Common Symptoms of Shoulder Tendonitis

The most common symptoms of shoulder tendonitis include the inability to hold the arm in certain positions and tenderness or pain in the shoulder area.  The symptoms of shoulder tendonitis may resemble other conditions or medical problems.  It is important to always consult a physician for a diagnosis.  In addition to a complete medical history and physical examination, diagnostic procedures for shoulder tendonitis may include an x-ray, which is a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs into film.  Specific treatment for shoulder tendonitis will be determined by the physician based on the age of patient, overall health, and the medical history.

Types of Tendonitis

The symptoms of tendonitis that are produced near a joint aggravated by movement and include pain, mild swelling, and tenderness.  There are specific types of tendonitis including tennis elbow, Achilles tendonitis, adductor tendonitis, patellar tendonitis, and rotator cuff tendonitis.  The pain of tendonitis is usually worse with activities that use the muscle that is attached to the involved tendon.  Tendons are usually surrounded by a sheath of tissue which is similar to the lining of the joints.  These tendons are subject to the wear and tear of aging, inflammatory diseases, and direct injury.  The most common cause of tendonitis is injury or overuse of the tendon during work or play.  The pain is usually the result of a small tear in or inflammation of the tendon that links the muscle to the bone.  Tendonitis may also be associated with inflammatory diseases that occur throughout the body, including rheumatoid arthritis.

Common Cause of Tendonitis

The most common causes of tendonitis are strain, over exertion, repetitive movements, and sudden, unaccustomed movements.  Tendonitis is most common in seniors and middle aged people as the tendons of older individuals lack the elasticity of younger people and have sustained hundreds of microscopic tears due to daily wear and tear over the years.

There are also certain diseases that can cause tendonitis, such as rheumatoid arthritis, gout, Reiter’s Syndrome, lupus, and diabetes.  Some common types of tendonitis include rotator cuff tendonitis, Achilles tendonitis, and flexor digital tenosynovitis, (also called trigger finger).  Serious complications of tendonitis may include muscle wasting and disability.

The shoulder is the most vulnerable joint as it can freeze up, a condition called “frozen shoulder.”  In serious cases, the rotator cuff tendons can tear, which may lead to prolonged weakness and pain within the shoulder.  Long term treatment of tendonitis includes protecting the tendon from being strained until it is fully healed.  This will help to insure that the body is kept healthy and active for a long time.

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The early symptoms of shoulder tendonitis include some light pain in the area where the upper bicep meets the shoulder and possibly some light swelling and tenderness. Usually the pain only occurs when the shoulder is under pressure. As the tendonitis develops the pain will occur at any time of the day or night, even when you are sleeping. The area where the pain occurs will get larger often encompassing the entire rotator cuff area and in some cases the upper bicep. Movement of the shoulder will be very restricted often painful.

So how do you know if you are developing shoulder tendonitis? As mentioned above, the first sign of tendonitis developing is the pain in the shoulder when it’s under pressure. If you feel a pain in your shoulder when you are lifting heavy weights and playing sport this is usually a sign that tendonitis is developing.

The first (and most obvious) step to take is stop doing whatever activity is causing the pain in your shoulder. We recommend that you stop this activity for at least one week. After that week, you should attempt lifting some very light weights to see if the pain is still occurring. If the pain does not occur, then it is likely that you simply strained your shoulder muscle or in more serious cases damaged the tendon temporarily. In this case you should ease back into the activity. If the pain does occur, it is likely that you have developed mild shoulder tendonitis.

Now that you have identified that you have tendonitis in your shoulder you must rest it once again. This time rest it for about three weeks. During this three week period you should not partake in any activity that may strain your shoulder. This includes light lifting and sports.

After that three weeks is up it is time to start to strengthen the shoulder to prevent the tendonitis. There are several light exercises that you can do strengthen your shoulder muscles and tendons. You should start with very light weights, 1kg should be about right for males and .5kg for females.

Shoulder Tendonitis Exercises

Start by holding the weight in your right hand with your palm facing your body. Keeping your arm straight raise the weight straight out in front of you until it is at shoulder height. Repeat this exercise for twenty repetitions. Repeat for your left hand. Now get the same weight and instead of moving it out to your front move it out to your side. Keep your arm straight and do this exercise for twenty repetitions. Repeat for your left arm.

If you feel any pain during these exercises it is time to go and see your doctor or physician. It is possible that your shoulder tendonitis may require further treatment. See links at the bottom of this page for details.

If these exercises do not bring back the pain in your shoulder you are on the road to recovery. You should do these exercises every day for one to two weeks. You may increase the weight slightly if the exercises are feeling too easy for you. But remember now to overdo it.

