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Inflammation of the tendons of the shoulder joint or tendonitis of the supraspinatus muscle: treatment, symptoms, forms and stages of the disease

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A tendon is a dense, low-elastic collagen fiber strand that connects bones to each other and attaches muscles to bones. At high loads, injuries, and for a number of other reasons, tendon inflammation, or tendonitis, can occur. Shoulder tendinitis is most commonly diagnosed when shoulder tendons are inflamed.

Tendonitis - a description of the disease

In addition to fulfilling a connecting role, tendons have another purpose: they maintain joint stability. If any shoulder movements are performed too often, intensively, tendon fatigue occurs, gradually turning into inflammation. When the load is high, the tissues do not have time to recover - edema develops, and collagen fibers are split. In this case, a person can be diagnosed with shoulder tendonitis (tendinosis, supraspinatus tendinopathy) - an inflammatory process in muscle tendons.

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Around the shoulder joint there are several muscles that form the rotational cuff of the shoulder:

  • supraspinatus
  • cervical
  • double-headed (biceps),
  • small round
  • subscapular.

Tendonitis can occur in any tendon attached to these muscle groups, but the supraspinatus muscle of the shoulder most often suffers. Without proper treatment, tendinitis of the shoulder joint can pass to nearby tendons, the joint capsule and become a chronic disease. After chronicity, the disease can transform into calcifying tendonitis, which causes the deposition of calcium phosphate crystals in the tendons.

Complications of tendonitis may include:

  • fatty tissue degeneration,
  • necrosis (necrosis) of the fibers,
  • Calcinate injury from surrounding areas.

Causes of shoulder tendonitis

Most often, shoulder tendonitis occurs in athletes who practice regular increased stress on the hands engaged in power sports. No less often, pathology is noted among tennis players, volleyball players, gymnasts, acrobats, because they also constantly tighten the tendons of the shoulder. Among drivers, builders, movers, painters, tendonitis of the shoulder joint is also significantly common.

Microcracks in the tendons of the supraspinatus muscle of the shoulder or biceps can also appear against the background of degenerative processes in the body that occur at an older age. Usually the disease develops after 40-45 years, but in the presence of predisposing factors, tendon inflammation can occur earlier. The most common cause is a single shoulder injury - a bruise, fall, shock.

Also, tendonitis can cause:

  • infectious arthritis of the joint,
  • gout,
  • rheumatism,
  • violation of posture
  • congenital dysplasia of the connective tissue,
  • neuropathy
  • long wearing plaster
  • cervical osteochondrosis,
  • transferred operation
  • diabetes,
  • pathology of the thyroid gland.

Symptoms of the disease

Pain and other signs of tendonitis of the supraspinatus muscle of the shoulder joint are often difficult to distinguish from the symptoms of other diseases of this anatomical zone, especially when the inflammation goes to neighboring areas.


However, pain has some characteristic features:

  • she is the main manifestation of the disease,
  • the pain is present in movement - raising the arm up, throwing it behind the back, and at rest it stops (immediately or after some time after light aching sensations),
  • most often pain syndrome is dull and short, diverges from the tendon to the muscle cords,
  • often pain occurs at night, if a person has taken an unfortunate position in the body, sometimes it provokes insomnia,
  • palpation of the affected shoulder causes a sharp discomfort,
  • pain syndrome rarely gives away to remote areas, usually it is clearly localized.

Too intense loads cause the progression of the disease and increased symptoms. In addition to pain, tendonitis of the shoulder joint causes limited active movements, while passive movements remain intact. The hand rises to a maximum of 90 degrees, it becomes difficult to hold even a small load. If tendonitis of the biceps muscle of the shoulder is diagnosed, abduction and rotation do not change - there is only pain in the anterior upper arm.

Due to severe inflammation of the tendons, a joint capsule thickens.

Local inflammatory reaction causes:

  • local temperature increase,
  • redness of the skin,
  • small swelling
  • rarely - suppuration.

If the disease has passed into the chronic stage, calcification of the tendons occurs. Small tissue cracks turn into calcified adhesions, a degenerative process begins. When a hand moves, a creak, clicks, a crunch are heard, muscle tissue is weak, limb movements are seriously limited.

Types, forms and stages of shoulder tendonitis

Depending on the localization of the inflammatory process, the pathology can have different types. Most often, damage to the supraspinatus muscle of the shoulder is found - it causes a weakening of the tendon, and in severe cases - ankylosis.

