What is the difference Between Tendonitis, Tendonosis, and Tendinopathy?
The three common terms used to refer to tendon injuries or overuse injuries are extremely confusing. Much of the time, the difference between these entities is not apparent at all and they seem to be used interchangeably. Since there also exists disagreement among practitioners as to what internal changes actually constitute what condition, the layperson is left even more befuddled. Both tendonitis and tendonosis are much more common terms than tendonopathy.
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When Shouldn't Non-Steroidal Anti-Inflammatory Medications Be Used in Musculoskeletal Injuries?
The first non-steroidal anti-inflammatory drug (NSAID), aspirin, is still used to treat aches and pains. It is unique in that it has many other useful properties above and beyond its effectiveness for arthritis and related problems.
The second NSAID was a drug called phenylbutazone (Butazolidin), which was eventually removed from the market by the FDA because of a myriad of side effects, among them being aplastic anemia, and stomach ulcers. "Bute" was also a favorite at the racetracks because its pain-relieving properties allowed horses to race "through the pain."
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Deciphering the Pathogenesis of Tendinopathy: A Three-stages Process
Our understanding of the pathogenesis of "tendinopathy" is based on fragmented evidences like pieces of a jigsaw puzzle. We propose a "failed healing theory" to knit these fragments together, which can explain previous observations. We also propose that albeit "overuse injury" and other insidious "micro trauma" may well be primary triggers of the process, "tendinopathy" is not an "overuse injury" per se. The typical clinical, histological and biochemical presentation relates to a localized chronic pain condition which may lead to tendon rupture, the latter attributed to mechanical weakness. Characterization of pathological "tendinotic" tissues revealed coexistence of collagenolytic injuries and an active healing process, focal hypervascularity and tissue metaplasia. These observations suggest a failed healing process as response to a triggering injury. The pathogenesis of tendinopathy can be described as a three stage process: injury, failed healing and clinical presentation. It is likely that some of these "initial injuries" heal well and we speculate that predisposing intrinsic or extrinsic factors may be involved. The injury stage involves a progressive collagenolytic tendon injury. The failed healing stage mainly refers to prolonged activation and failed resolution of the normal healing process. Finally, the matrix disturbances, increased focal vascularity and abnormal cytokine profiles contribute to the clinical presentations of chronic tendon pain or rupture. With this integrative pathogenesis theory, we can relate the known manifestations of tendinopathy and point to the "missing links". This model may guide future research on tendinopathy, until we could ultimately decipher the complete pathogenesis process and provide better treatments.
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Plica Syndrome Of The Knee: Causes, Symptoms, Diagnosis, and Treatment
Plica syndrome is an post-traumatic or post-inflammatory thickening, chronic inflammation (synovitis), and/or fibrosis of the synovial plicae of the knee. This means that the plica (PLI-kah) have been irritated by overuse or injury to the knee. Most commonly affecting the medial plica, the symptoms mimic those of other other knee problems such as a torn meniscus, causing patella pain, snapping, clicking, and tenderness of the joint. There may be a sense of instability in the knee and a knee-locking sensation. Bibliography item klippel not found.,Bibliography item wheeles not found.
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Muscle Imbalance and Chronic Strain Injuries
By Jeff P. Anliker, LMT
Injuries can occur anywhere and at anytime, but the most prevalent place of occurrence is in the workplace. The reason for such a high rate of injury is that people spend 8-18 hours a day, 5-7 days a week performing unidirectional (one-way) movement patterns, causing an imbalance in the musculoskeletal system that results in the overuse and under use of certain muscle groups. If left unchecked, these injuries can be come chronic, resulting in pain and dysfunction that can last for years.
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