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 patient was scheduled to participate in a Veteran's level Greco-Roman wrestling tournament in Russia two months after the date of initial evaluation and wanted to alleviate symptoms as quickly as possible. The patient wanted to try physical therapy rather than undergo a platelet-rich plasma injection, an option presented to him by his orthopedic physician, because of his concern that injections might exacerbate his symptoms.
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.