Other types of disease are:

  • biceps tendonitis of the shoulder muscle - covers the tendon between the biceps and shoulder,
  • rotator cuff tendonitis - causes inflammation, pain around this cuff, is often triggered by intense stress and.

A separate line is calcifying tendonitis - the deposition of calcium salts in the thickness of the tendons.

It is divided into the following forms:

  • degenerative - associated with age-related changes and impaired blood flow to the joint,
  • reactive - due to stress, injuries, infections.

The calcifying form of the disease in its development passes through three stages:

  1. Precalcification. Under the influence of risk factors, conditions are formed for the formation of calcifications.
  2. Salt deposits. The crystals penetrate the tendon fibers and remain inside and out.
  3. Postcalcification. Tendon tissues are replaced by cicatricial cords.

In addition, tendonitis can be acute and chronic - in the latter case, it lasts longer than 6-8 weeks, and the pain periodically worsens, like other symptoms.

Diagnosis of the disease

With tendonitis of the shoulder joint, it is important to conduct a full diagnosis before prescribing treatment, because the disease is often complicated or mask the signs of other pathologies - arthritis, arthrosis, bursitis. To accurately determine the affected area, an examination and palpation of the shoulder are carried out - this will help to find pain points, to clarify the severity of the edema.

The differences between tendonitis and arthritis are as follows:

  • arthritis causes a decrease in the volume of both active and passive movements,
  • arthritis leads to a thickening of the joint capsule, the appearance of effusion in its cavity,
  • with arthritis, stiffness of the joint is observed in the morning.

Laboratory studies have no special diagnostic value, changes can be observed only with the infectious process or rheumatism (shift of ESR, formula, C-reactive protein index). X-ray diffraction also reflects only inflammation in the dense tissues, therefore, with shoulder tendonitis, it is shown only if calcification is suspected.

The main diagnostic method is MRI, which provides information on:

  • tendon damage
  • degenerative changes
  • soft tissue swelling
  • reduction in tendon size, etc.

Treatment of tendonitis

The direction and treatment methods depend on the cause of the disease, its severity. Tendonitis of the supraspinatus muscle of the shoulder joint, which was provoked by trauma, may require surgical treatment, as well as the presence of calcifications, adhesions. In uncomplicated forms, therapy is carried out conservatively, while simultaneously affecting the cause of the pathology.

Almost always with tendonitis, treatment begins with limiting the load and immobilizing the limb for a different period (determined by the doctor). The hand is fixed with a special bandage, scarf, brace to exclude its movement. In case of trauma, ice is applied to the painful place, which will help relieve pain, swelling.

Causes and factors of occurrence

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The shoulder joint should provide a wide range of movements. Schematically, its structure can be described as follows: the head of the humerus is immersed in the articular cavity of the scapula, forming a joint. The bones are surrounded by tendons and ligaments. The functioning of the shoulder joint is provided by the muscles: supraspinatus, small round, infraspinatus, subscapular and biceps muscle (biceps). The first four form a rotational cuff. Biceps is mainly responsible for flexion at the elbow. Certain external influences cause microtrauma of the tendons of these muscles. If no correction occurs, the process quickly spreads, capturing more and more new areas. This causes changes and destruction of tendon tissues, arches tendonitis of the shoulder.

As can be seen from the definition of tendonitis, the cause of its occurrence is the inflammatory process. But the factors contributing to the onset of inflammation are extremely diverse:

  1. All types of activities associated with possible injuries and heavy physical exertion on the arms and shoulders. They increase the likelihood of microtrauma (sprain, rupture) of the ligaments of the shoulder, and this causes inflammation.
  2. Elderly age. With age, tendon elasticity decreases. In this group, tendonitis is more often observed in women, due to hormonal changes during menopause.
  3. Diseases of the joints and musculoskeletal system, infectious, endocrine, autoimmune, allergic, colds.
  4. Prolonged immobility caused by fractures and dislocations.
  5. Osteochondrosis of the cervical spine.
  6. Improper posture.
  7. Depressive and stressful conditions leading to muscle spasms, which increases the load on the ligamentous apparatus.

How does shoulder tendonitis develop?

Features:

  • the disease appears when the capsule of the shoulder joint, consisting of five muscles, is damaged. Tendon tissue withstands various loads, alternating tension and rest gives time for recovery, active cell regeneration occurs,
  • the absence of a break after heavy loads provokes microcracks of the ligamentous apparatus, an inflammatory process develops,
  • Initially, problems arise at the site of attachment of the ligaments to the bone tissue, then neighboring areas are inflamed. In severe cases, commissures appear inside the tendons,
  • with prolonged exposure to negative factors of the tendon can not withstand the excessive load, they become thinner, the muscle capsule breaks.

