Can Tendonitis Be Treated with Rehabilitation? Expert Insights - Rehabilitation

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Tendinitis


Hello Doctor: I often experience finger pain due to prolonged computer use, and even light touch can exacerbate the pain.
An orthopedic doctor mentioned that it might be tendonitis.
Can tendonitis be rehabilitated? Thank you!

Li, 30~39 year old female. Ask Date: 2007/08/03

Dr. Chen Xianchang reply Rehabilitation


Hello, thank you for your inquiry.
Here are my responses and recommendations:
1.
Avoid prolonged computer use, and consider using supportive devices such as a mouse pad, wrist support, and elbow braces to reduce strain.
2.
For tendonitis treatment, rest is essential.
At home, you can soak in warm water, perform stretching exercises, and engage in contractions of the opposing muscles (antagonistic muscles).
3.
In terms of rehabilitation, treatments such as heat therapy, wax therapy, ultrasound, and electrical stimulation can help accelerate the healing process.

Reply Date: 2007/08/03

More Info


Tendonitis, or tendinitis, is a common condition characterized by inflammation of a tendon, often resulting from repetitive motion or overuse. It can cause significant pain and discomfort, particularly in areas like the wrist, elbow, shoulder, or knee. Given your situation of experiencing pain in your fingers due to prolonged computer use, it is indeed possible to treat tendonitis through rehabilitation methods.

Rehabilitation for tendonitis typically involves a combination of physical therapy, activity modification, and sometimes the use of modalities like ice or heat. The primary goals of rehabilitation are to reduce pain, restore function, and prevent future injuries. Here are some key components of a rehabilitation program for tendonitis:
1. Physical Therapy: A physical therapist can design a personalized exercise program that focuses on stretching and strengthening the affected tendon and surrounding muscles. Gentle range-of-motion exercises can help maintain flexibility, while strengthening exercises can improve the support around the tendon.

2. Activity Modification: It is crucial to identify and modify activities that exacerbate your symptoms. For instance, if typing on a computer is contributing to your pain, consider adjusting your workstation ergonomics, taking regular breaks, or using voice recognition software to reduce strain on your fingers.

3. Pain Management: Ice therapy can be beneficial in reducing inflammation and pain, especially after activities that aggravate your symptoms. Applying ice for 15-20 minutes several times a day can help manage pain. In some cases, heat therapy may also be used to relax and loosen tissues before engaging in exercises.

4. Ergonomic Adjustments: Since your symptoms are related to computer use, it may be helpful to evaluate your workstation setup. Ensure that your chair, keyboard, and monitor are positioned to minimize strain on your hands and wrists. Using ergonomic keyboards or wrist supports can also alleviate pressure on the tendons.

5. Gradual Return to Activity: Once pain decreases and function improves, a gradual return to normal activities is essential. This should be done under the guidance of a healthcare professional to avoid re-injury.

6. Education: Understanding the nature of your condition and the importance of proper technique during activities can empower you to make better choices that protect your tendons. Education on body mechanics and posture can also play a significant role in recovery.

In some cases, if conservative measures do not provide relief, additional interventions such as corticosteroid injections or, in rare cases, surgery may be considered. However, these options are typically reserved for more severe cases or when conservative treatments fail.

Overall, rehabilitation is a highly effective approach for treating tendonitis. It not only addresses the immediate symptoms but also focuses on long-term recovery and prevention of future issues. If you have not yet consulted a physical therapist, I recommend doing so, as they can provide tailored guidance based on your specific condition and lifestyle.
In conclusion, tendonitis can indeed be treated with rehabilitation, and with the right approach, you can expect to see improvements in your symptoms and overall function. It's essential to be patient and consistent with your rehabilitation efforts, as recovery can take time, especially if the condition has been present for an extended period.

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