Tendinitis is inflammation or irritation of a tendon, Tendons transmit the forces of muscle to the skeleton. As such, they are subjected to repeated mechanical loads, which are felt to be a major causative factor in the development of tendinopathy. Pathologic findings include tendon inflammation, mucoid degeneration, and fibrinoid necrosis in tendons. Microtearing and proliferation of fibroblasts have also been reported. However, the exact pathogenesis of tendinopathy is unclear.
The best treatment of acute Achilles tendon rupture has been discussed for decades. During the past half decade, evidence has increased in favor of nonoperative treatment and dynamic and weightbearing rehabilitation. We hypothesized that the treatment strategies would show great variation and that adherence to evidence-based recommendations would not be as good as desired.
Tendinitis may go away over time. If not, the doctor will recommend treatments to reduce pain and inflammation and preserve mobility to prevent disability and recurrence. He may provide a referral to a rheumatologist, an orthopaedic surgeon or a physical therapist for specialized treatment. When properly treated, most tendinitis conditions don’t result in permanent joint damage or disability.