So in about four to five weeks you should be able to get back into the sport, exercise or activity that caused your shoulder pain. You should always ease back into exercise. Make sure you warm up and stretch your shoulder for about ten minutes before and after the activity.

Remember, shoulder tendonitis can be permanent, but it also can be treated relatively easily without medication. Many people get inpatient and do not give the shoulder sufficient rest time or recovery time before attempting a possibly straining activity. If you do not rest and strengthen your shoulder correctly there is a large possibility that shoulder tendonitis will develop again. If you shoulder pain does reoccur you should see professional advice from your doctor physician.

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If you are suffering from the pain and limited mobility of tendonitis, you are probably ready to sign up for tendonitis surgery, but stop for a moment before rushing into surgery. Tendonitis surgery is considered a last resort for the treatment of tendonitis. Make sure that you truly need it before rushing into tendonitis surgery.

Before seeking tendonitis surgery, make sure you have tried the other possibilities for treatment. First, you should have tried immobilizing the area to give it a chance to heal. This involves wearing a brace or a cast for around six weeks. During this time, you should take an anti inflammatory drug prescribed by your physician, and frequently ice the area to help eliminate the swelling.

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If those measures are not enough to calm the pain of tendonitis, many doctors will inject the area with cortisone. This helps the tendons to heal, but should only be done a limited number of times to the same tendon, as over time cortisone injections can weaken the tendons.

If these treatment measures do not work, and the tendonitis becomes persistently worse, your doctor may recommend tendonitis surgery. Make sure that you do not rush into the surgery, though. Other methods of treatment should be tried first.

Conditions That Make Surgery Necessary

Shoulder tendonitis is usually developed by sports and activities that require you to lift your hands above your head . When the tendon gets inflamed it is known as tendonitis, and when the tendons are being overused, It can lead to some small tears in the collagen that surrounds the tendon which can cause some weakening of the tendon

There are some conditions that make tendonitis surgery necessary in order for the tendon to heal completely. One of these is a bone spur. If you have a bone spur, it can rub against the tendon and lead to irritation and inflammation. No amount of immobilization and therapy can take care of this problem. Surgery is needed to remove the bone spur, which will allow the tendon to heal.

Another condition that makes surgery necessary in the treatment of tendonitis is a calcium deposit on the tendon. This, like a bone spur, will create inflammation and pain in the tendon. The calcium deposit must be removed for treatment to be successful. Finally, damage to the tendon that must be repaired surgically is the last reason that tendonitis surgery would be absolutely necessary. These problems include ruptures and tears of the tendon. These must be repaired by surgery.

Types of Tendonitis Surgery

There are two main types of tendonitis surgeries: arthroscopic surgery, and open surgery.  Arthroscopic surgery is perhaps the most common way to treat persistent tendonitis problems. This type of surgery involves making a tiny incision and using small instruments to repair tears in the tendon. For completely torn tendons and open surgery will be necessary.

Tendonitis can often be a painful condition that will take time to heal. It is important that you not try to rush since this can cause additional pain or damage.  Tendonitis will get worse with continued use of the inflamed tendon, so rest is vital. Temporary use of a splint may also help to rest the tendon.

Other ways people look for tendonitis surgery are:
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First let’s find out what shoulder tendonitis or rotator cuff tendonitis is?  There are several other names that this can be called.  Some are known as tennis shoulder, pitcher’s shoulder and even a shoulder impingement.  These are all common names for a very similar problem.

So what is it?  Shoulder tendonitis or rotator cuff tendonitis is the inflammation and can be an irritation and swelling of the tendons of the shoulder.  The shoulder joint is a ball and socket type joint.  The top part of the arm bone (humerus) forms a joint with the shoulder blade (scapula).  The rotator cuff holds the head of the humerus into the scapula.

What is the most common cause of rotator cuff tendonitis?

A lot of the time the problem occurs with sports.  Inflammation of the tendons of the shoulder muscles occur in sports using the arm being moved over the head repeatedly.  Such sports are tennis, baseball (pitching mainly) swimming and even lifting weights over the head.  What happens sometimes is you get the inflammation or injury and can cause the tendons of the rotator cuff to tear.  Sometimes this occurs in people over 40 years of age.

Some of the symptoms

• Pain when the arm is moved
• Arm is weak when rising over your head
• Pain in shoulder at night, especially when lying on the affected shoulder.
• Pain in arm when performing overhead activities

How to find out if you have shoulder tendonitis

X-ray’s or MRI.  X-ray’s can show a burn spur.  The MRI can show the inflammation in the rotator cuff.  There could also be a tear in the rotator cuff and the MRI will show this.

Shoulder Tendonitis Surgery

Before shoulder tendonitis surgery, you should try physical therapy to strengthen the muscles of the rotator cuff.  If the pain is too great to start physical therapy a steroid injection (cortisone) may reduce pain and inflammation enough to start effective therapy.

