Effective Treatments for Tendon Injuries: Pain Relief and Rehabilitation - Orthopedics

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Injury to the tendon?


I have a tendon strain in my palm and it hurts a lot.
How should I treat it? Should I take painkillers and undergo rehabilitation?

Ming Dao, 20~29 year old female. Ask Date: 2005/05/10

Dr. Zhang Shengben reply Orthopedics


1.
Immobilize the affected limb.
2.
Take pain relievers.
3.
Undergo rehabilitation.
If there is no improvement, an X-ray should be performed to check for potential fractures and assess the need for local corticosteroid injection.

Reply Date: 2005/05/10

More Info


Tendon injuries can be quite painful and debilitating, affecting not only your physical capabilities but also your overall quality of life. When it comes to effective treatments for tendon injuries, a combination of pain relief and rehabilitation is often the most beneficial approach.


Pain Relief
Initially, pain relief is crucial. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen are commonly prescribed to help alleviate pain and reduce inflammation. These medications can be effective in managing acute pain associated with tendon injuries. However, it is essential to use them as directed and consult with your healthcare provider, especially if you have other medical conditions or are taking other medications.

In some cases, corticosteroid injections may be considered. These injections can provide significant relief from inflammation and pain, but they should be used judiciously, as repeated use can weaken the tendon over time. Your physician will weigh the benefits and risks based on your specific situation.


Rehabilitation
Once the initial pain is managed, rehabilitation becomes a key component of recovery. Physical therapy is often recommended to restore function and strength to the affected tendon. A physical therapist can design a tailored rehabilitation program that may include:
1. Range of Motion Exercises: These exercises help maintain flexibility in the tendon and surrounding muscles. They are essential in the early stages of recovery to prevent stiffness.

2. Strengthening Exercises: Gradually introducing strengthening exercises helps rebuild the muscle around the tendon, which can provide better support and reduce the risk of re-injury.

3. Manual Therapy: Techniques such as massage or myofascial release can help alleviate tension in the muscles surrounding the tendon, promoting better blood flow and healing.

4. Modalities: Various modalities such as ultrasound therapy, electrical stimulation, or laser therapy may be used to promote healing and reduce pain.

5. Activity Modification: Learning how to modify daily activities to avoid aggravating the injury is crucial. This may involve ergonomic adjustments or using assistive devices temporarily.


Timeline for Recovery
The recovery timeline for tendon injuries can vary significantly based on the severity of the injury, the specific tendon involved, and how well you adhere to your rehabilitation program. Generally, mild tendon injuries may take a few weeks to heal, while more severe injuries could take several months. Consistent follow-up with your healthcare provider and physical therapist is essential to monitor progress and make necessary adjustments to your treatment plan.


Conclusion
In summary, effective treatment for tendon injuries involves a combination of pain relief strategies and a structured rehabilitation program. While medications can help manage pain and inflammation, physical therapy plays a critical role in restoring function and preventing future injuries. Always consult with your healthcare provider to develop a personalized treatment plan that considers your specific needs and medical history. By actively participating in your recovery, you can enhance your chances of a successful return to normal activities.

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