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Tendinitis, also spelled tendonitis, is a condition that occurs when a tendon becomes inflamed, irritated, or swollen. Tendons are the thick cords that connect muscles to bones, and they are responsible for transmitting forces from muscles to bones to produce movement.

Tendinitis can occur in any tendon in the body, but it is most common in the tendons of the shoulder, elbow, wrist, knee, and ankle. It is usually caused by repetitive overuse of the tendon or by a sudden injury, such as a fall or sports injury. Some medical conditions, such as rheumatoid arthritis, diabetes, and thyroid disorders, can also increase the risk of developing tendinitis.

Symptoms of tendinitis may include pain, swelling, stiffness, and tenderness in the affected area. Treatment options may include rest, ice, physiotherapy,and medications such as nonsteroidal anti-inflammatory drugs (NSAIDs). In severe cases, surgery may be necessary to repair a damaged tendon. With appropriate treatment and rest, most cases of tendinitis can be resolved within a few weeks to a few months.


Physiotherapy is often an effective treatment option for tendonitis. The goal of physiotherapy is to reduce pain and inflammation, improve flexibility and strength, and restore normal movement patterns.

Here are some common physiotherapy treatments for tendonitis:

  1. Rest and ice: The physiotherapist may recommend rest and ice therapy to help reduce pain and inflammation in the affected area.
  2. Range-of-motion exercises: These exercises help to restore normal movement and flexibility to the affected tendon.
  3. Strengthening exercises: Specific exercises that target the affected muscle and tendon can help improve strength and function.
  4. Manual therapy: Techniques such as massage, joint mobilization, and stretching can help reduce pain and improve joint mobility.
  5. Modalities: Heat, ice, ultrasound, and other modalities may be used to reduce pain and inflammation.
  6. Activity modification: The physiotherapist may recommend modifying certain activities or movements that aggravate the tendonitis.


Orthopedic treatment for tendonitis will depend on the severity and location of the condition. Here are some common orthopaedic treatments for tendonitis:

  1. Rest and activity modification: This may involve avoiding activities that aggravate the affected tendon or taking a break from sports or other physical activities that may be causing the condition.
  2. Medications: Over-the-counter pain relievers, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), may be recommended to help reduce pain and inflammation.
  3. Corticosteroid injections: If the tendonitis is severe, a corticosteroid injection may be recommended to help reduce inflammation and pain.
  4. Physical therapy: A physical therapist may be able to help design an exercise program to help stretch and strengthen the affected tendon.
  5. Orthotics: Depending on the location of the tendonitis, the use of orthotics, such as a brace, splint, or shoe insert, may be recommended to help reduce stress on the affected tendon.
  6. Surgery: In severe cases, surgery may be necessary to repair or remove damaged tissue.


Chiropractic treatment for tendonitis typically involves a combination of manual therapy, exercise, and lifestyle modifications to help reduce pain and inflammation, improve joint mobility, and restore function. Here are some common chiropractic treatments for tendonitis:

  1. Manual therapy: Chiropractors may use various manual techniques, such as soft tissue mobilization, myofascial release, or joint manipulation, to help reduce pain and improve joint mobility.
  2. Therapeutic exercise: Chiropractors may prescribe exercises designed to stretch and strengthen the affected tendon, as well as other surrounding muscles.
  3. Lifestyle modifications: Chiropractors may recommend changes in daily activities or posture to help reduce stress on the affected tendon.
  4. Modalities: Chiropractors may also use modalities such as ice or heat therapy, ultrasound, or electrical stimulation to help reduce pain and inflammation.

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