Tendinopathy is a generally classification of all tendon issues involving inflammatory and non-inflammatory processes. The sub classifications within the ‘tendinopathy’ diagnosis are extensive but we’ll cover the most common types.
Tendinosis
- This is a non-inflammatory reaction of the tendon
- It occurs gradually due to excessive or abnormal loading patterns
- Symptoms are typically pain with loading and residual ache after loading or prolonged rest
- A gradually increasing strength program is the most effective approach
- Medication and ice packs are not overly effective as the condition is not inflammatory
- Example: Achilles tendinopathy
Tendinitis
- This is an inflammatory reaction of the tendon
- They can occur gradually over time or as an acute reaction after a single bout of overload
- Symptoms include pain on initial loading and residual ache after loading or prolonged rest
- Anti inflammatory meds and ice packs are effective on this type of condition
- This should be combined with a program targeting the underlying cause of the condition
Peritendinitis
- Inflammatory reaction around the tendon which can respond to anti inflammatory meds and ice packs
- It’s often associated with tendon thickening and can be sensitive to touch
Tenosynovitis
- Inflammation of the sheath surrounding the tendon which responds well to reduced loading and anti-inflammatory meds
- It’s worth noting that the Achilles tendon doesn’t have a sheath and can’t be affected by this condition