Tendinitis Jose S. Santiago M.D.

Tendinitis Tendinitis- inflammation of the tendon Causes pain and tenderness near a joint Also called tendonitis or tenosynovitis

Tendinitis Common forms of tendinitis: 1. Medial epicondylitis ( Golfer’s elbow, baseball elbow)- inflammation of the tendons connected to the medial epicondyle of the humerus - caused by repetitive forceful wrist flexion and rotation

Tendinitis 2. Lateral epicondylitis ( Tennis elbow)- inflammation of the tendons connected to the lateral epicondyle of the humerus - caused by repetitive extension and rotation of the wrist joint

Tendinitis 3. Rotator cuff tendinitis (Tennis shoulder)- inflammation of tendons of the rotator cuff muscles - caused by repetitive movement of the arm over the head

Tendinitis 4. Patellar tendinitis (Jumper’s knee)- inflammation of the patellar tendon - caused by repetitive jumping or running

Tendinitis 5. Achilles tendinitis- inflammation of the Achilles tendon - caused by activities that stress the gastrocnemius muscle

Tendinitis 6. De Quervain’s tenosynovitis- inflammation of tendons on the thumb side of the wrist - caused by repetitive movements of the wrist and hand

Tendinitis A 35 year-old man comes to the Physical Therapy Department with knee pain.

T: Therapist P: Patient T: Good _____. What __________? P: Here is my _______. I have _______ today for _________. T: Please wait for a while. I will _____ your chart. Yes, you can come in. What’s your _______?

T: Therapist P: Patient P: I have pain on the ______ side of my ____ joint for the past _______. I ____ the orthopedic doctor. He said it is an inflammation of the ______ and he prescribed ______ and ______ for one week. T: Yes, he prescribed ______ and _______.

T: Therapist P: Patient P: Okay. How long is the treatment time? T: Ultrasound therapy for ____ and interferential therapy for ______. Shall we _____ now? P: Does it hurt? T: No, it doesn’t hurt. Don’t _____ about it. P: Okay sir.

T: Therapist P: Patient T: Please ______ your shoes and lie down on the bed. P: Yes sir. T: I will ____ a gel on the treatment area. Can you show me the _______? P: It is on the ____ side of the ____ joint.

T: Therapist P: Patient T: In here? P: No, a little bit _____. T: Here? P: Yes, you are right. T: In this treatment you ____ not feel any warmth or pricking sensation. P: Okay sir.

T: Therapist P: Patient T: Are you ______? P: Yes. T: This treatment is ____. Now, we ____ start the next treatment. In this treatment, I will _____ 4 electrodes. You will ____ a light pricking sensation.

T: Therapist P: Patient P: Is it ______? T: No, I will ______ the intensity according to your tolerance. P: Okay sir. Thank you.