What are the treatment options for tendinitis besides anti-inflammatory pills?

Doctor's Answers 1

Tendinopathy can be challenging to treat but the mainstay of treatment remains rehabilitation with physiotherapists and load management.

In situations where this is not helping, then you might be offered Extracorporeal Shock Wave Therapy (ESWT) to help stimulate the tendon to heal itself, or in situations where tearing is noted within the substance, a Platelet-rich plasma (PRP) injection could be considered. Other injection treatments include prolotherapy or high volume tendon stripping. However, all injections, care must be taken to offload the tendon afterward.

A new treatment that I am hoping to start soon is the TENEX, where a needle is passed into the tendon and the degenerative tissue is removed, to allow the remaining tissue to heal itself. This is gaining good evidence in the USA and it should be with us in the next few months.

Hope this helps.

Similar Questions

What are effective treatment options for subscapularis tear in Singapore?

If you have a confirmed subscapularis (SSC) tear, then treatment will depend on the nature, degree and inciting event that cause the tear to occur. If it is a small tear involving only portion of the tendon, then this could improve with conservative management such as physiotherapy or with a PRP injection. In situations where there is a more significant tear, you may require a surgical repair, but this also depends on whether the tear is acute of chronic/degenerative in nature. I would suggest getting this assessed more thoroughly before making any further decisions about your treatment.

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Answered By

Dr Dinesh Sirisena

Sport Medicine

How is tendinitis usually diagnosed, and are there definite tests that can confirm tendinitis?

Tendinopathy is usually diagnosed on your presenting history and clinical examination. Different areas of the body might have subtle nuances in terms of presentation and physical tests, but for most tendinopathies, an ultrasound examination is very helpful when supporting the history and examination findings. Most MSK or Sports Physicians should be able to do this for you and depending on the finding, they will advise on you the apropriate course of action. In chronic tendinopathy, there can be swelling, stiffness and redness around the tendon.

Photo of Dr Dinesh Sirisena

Answered By

Dr Dinesh Sirisena

Sport Medicine

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