Risk groups

Some categories of people are more likely than others to suffer from shoulder pain. Pay attention to the list. If you think that you are also at risk, study the recommendations to prevent pathological changes.

Shoulder tendinitis in most cases develops in the following social groups:

  • gardeners - gardeners,
  • people who regularly perform types of work with high shoulder loads: builders, movers, painters,
  • professional athletes: swimmers, weightlifters, tennis players,
  • women during menopause,
  • men and women after 50-60 years. At this age, tendon elasticity decreases, the risk of shoulder pathologies increases.

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Provoking factors:

  • excessive shoulder loads for a long period,
  • lack of breaks during heavy work associated with raising arms, active movements of the shoulders, carrying heavy loads,
  • improper treatment, a minimum period of rehabilitation after injuries,
  • dangerous infectious diseases (gonorrhea),
  • rheumatic joint diseases
  • shoulder injury
  • diabetes, problems with the functioning of the thyroid gland,
  • allergic reactions to potent drugs,
  • congenital pathologies of the shoulder joint,
  • curvature of the spinal column.

Doctors distinguish several varieties of the disease:

  • calcifying tendonitis. Calcium salts are deposited in the tendons, joint mobility is limited,
  • biceps tendonitis,
  • tendinitis in the muscle tissue of the rotary-rotor cuff of the shoulder.

Symptomatology

Key features:

  • localized pain. Unlike arthritis, discomfort appears when making movements of a certain nature (raising your hand). The nature of the pain is aching, dull or acute, depending on the stage. When pressing on the damaged tendon, the discomfort intensifies,
  • inflammatory reaction. The penetration of bacteria causes inflammation, negative changes in the density of the tendon tissue: the joint capsule thickens. The affected area swells slightly, feels hot to the skin, reddening of the skin is noted. In a severe inflammatory process, purulent masses accumulate at the base of the tendon,
  • stiffness of movements. A characteristic sign of tendonitis is a shoulder problem with certain types of movements. The progression of the disease leads to discomfort in various situations. The following symptoms will help suspect problems with tendons: it is difficult to hold a load even of small weight, it is impossible to raise a sore arm above 90 degrees and put it behind your back. Passive movements are often unlimited,
  • degenerative changes in the articular tissue. This symptom is easy to detect during ultrasound and MRI. With the calcifying form of the disease, the patient himself and others notice the symptoms: crunches are heard in the joints, a strange creak. Often, studies confirm the thinning of tendons, the appearance of coarse adhesions at the site of ruptures. As the negative processes in the tendons and joint tissue intensify, the limb weakens, and it is difficult for the patient to perform active movements.

Features of the course:

  • Stage 1 The pain appears with sudden movements, the intensity of negative feelings is low. There are no degenerative changes in the x-ray,
  • 2 stage. Active movements are limited, the pain intensifies. X-ray shows the appearance of bone growths - osteophytes, symptoms of periostitis and osteosclerosis,
  • 3 stage. Painful sensations occur even at rest, attacks often last for 6-7 hours. On the x-ray, serious changes in the parts of the shoulder are noticeable, the clearance between the acromion and the head of the shoulder is noticeably narrowed.

Diagnostics

Consult a surgeon, rheumatologist, or orthopedist. The doctor will conduct motor tests, prescribe tests, examination using modern equipment.

A complete picture of the disease can be established on the basis of data from the following studies:

  • arthroscopy
  • Ultrasound
  • Kr-arthrography,
  • X-ray
  • MRI of the shoulder joint.

Treatment methods

Therapy is carried out taking into account the severity of the pathology and the time of seeking medical help. Inveterate microtrauma, adhesions are more difficult to treat. With any form of tendonitis, the use of several physiotherapeutic methods and potent drugs is required.

In acute pain, cold is only beneficial on the first day after the onset of negative symptoms. Pain relief with the use of cold compresses for tendonitis is not carried out.

Drug therapy

After the examination, the doctor will prescribe drugs to eliminate the symptoms of tendonitis, the treatment of background pathologies (if any). It is forbidden to take potent formulations without a doctor's prescription: NSAID drugs have many side effects, the selection is made individually.

