Tendonitis and Periostitis: Symptoms, Treatment, and Recovery - Orthopedics

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Tendonitis and periostitis are two conditions that can cause significant discomfort and functional impairment, particularly after an injury such as a car accident. Understanding these conditions, their symptoms, treatment options, and recovery timelines is crucial for effective management.

Tendonitis refers to the inflammation of a tendon, which is the fibrous tissue that connects muscle to bone. Symptoms of tendonitis typically include pain, tenderness, and stiffness around the affected joint, which can worsen with movement. In your case, the hardening and pain in the outer side of your lower leg could indicate tendonitis in the muscles that control ankle movement. The swelling and pain upon pressing are also common signs of inflammation.

Periostitis, on the other hand, is the inflammation of the periosteum, a dense layer of vascular connective tissue enveloping the bones except at the surfaces of the joints. This condition can occur due to trauma, overuse, or infection. Symptoms include localized pain, tenderness, and sometimes swelling over the affected bone. The bruise and lump on your right hand may suggest periostitis, especially if it followed a direct impact.

Regarding your question about bruising (or "瘀血" in Chinese), tendonitis itself does not typically cause bruising unless there is a significant injury that leads to bleeding under the skin. The presence of a bruise may indicate that there was some degree of trauma that caused bleeding in the surrounding tissues. If your doctor mentioned that there is "瘀血," it may refer to the accumulation of blood in the tissues due to inflammation or injury, even if it is not visibly bruised.

Treatment for Tendonitis and Periostitis:
1. Rest and Activity Modification: Avoid activities that exacerbate the pain. Gradually reintroduce movement as tolerated.

2. Ice Therapy: Applying ice packs can help reduce swelling and pain.

3. Physical Therapy: A physical therapist can provide exercises to strengthen the affected area and improve flexibility.

4. Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and inflammation.

5. Acupuncture and Heat Therapy: As you mentioned, acupuncture and heat can be beneficial in promoting blood flow and healing.

The duration of treatment can vary widely depending on the severity of the condition and individual healing responses. Generally, mild cases may improve within a few weeks, while more severe cases could take several months. It's essential to follow up with your healthcare provider to monitor progress and adjust treatment as necessary.

For your hand, if the periostitis is confirmed, similar treatment principles apply. However, ensure that you do not push too hard on the area, as this could exacerbate the condition. Gentle range-of-motion exercises may be beneficial, but these should be guided by a healthcare professional.

In summary, both tendonitis and periostitis can result from trauma and may present with overlapping symptoms. It's crucial to adhere to a comprehensive treatment plan and maintain open communication with your healthcare providers to ensure optimal recovery and prevent long-term complications. If symptoms persist or worsen, further evaluation may be necessary to rule out other underlying issues.