If there is a tear in the rotator cuff or therapy has not helped and symptoms persist, shoulder surgery may be necessary.  For most shoulder surgery, this can be accomplished with arthroscopic surgery.  This type of surgery is effective in removing the bone spur and inflamed tissue around the shoulder.

You can also treat small tears with shoulder tendonitis surgery and arthroscopic surgery.  There are even some new techniques that allow even large tears to be repaired with arthroscopic surgery.  Now there are some large tears that are going to require open surgery to repair the torn tendon.

Shoulder Tendonitis Surgery Expectations

Once the shoulder tendonitis surgery is completed and the bone spur or tear has been repaired arthroscopic ally, you can expect the use of the shoulder to pre-injury levels.  The activities that you performed prior to the injury should be able to perform them once again.

There are a couple of factors in determining the success of the shoulder tendonitis surgery.  People with tears of their rotator cuff that have had the shoulder tendonitis surgery (arthroscopic) will do well.  It will depend upon the size and the duration of the tear.  The age of the patient will also have a bearing on the outcome and what the pre-injury level of function was.

So there are some things that you can do and the success of the shoulder tendonitis surgery should have a successful outcome in most cases.  In another article I will discuss the rehabilitation of shoulder tendonitis surgery.

If you are having problems with shoulder tendonitis or rotator cuff tendonitis, here is a suggestion for you.  Try the Ultimate Rotator Cuff Training Guide before you go for surgery or use other methods.  ***The Ultimate Rotator Cuff Training Guide.***  Having rotator cuff pain, click the above link…

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Bursitis Tendonitis

First things first.  What exactly are tendons?  Tendons are the elastic ligaments that will connect the muscle to the bone.  If something happens with the tendons (such as a breakdown), tendonitis can and most probably occur.

If tendonitis does occur, the person will experience inflammation and pain and you can possibly have a limited movement of the joint.

Within the body there are sacs of fluid that will provide cushioning to the joints.  These sacs are called bursae.  When the fluid in the sacs becomes inflamed this is what is called bursitis.  If you have inflammation of the bursae and inflammation of the tendons you now have what is called bursitis tendonitis.

Sometimes the pain that you have with bursitis tendonitis can become intense and quite severe.

What Causes Bursitis Tendonitis

Here are the factors that can cause bursitis tendonitis

Aging: as everyone get older the tendons will become less elastic and with continued use you can rupture and tear the tendons.

Repetitive Movement: RSI or repetitive stress injury can occur due to painting, typing, and jogging and many more repetitive movements.

Trauma: this can happen in an athletic environment such as overuse and trauma.

Bursitis tendonitis can be sometimes mistaken for arthritis.  This can become an very early warning sign.  The shoulder is a common place for bursitis tendonitis.  You have to figure out what is causing the inflammation and the pain.  Sometimes infection can set in and it may become necessary to extract fluid from the infected area.

Bursitis Tendonitis: Treatment and Remedies

One of the most important things that you can do is to discuss this with your physician.  Your doctor is going to have to figure out what is causing the inflammation and pain.  One thing to remember is, if you can catch the bursitis tendonitis early enough, you will have a better chance of success.

If your bursitis tendonitis has occurred from an injury or trauma, you can treat this easily by immobilizing the effected area using a splint or brace.  You can then start to take some anti-inflammatory drugs also that can reduce the inflammation and the pain when the swelling starts to go down.

Now if this condition is caused by RSI or repetitive movement, then your doctor is going to have to figure out a way to reduce the stress to the effected area.

RSI can be corrected sometimes quite easily.  Just the way that you sit in your workplace can have a dramatic effect on the stress in you neck, shoulders, back and even your wrist.  You must take frequent break to help reduce the chance of bursitis tendonitis.

If you end up with bursitis shoulder tendonitis and if it becomes severe, your physician may want you to see a physical therapist.  They will show you the correct way to stretch and can even show you some exercises to help you prevent the problem in the future.

How to Prevent Bursitis Tendonitis

You must always stretch before starting any exercise.  If you are overweight, this can add a tremendous amount of stress to the knees, so it would be good to get the weight to a normal level.  You also want to make sure that you use good posture when sitting and standing.

If you work at a desk and you do a lot of typing there are a couple of things that you can do to help this.  You want to make sure that you sit at the proper height, you are in a comfortable position.  This will allow you to relieve the stress off of the wrist joints and can thus prevent carpul tunnel.

In conclusion, by taking some precautions can help you prevent the joint stress and can help with the bursitis tendonitis.  If you do the things mentioned above this will help you have a healthy and pain free lifestyle, which is what all of us want.

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