Tendonitis, tendinopathy, or tendinitis is the irritation or inflammation of a tendon. Tendons are the thick fibrous cords that attach a muscle to the bone. This inflammation is due to minor yet repetitive impacts on a certain affected region. However, a sudden more serious injury can also cause tendinosis. It is characterized as a degenerative condition of tendons. Usually, it occurs due to chronic overuse. Tendinosis treatment is also considered to be fairly difficult and time-consuming.
Tendonitis can be mild to moderately painful. Although, in extremely painful conditions, tendon repair surgery is also possible. Nevertheless, it can cause an adverse action. Surgery has often lead the damage to get even worse.
Tendonitis is common in athletes as their work requires a repetitive manual force of the muscles. Mostly, tendonitis occurs in the following regions:
- Achilles tendon
- Thumb’s base
Here, we will discuss the tendonitis treatment, medication, it’s healing and some of the best NSAIDs for tendonitis treatment.
Types of Tendonitis
Tendonitis can be in various tendons of the body. Therefore, Classification of tendonitis is done on the basis of tendons affected by inflammation. Some common tendonitis is as below:
Extensor tendon attaches the lower leg front muscle to the toes. There are two extensor tendons namely extensor hallucis longus and extensor digitorum. One lifts the big toe while the other lifts the rest four toes respectively. They run from the top of the foot.
- Swelling on top of the foot.
- Bruise formation.
- Foot pain which gets work upon further activity.
The iliopsoas muscle is responsible for the flexing of the hip. It also assists in bending our trunk towards our thigh. Our thigh bone also rotates by its help. Moreover, It is composed of two muscles. The muscles are the iliacus and psoas. Both these muscles join together and are attached by a tendon to the upper thigh. The overuse, weakness or tightness of the muscle can cause inflammation of this tendon which in turn causes pain.
- discomfort on muscle contraction.
- stiffness in the hip region.
- excruciating pain on the front of the hip.
Quadriceps tendonitis is the inflammation of the tendon of the thigh muscle. There are basically four muscles namely rectus femoris, vastus lateralis, vastus medialis, and the vastus intermedius. All these muscles converge at the top of the patella. It is most common in athletes especially involving running or performing squat related exercises.
- A feeling of consistent and irregular pain on the patella.
- Pain after standing up from a squatting position.
- Pain in quadriceps muscle even when sitting with leg up straight.
Peroneal tendons are two in number and run side by side down the tabula. It goes behind on the ankle posterior part called the lateral malleolus. One attaches to the foot’s outside while the other one goes underneath the foot. This tendon provides physical stability to the ankle. It shields it from sprain upon weight exertion.
- Pain accompanied by swelling in the ankle region.
- Unstable ankle upon weight appliance.
- Severe pain during activities.
- Throbbing upon turning on the ankle.
Biceps have tendons that connect the muscle with the bone. The inflammation of that tendon causes biceps tendonitis. It is a common occurrence in most shots put Olympians. Swimmers, baseball players, and tennis stars also suffer at the hands of biceps tendonitis.
- Pain upon upward movement of the arm.
- Tender muscle.
- Pain on the palm downward movement.
How to Treat Tendonitis?
Tendonitis can be healed by mere resting, physiotherapy or by using anti-inflammatory drugs. In severe cases, surgery becomes important for recovery. There are a number of medications for tendonitis available in the market. Different dosage forms including tablets as well as anti-inflammatory creams for tendonitis are also available.
What About Tendinosis Treatment?
Well, to be honest tendinosis is a much more severe condition. It is characterized as degenerative collagens of tendons. The condition is so worse that one can’t even bear a slight touch. It takes a long time to heal, speaking about that it can take somewhere about 6 months or so. While NSAIDs still remain the most crucial and vital option in the tendinosis treatment.
Medication for Tendonitis and Tendinosis
The first choice of drug for tendonitis is undoubtedly NSAIDs. Although, the interesting part is that NSAIDs are also considered a better choice for tendinosis. Here, the best NSAIDs for Tendonitis will be discussed. In addition to that, these are also effective for tendinosis.
Aleve for Tendonitis and Tendinosis Treatment
Naproxen is commercially sold under the trade name of Aleve. This NSAID is commonly used for inflammatory diseases. It can also be used for tendinosis treatment. Naproxen is one of the best NSAID for Tendonitis and is viable in a number of tendinitides as well. This is why the most common drug is always Aleve for tendonitis related ailments. Naproxen is usually prescribed for Extensor tendonitis and hip flexor tendonitis. Additionally, it is also used considered useful against biceps tendonitis.
The preferable oral dose is 550 mg, with another 275 mg every 6 or 8 hours. The maximum dose can not exceed 1375 mg in 24 hours. Naproxen is also available as an anti-inflammatory cream for tendonitis. It is also available as a controlled-release tablet. The appropriate dose is 1000 mg in 24 hours. This variety of dosage forms plays a part in prescribing aleve for tendonitis.
Ibuprofen for Tendonitis and Tendinosis Treatment
Ibuprofen is commercially available as Advil. It is another ideal and one of the very best NSAID for tendonitis. Moreover, considered as an erudite medication for tendonitis. Therefore, Healthcare providers mostly suggest Ibuprofen for tendonitis. It generally reduces fever and helps heal inflammatory diseases like tendonitis. It is mostly prescribed for Extensor tendonitis, Quadriceps tendonitis, and even peroneal tendonitis. Furthermore, ibuprofen also relieves pain related to hip flexor tendonitis.
The minimum dose for Achilles tendonitis is 800 mg every 6 hours. The dose is comparatively high as compared to normal pain relievers. The onset of action is usually 30 minutes. For Peroneal tendonitis, the maximum dosage is 600 mg every 8 hours. The maximum dosage usually prescribed by healthcare officials in any sort of tendonitis never exceeds more than 1200 mg. The onset of action is usually 30 minutes. The same applies to Ibuprofen use in tendinosis treatment.
Substitute for Nsaids
Corticosteroids for Tendonitis
Corticosteroids are a separate class of drugs which are basically steroidal hormones. These drugs generally reduce inflammation and also suppresses the immune system. Therefore, acting as an antipyretic agent as well. Corticosteroids also relieve, itching, swelling, and even allergic reactions. They can also be prescribed for arthritis and tendonitis. Although the most favorable corticosteroid is prednisone for tendonitis.
Prednisone for Tendonitis
Prednisone is a glucocorticoid medication also frequently used in back pain treatment. It works wonders against inflammatory diseases like asthma and even tendonitis. Furthermore, it also works against lung diseases like COPD, Bronchitis, etc.
Prednisone is viable against Achilles tendonitis, peroneal tendonitis, and even extensor tendonitis.
It is best to ingest this medication with food. The initial dose for all sorts of tendonitis is 5 mg. Depending upon the intensity of the inflammation, the dose can be increased up to 60 mg. However, the dose must be tapered to allow the recovery of adrenal glands. The onset of action usually begins in one to four days and is not immediate. This drug is also available as an anti-inflammatory cream for tendonitis.