Purvi shah tendonitis ppt

Tendonitis details and it's physiotherapy management.
It is define as inflammation of the tendon, tendonitis occur due to overuse and trauma. Depending upon involvement of tendon special test are used. it is treated with PRICE protocol.

1. Tendonitis - Purvi Shah (B.P.T)

2. Introduction Of Tendon A  tendon  is a fibrous connective tissue which attaches muscle to bone . A  tendon  serves to move the bone or structure Tendons  are bound together in tight sheets so that when a muscle contracts, tension is created in the  tendons  and this will pull against the bone to cause movement .

3. Tendonitis It is define as is the inflammation of a tendon . A condition in which the tissue connecting muscle to bone becomes inflamed . It’s happen when a person overuse or injures a tendon. It is normally linked to an acute injury with inflammation . It often affects the elbow, wrist, finger, thigh, and other parts of the body.

4. Most people develop tendinitis because their jobs or hobbies involve repetitive motions, which put  stress   on the tendon. Ageing, Trauma Certain Diseases (Diabetes or  Rheumatoid arthritis) Certain Antibiotics ( quinolones) Etiology

5. Risk Factors Age : Tendons become less flexible with age and more susceptible to injury . Profession: A person whose job involves repetitive movements, awkward positions, frequently reaching overhead, vibration, and forceful exertion has a higher risk.

6. Sports: Sports that involve repetitive movements can lead to tendinitis, for example, running, tennis, swimming, basketball, bowling, and baseball . Some health conditions : People with   diabetes  and rheumatoid arthritis are more likely to develop tendinitis .

7. Aggravating Factors A   diet  that fosters the accumulation of uric acid includes large quantities of caffeine, meat, animal fat, dairy products, eggs, citrus fruits, tomatoes, potatoes, peppers, alcohol, soft drinks and salt.

8. Most common type of tendonitis 1.Medial epicondylitis (Golfer’s Elbow ) It is tendinopathy of the medial common flexor  tendon  of the  elbow  due to overload or overuse. Common Tendons: PT FCR FCU PL

9. 2.Lateral Epicondylitis (Tennis Elbow) It is tendinopathy of the lateral common extensors   tendon  of the  elbow  due to overload or overuse. Common Tendons : ECRL ECRB ED EI ECU

10. 3. Achilles Tendonitis An injury of the Achilles tendon, which connects the calf muscle to the heel bone . It's common in runners and middle-aged people.(Sports persons) Heel pain and tenderness are key symptoms .

11. 4 . Patellar Tendonitis (Jumper’s Knee) An injury to the tissue connecting the kneecap to the shin bone (patellar tendon ). The patellar tendon helps the muscles extend the knee. This injury is most common in athletes who frequently jump, such as when playing basketball and volleyball . Knee pain, swelling and stiffness are common symptoms.

12. 5.Bicepital Tendonitis (Biceps Tendonitis)   is an inflammatory process of the long head of Biceps Tendon. Causes for Bicepital tendonitis: Impingement in sub acromial space, Coracoacromial ligament thickening, Rotator cuff tears. This repetitive inflammation can lead to tendon Degeneration.

13. Bicipital Tendonitis diagnosed by SPEED TEST . Patient position: standing Therapist position: standing front of patient First, put shoulder of patient 90 degree flexion; extension of elbow & supination of forearm. Now, therapist apply resistance downward direction. If pain in bicipital grove indicate bicipital tendonitis. Same way done in pronated forearm.

14. 6.Supraspinatus Tendonitis The tendon around the top of the shoulder joint becomes inflamed, causing pain when the arm is moved, especially upwards;(Abduction). It is assess by EMPTY CAN TEST & DROP ARM TEST.

15. 1.EMPTY CAN TEST: Patient position is standing Therapist standing front of patient Patient’s both arm abducted to near 90 & than fully internal rotation , both thumb point downward. Resistance applied downward direction, reproduction of pain indicate test is positive

16. 2.DROP ARM TEST: Patient position is standing Place Patient affected shoulder 90 of abduction, ask the patient to slowly lowers the arm. If, test is positive patient is unable to do slowly. Dropping of arm test is positive indicate supraspinatus tear.

17. Clinical Features : Pain (dull & ache, especially when moving the affected limb or joints) Tenderness Reduced ROM Mild swelling

18. Diagnosis: Patient’s History & Symptoms Physical Examination(to move the tendon, a creaky sound may be heard .) Special Test (depending upon involvement of tendon special test use) Ultrasound & MRI imaging

19. Physiotherapy Aims :To relieve pain & Inflammation. Medication: NSAID Ibuprofen / Corticosteroid injection RICE Protocol R:Rest I:Ice C:Compression E:Elevation

20. Rest: Rest will allow the inflammation to go down . A bandage, splint or brace may help reduce movement. In severe cases, resting in plaster may be required . Ice: Ice can be applied for 10 to 15 minutes ; once or twice a day . US over tenderness area Phonophoresis

21. Manipulating and massaging the affected area may provide relief and accelerate the healing process . Stretching   Exercises Strengthening Exercises

22. If tendinitis persist and there are calcium deposits around the tendon, extracorporeal shock wave therapy (ESWT) may help . A shock wave is passed through the skin, breaking up the calcium deposits . The deposits may also be removed surgically.

23. Thank you