Different Types of Tendonitis (2024)

Tendonitiscan be a painful condition which is caused by inflammation or irritation of a tendon. It can occur anywhere in the body, but it most commonly occurs in the feet and ankles.

Overuse, repetitive movements, or overstretching can result in tendonitis. It can also be the result of an injury such as a sprained ankle. Most cases of tendonitis can be treated nonsurgically and with rest.

What Is Tendonitis?

Tendons are the strong cord-like fibers that connect your muscles to your bones. They vary in size and shape, from the small ones in your fingers to larger ones in your shoulders and legs.

Tendons are flexible and tough, and they work with the muscles to move the bones in your joints. If a tendon becomes irritated or overstretched, it can become inflamed and develop tendonitis.

Although tendonitis often results from overuse, it can also be caused by an injury – particularly while playing sports. It can also be due to structural abnormalities or diseases, such as arthritis and diabetes.

Common Types of Tendonitis

Let’s take a look at three of the most common forms of tendon inflammation:

Achilles Tendonitis

Achilles tendonitis is often caused by overuse, so it is a common injury in runners. It affects the tendon that connects the calf muscles to the heel bone.

Symptoms include heel pain and tenderness, which can become worse when walking or running. Treatment usually includes rest and pain relievers; sports and fitness activities should be avoided to prevent rupturing or tearing the tendon.

Peroneal Tendonitis

Peroneal tendonitis affects the two tendons that extend down the outer side of the lower leg bone (fibula), behind the bony lump on the outside of the ankle, and along the length of the foot. One tendon attaches to the outside of the foot at the base of the little toe, while the other runs along the sole of the foot and attaches to the inside of the arch.

Together the tendons help to stabilize the ankle. If they become inflamed from an increased load and overuse, they can rub against the bone, causing symptoms such as pain at the back of the ankle (felt most when standing or when pushing off through your foot) and ankle instability.Treatment includes immobilization with a walking boot, anti-inflammatory medications, physical therapy, and bracing.

Posterior Tibial Tendonitis

Posterior tibial tendonitis affects the tendon that attaches the back of the shinbone to the bones of the foot. When it becomes inflamed, it is unable to provide stability and support for the arch of the foot. Over time, this can result in flatfoot.

Symptoms can include pain when you start to push off through your foot and the inability to stand on tiptoes. Treatments can include a cast or walking boot, shoe inserts, arch supports, activity modification, and anti-inflammatory medication.

Symptoms of Tendonitis

Signs and symptoms of tendonitis are usually felt near a joint, at the site of the affected tendon. They can include:

  • Pain that increases with movement (tends to occur more during the night)
  • Tenderness
  • A cracking or grating feeling as the tendon moves
  • A lump felt on the tendon
  • Swelling, redness, and heat at the site of inflammation

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Different Types of Tendonitis (2024)

FAQs

What is the most common type of tendonitis? ›

The most common types of tendinitis are tennis elbow, golfer's elbow, jumper's knee, and bicep tendonitis.

What is 10 tendonitis? ›

Tenosynovitis is inflammation of the protective sheath (the synovial membrane) that surrounds your tendons. It can be painful and make it hard to move your joints like you usually can. Tenosynovitis is pronounced “ten-oh-sin-oh-vyt-us”. Your tendons are cords that connect your muscles to your bones.

What are the different types of tendinopathy? ›

Tendinopathy can occur in almost any tendon. Common examples include plantar fasciitis, Achilles tendinitis, patellar tendinitis, tennis elbow, golfer's elbow, and supraspinatus tendinitis. Tendinopathy is poorly understood and has many described remedies with very little evidence to support their efficacy.

What is Stage 4 tendinitis? ›

Moderate Tendonitis (stages 3-4) - Pain is caused by extreme exertion that lasts for several hours after physical activity has stopped. When pain severity is approaching stage 4, normal functioning is impaired.

What's the worst that can happen with tendonitis? ›

Most tendinitis can be treated with rest, physical therapy and medicine to reduce pain. Long-lasting tendon inflammation can cause a tendon to tear. A torn tendon might need surgery.

What is chronic tendonitis called? ›

Tendinosis is a degeneration of the tendon's collagen in response to chronic overuse; when overuse is continued without giving the tendon time to heal and rest, such as with repetitive strain injury, tendinosis results.

What does tendonitis turn into? ›

In some cases, persistent tendon inflammation combined with overuse – especially of the Achilles tendon or shoulder rotator cuff tendons – may lead to weakening and subsequent rupture of the tendon.

What happens if tendonitis doesn't heal? ›

If you fail to seek proper treatment for your tendonitis, you could develop chronic tendonitis from a buildup of scar tissue in the injured area. The stiff tendons could make it difficult and painful to perform natural movements, such as lifting your hand to eat or brush your teeth.

How bad does tendonitis hurt? ›

Chronic tendonitis is a dull but constant soreness that feels worse when you first start to move. It then eases up as muscles get warmer. Acute tendonitis is a sharper pain that may keep you from moving the joint. The pain may eventually go away.

What makes tendonitis worse? ›

We now know that compressive load can be harmful to a painful tendon and may slow down its recovery. There is also no published evidence to support stretching as a useful intervention in tendon pain. An overloaded and irritated tendon is often further aggravated by the compressive load of massage.

What not to do with tendon pain? ›

To help prevent further injury or pain, try to avoid:
  1. heavy lifting, strong gripping or twisting actions that make the symptoms worse.
  2. playing any sport until the tendon has recovered.

What is the best anti inflammatory for tendonitis? ›

Doctors may recommend over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, to reduce inflammation in the bursa and tendon and relieve pain. These medications are typically recommended for a few weeks while the body heals.

How do you know if you have severe tendonitis? ›

Pain, which may be gradual or begin suddenly. Tenderness. Swelling. Frozen shoulder, or an inability to move the shoulder, if you have shoulder tendonitis.

What is peroneal tendonitis? ›

Peroneal tendonitis is irritation or inflammation in the tendons that run along the outside of your ankle and foot. It's usually due to overexertion and typically heals with a few weeks of conservative treatments. But untreated tendonitis can get worse, leading to a tendon tear.

Is tendonitis permanent pain? ›

Tendinitis may go away over time. If not, the doctor will recommend treatments to reduce pain and inflammation and preserve mobility. Severe symptoms may require specialized treatment from a rheumatologist, an orthopaedic surgeon or a physical therapist.

Where is tendonitis most common? ›

Tendonitis can occur at almost any site of the body where a tendon connects a bone to a muscle. Common areas for the condition include the shoulder (especially in the rotator cuff), elbow, wrist, knee and ankle.

What is one of the most common causes of tendonitis? ›

Tendinitis can occur as a result of injury or overuse. Playing sports is a common cause. Tendinitis also can occur with aging as the tendon loses elasticity.

Does tendonitis ever go away? ›

Tendonitis may go away on its own over time, but that's not always the case. That's why I tell people with recurring joint pain to see a tendonitis specialist. These doctors can diagnose the problem and get patients with tendonitis on the road to recovery faster.

What can be mistaken for tendonitis? ›

Because bursitis and tendonitis pain may be felt near the joints, it is sometimes mistaken for arthritis. Knowing the differences between these conditions can help you identify and address the root cause of your joint pain to get you back to an active life.

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