Effective drugs:

  • analgesics to reduce pain. Use Analgin, Paracetamol, Solpadein, Ibuprofen,
  • compresses with Dimexidum. Active ingredients penetrate deep into tissues, relieve inflammation, reduce pain,
  • gels and ointments. A mandatory element of therapy. Compositions for external use normalize blood circulation in problem areas, accelerate tissue regeneration, restore metabolic processes. The positive reviews deserved the drugs: Voltaren-emulgel, Deep Relief, Troxevasin, Ibuprofen, Diclac gel, Fastum gel,
  • non-hormonal formulations with a pronounced anti-inflammatory effect. Swelling, inflammation, severe pain in the shoulder will significantly decrease after the course with the use of NSAIDs. The course is short - up to seven days. Effective drugs: Naklofen, Movalis, Ketorol, Indomethacin, Revmoxib, Ortofen. Side effects are possible, supportive therapy with the use of probiotics, hepatoprotectors is required.

Specialists rarely use steroid hormones. The doctor will prescribe Hydrocortisone or Prednisolone only with low effectiveness of non-hormonal drugs, in advanced cases with extensive inflammation.

Physiotherapy

Active methods for repairing damaged tendons are allowed only after the end of the acute phase of the disease. The doctor will select a set of procedures to relieve pain, improve tissue elasticity.

Modern physiotherapy:

  • laser and magnetotherapy,
  • healing mud applications
  • electrophoresis
  • massage,
  • physiotherapy.

Massaging the problem area is allowed only after stopping the inflammatory process. In the acute stage, fixation of the diseased joint is required, with the disappearance of signs of inflammation, leaching of calcifications, an exercise therapy complex is recommended. Special exercises develop the joint, restore the strength of muscle tissue.

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Folk remedies and recipes

Home remedies are a good help in the treatment of many diseases of the musculoskeletal system. For shoulder tendonitis, formulations of inexpensive, affordable ingredients are effective.

Always consult a doctor, specify whether decoctions and lotions are allowed in your case. Cabbage leaf or aloe juice is useful for any problems with joints, tendons, synovial membrane, but alcohol compresses are not suitable for all patients.

In the selection you will find safe, proven products based on components with a delicate, “soft” action. Use two or three compounds, focus on the degree of effectiveness, if necessary, try new recipes.

Home remedies for the treatment of shoulder tendonitis:

  • recipe number 1. Put in a thermos 1 tbsp. l fresh berries of bird cherry, pour a glass of boiling water. After 3 hours, the therapeutic infusion is ready. Take aromatic tea twice a day before meals. Another option: soak gauze in infusion, attach to the problem area for half an hour. Drink healing tea or compress daily
  • recipe number 2. Grind the cabbage leaf, attach the juicy slurry to the sore shoulder, cover with cellophane, fasten with a bandage. Keep the compress for 45 minutes, replace the pulp with fresh. Carry out the procedure every day: cabbage perfectly removes inflammation, reduces tissue soreness, does not cause negative reactions,
  • recipe number 3. Infusion from a shepherd’s bag. You need a tablespoon of dried flowers, 250 ml of boiling water plus a thermos. Mix the components, wait 2 hours, filter the finished infusion. Do compresses daily, the duration of the procedure is 1 hour. During this time, replace the old compress with a fresh one a couple of times,
  • recipe number 4. Herbal decoction with anti-inflammatory effect. Combine a tablespoon of chamomile, calendula and sage, pour a liter of boiling water, boil for 3 minutes. Remove the mixture from the heat, cover the pan with a lid, wait 40 minutes. Filter the decoction from medicinal herbs, use for compresses the same way as the remedy from recipe No. 3. Supplement the external treatment with a decoction of the inside of a third of a glass twice a day (course of treatment - 2 weeks).

Preventive recommendations

Recommendations:

  • alternating shoulder loads with rest,
  • massage, herbal compresses, gels and ointments with a relaxing effect during prolonged garden work, weight lifting,
  • taking chondroprotectors for the health of cartilage and muscle tissue after 40 years, with high physical exertion - as directed by a doctor, even from 25-30 years old,
  • monitoring the condition of joints, tendons, bone tissue during professional sports,
  • proper diet, alternation of "meat" and "fish" days, the rejection of animal fats in favor of vegetable. Eat more vitamins, vegetables, leafy greens, eat less sweets, smoked meats, spicy, fried foods,
  • timely access to a traumatologist, surgeon, rheumatologist or orthopedist for pain, limitation of mobility, strange crunch in the shoulder joint.

The following is a video about the symptoms and treatment of calcified shoulder tendonitis:

Drug treatment

To eliminate pain, inflammation, tendonitis of the supraspinatus muscle of the shoulder joint necessarily requires treatment with non-steroidal anti-inflammatory drugs. In the acute stage, medications are prescribed in tablets, after a serious injury - in injections. Ibuprofen, Diclofenac, Meloxicam, Ketoprofen are usually used for 5-7 days. Also, to reduce pain, it is indicated to use ointments based on the same active substances (Fastum-gel, Diklak, Voltaren and others). They are applied in the morning and evening for up to 14 days.

