment, after prolonged using of the above products on the unscrupulous doctors` recommendations from the other medical establishments, tendons patient actually "burn" and a year later a "treatment" has brought more harm than the disease itself. In such cases, for surgical treatment excision of the problem area tendon scar is used.

In the treatment of tendinitis is accepted to include physiotherapy treatments such as cryotherapy, magneticapiya, laser, electrophoresis, phonophoresis.

The benefits of the treatment of tendinitis shock wave therapy.

The successful using of shock wave therapy originates from the treatment of sports injuries. During the competitions and the Olympic Games method of shock wave therapy quickly, without medication (which is very important for athletes undergoing a doping control) and the absence of side effects helps with inflammation of tendons. After one or two sessions, the athletes could continue the competition.

Nowadays radial shock-wave therapy is used to treat tendinitis. The radial wave is characterized by high analgesic (Analgesic) effect and impact.

Using of radial shock-wave therapy for tendinitis thus relieving inflammation and stimulate regenerative processes in tissues. This effect can be achieved due to the fact that certain frequencies of infrasonic waves act directly on the affected area by improving blood flow and increasing the permeability of cell membranes. Due to its medicinal properties the shock wave destroys calcification and fibrosis, which were already formed. The site of action arises angeoneogenez (for the first time in medicine) - the growth of new capillaries, which allows some time to restore blood circulation and metabolism, respectively, quickly and without the side effects go through the repair and regeneration of tissues. The impact of the shock wave can be compared with an invisible experienced surgeon`s scalpel.

Shock wave therapy procedures in the clinic "Awatage" are held at the modern Swiss equipment of company Storz Medical. Also in the treatment protocol of tendinitis by shock wave therapy, we included Vibrotherapy Swiss technology «V-Actor» to act on the muscles and ligaments and improve their elasticity and resilience.

More than half of patients (and in most cases they are sportsmen), who have passed the course of shock therapy in SWT clinical "Awatage» admitted a significant reduction of pain has come down after two sessions of shock wave therapy. Nearly 80% of patients completely get away from pain after 2-3 month of treatment (the average 5 - 7 session), and only 5% of patients were not pleased by treatment (they remarked the reduction of pain, but that did not allowed them to continue training). Other ones haven`t a control surveying, because of their non-appearance.

You have to understand, shock therapy helps to avoid operation intervention. For a good results in tendonitis treatment you need a high qualificated doctor and good equipment, therefore for shock-therapy you need only a Specialized medical center. You need also to remember that a low price of shock wave therapy can testify about economy on waves quantity, lack of experience and absence of knowledge how to apply the method, as well as replacement of consumables materials in equipment. These factors have a significant influence on the outcome of treatment.

Clinic "Awatage" uses the method of shock wave therapy for more than 7 yearsand has a large experience of tendit treatment. We collaborate with Storz Medical Institutes, our doctors regularly take part in Ukrainian and foreign scientific conferences.