Tendonitis and Joint Pain: Effective Remedies and Concerns - Internal Medicine

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Tendonitis and joint pain are common issues that can significantly impact daily life, especially for individuals like your mother who have a history of physical strain from household chores and previous injuries. At 37 years old, your mother is still relatively young, but chronic conditions can arise from repetitive stress or trauma, such as falls.
Tendonitis, which is the inflammation of a tendon, often results from overuse or injury. Symptoms typically include pain, tenderness, and swelling around the affected joint. In your mother’s case, it seems she has been experiencing persistent pain despite various treatments, including topical medications, acupuncture, and possibly physical therapy. While these methods can provide relief, they may not always lead to complete resolution of the condition.

The use of over-the-counter remedies like "鐵牛運功散" (a traditional Chinese medicine) can sometimes yield positive results for certain individuals, but it is essential to approach such treatments with caution. The efficacy of herbal remedies can vary widely among individuals, and they may not be scientifically validated for all conditions. It’s crucial to consult with a healthcare professional before starting any new treatment, especially if it involves self-medication.

Regarding your mother’s concerns about joint strength and the potential loss of calcium and glucosamine due to her coffee and green tea consumption, it is important to note that while excessive caffeine can interfere with calcium absorption, moderate consumption is generally considered safe for most individuals. However, if she has concerns about her bone health, it may be beneficial for her to discuss dietary habits with a healthcare provider or a nutritionist.

As for the glucosamine supplements, they are often marketed for joint health, particularly in the context of osteoarthritis. While some studies suggest that glucosamine may help with joint pain and improve function, the evidence is mixed. Concerns about kidney health with long-term use of glucosamine are not widely supported by research, but it is always wise to use supplements under the guidance of a healthcare professional, particularly if there are pre-existing health conditions.

In terms of whether your mother’s symptoms indicate a more significant joint issue, it is possible. Chronic pain, especially if accompanied by weakness and limited range of motion, can suggest underlying conditions such as tendinopathy, bursitis, or even early signs of arthritis. A thorough evaluation by a healthcare provider, possibly including imaging studies like X-rays or MRIs, may be necessary to determine the exact cause of her symptoms.

In summary, while there are various remedies available for tendonitis and joint pain, it is essential to take a comprehensive approach that includes professional medical advice. Your mother should consider consulting with a physical therapist or a rheumatologist who can provide tailored treatment options based on her specific condition. Additionally, maintaining a balanced diet rich in calcium and vitamin D, along with appropriate exercise, can support overall joint health.