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Tendinitis
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What are the treatments for the condition?
RICE (Rest, Ice, Immobilization, and Elevation) is the appropriate treatment for tendinitis. Temporary use of a splint can help rest the tendon.
Non-steroidal anti-inflammatory drugs, or NSAIDs, such as ibuprofen and naproxen, can also be taken to reduce inflammation, swelling, and discomfort. Occasionally, it is beneficial to inject a corticosteroid, such as triamcinolone, into the tendon sheath.
Physical therapy may also help and includes massage, ultrasound, and stretching and strengthening exercises. It is important to stretch before and after activity.
Although rarely necessary, surgery can be useful. It can clean out the inflammatory tissue from the tendon sheath or relieve pressure on the tendon by removing bone.
What are the side effects of the treatments?
NSAIDs may cause indigestion, ulcers, or bleeding. They may also affect the kidneys or liver. Surgery and medication injection carry a risk of bleeding and infection.
What happens after treatment for the condition?
With a return to activity, tendinitis can recur. Prolonged tendinitis in certain areas of the body can lead to rupture of the tendon.
How is the condition monitored?
Pain and swelling should be monitored and reported to the healthcare provider.
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Author: John A.K. Davies, MD Reviewer: Adam Brochert, MD Date Reviewed: 09/19/01
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