What is tendonosis?
The tendons are thick, fibrous tissues that attach your muscles to your joints. Tendonosis (also spelled tendinosis) is a chronic condition involving deterioration of collagen (a structural protein) in the tendons.
肌腱病是由肌腱过度使用引起的。It can occur in any tendon, but most often occurs in the tendons of the:
- 脚跟(在阿基里斯腱)
- 腕子
- 肘部
- knees (in the patellar tendon)
- shoulder (in the rotator cuff)
Tendonosis is different and more serious than肌腱炎。肌腱炎是肌腱中急性(短期)炎症。它可能在休息和物理治疗的几天内消失。肌腱炎在肌腱中的微泪,当它被突然或重力过载时。
肌腱病不存在炎症,而是肌腱中的实际组织是有降解的。未经治疗的肌腱炎最终可能导致肌腱病。重要的是去看医生进行适当的诊断。肌腱病和肌腱炎被不同地对待。
肌腱病的症状包括:
- 移动或触摸时受影响的肌腱疼痛
- 受影响地区的僵硬和受限制的运动
- in some cases, the appearance of a tender lump
肌腱病是由肌腱过度使用引起的。由于血液供应不佳,肌腱需要很长时间愈合。持续和重复的活动对抗肌腱并减慢愈合过程。这最终导致肌腱化。
由于肌腱更容易受伤,肌腱病更常见。它也可能发生在人物中:
- who exercise vigorously or play sports without enough rest in between
- who perform repetitive work tasks (like driving machinery)
- whose tendonitis is left untreated
- 姿势不佳
- who wear poor-fitting or improper footwear
- 小牛肌肉
医生将首先参加详细的历史并进行体检。当疼痛开始时,一定要在遇到痛苦的地方告诉你的医生,哪些活动变得更糟。医生可能会触摸(触诊)你在那里直接经历疼痛的区域,以确定疼痛和肿胀最严重的地方。
您的医生也可能占用X射线,MRI或超声,以评估肌腱的影响程度,寻找任何泪水,或排除其他原因。
The main goals for treating tendonosis include preventing injuries, reducing pain, thickening the tendon, and replenishing collagen within the tendon.
治疗建议包括:
- 休息受影响的肌腱
- 每15分钟休息一次,如果您的工作涉及执行重复的任务
- applying ice for 15 to 20 minutes, several times a day
- using ergonomic keyboards and chairs
- wearing braces or tape for support of the affected tendon
- performing light stretching exercises
- 通过其自然运动范围移动受影响的区域,以防止缩短相关的肌肉并增加循环
- 物理疗法
- 轻偏心强度训练
- massage
- nutrition, including vitamin C, manganese, and zinc for the synthesis of collagen production
营养师可以帮助您了解您的胶原蛋白生产所需的营养素是否足够。
与肌腱炎不同,不推荐抗炎药物和可可酮注射治疗肌腱病。这些类型的药物可能抑制胶原蛋白的修复。
Tendonosis can make your tendon more prone to injuries. The tendon may rupture (tear) and require surgery.
在起始工作或运动之前按摩,伸展,力量训练和预热,可以帮助预防肌腱损伤并尽可能保持健康。
在经历疼痛或激烈的运动后,促使急性肌腱炎并允许肌腱休息和恢复也有助于防止肌腱发生发展。
穿着支持,缓冲运动鞋也可以帮助预防肌腱化。