From discomfort, compresses with Dimexide are effective. The medicine is diluted with water 2 times, a cloth is moistened, applied to the affected area for 1-2 hours. The course of treatment is 5-7 days. In severe cases, injections with corticosteroids into muscle tissue are practiced, the tendon area with such drugs:

In the chronic stage of shoulder tendonitis, massage with warming ointments (Sophia, Kapsikam, Apizartron) can be used. In the presence of rheumatoid arthritis, diabetes mellitus, infectious arthritis, gout and other diseases, they must be fully treated without which the signs of tendonitis cannot be eliminated.

Prevention of shoulder tendonitis

The considered risk factors show what needs to be done to prevent shoulder tendonitis. The exclusion of large loads on the arms and shoulders is required, if it is impossible to do this due to professional activity, it is reasonable to alternate loads and relaxation so that the tendons have time to recover. During sports training and competitions, a thorough warm-up is required so that heated muscles are exposed to loads. Focusing on the problem considered in the article, this is especially true in sports such as rowing, weight lifting, tennis, discus and spear throwing, and the like. If pain occurs in the shoulder joint during work or training, it is necessary to temporarily stop them. If similar situations are observed regularly, it is more reasonable to refuse such activity.

It is impossible to turn back the clock, but in old age you can have healthy joints. To do this, you must perform physical exercises, reasonably dosing the load. It strengthens muscles and increases tendon elasticity. Physical education, gymnastics should become an integral element of lifestyle. Similar recommendations are relevant for people of all ages.

If any of the above diseases are already present, it is necessary to treat them seriously and persistently treat. To avoid colds and infectious diseases, you should protect yourself from drafts, hypothermia, infections. It is necessary to monitor not only physical, but also mental health.

Other treatments

In almost every case of tendinopathy, patients are prescribed a course of physiotherapy exercises. Loads should be small so as not to provoke an exacerbation of the disease. Usually, the doctor draws up an individual program of classes, which should initially be performed under his supervision.

Here are some suitable exercises:

  • throw a towel over the bar, grab the ends with both hands, pull on one side with a healthy hand, and raise the patient,
  • extend your arms with the gymnastic stick held in them forward, describe the stick circles counterclockwise and clockwise,
  • palm of a sick hand put on biceps of a healthy limb, carefully lift the elbow up,
  • squeeze the brushes into the lock, lift, holding in front of you,
  • swing a sick hand in different directions like a pendulum.

If an exacerbation of the disease begins, exercise therapy should be stopped for a while and undergo a course of conservative therapy. After the unpleasant symptoms subside, gymnastics resumes.

It happens that standard measures do not help, and you have to carry out surgical treatment. Most often, an arthroscopic operation through a puncture is prescribed, which does not require long-term rehabilitation. During the operation, calcifications, scars, adhesions are removed, or tendon fibers torn during injury are sutured. After surgery, exercise therapy is indicated for 3-12 months for joint development.

Prevention of tendonitis

To reduce the risk of shoulder tendonitis, you need to play sports after preliminary stretching, warming up muscle groups and tendons. Otherwise, microcracks inevitably appear on them, which over time will lead to an inflammatory process. If pain occurs during training, it is important to reduce the load and give the joint the opportunity to relax.

In addition, for the prevention of pathology, it is important:

  • do not perform uniform shoulder movements,
  • do not forget about exercise therapy, if there are already diseases of the shoulder joint,
  • to control hormonal and metabolic pathologies,
  • do not ignore the treatment of osteochondrosis,
  • eat well
  • do not supercool.

When practicing professional sports and the presence of other risk factors, you need to regularly visit a doctor and be examined in time to identify any changes and prevent complications.

Forms, symptoms, and stages of brachial tendonitis

  • supraspinatus and biceps
  • rotational cuff of the shoulder, containing supraspinatus, supraspinatus, subscapularis and small round muscle,
  • shoulder - the pathological process covers the tendons of all the muscles of the shoulder joint,
  • calcifying - inflammation occurs around those areas where calcium salts are deposited, most often this is the tendon of the supraspinatus muscle,
  • post-traumatic.

In the form of the flow, the process is acute and chronic. For more information about pains in the shoulders and shoulder blade and their causes, see this video:

Symptoms of shoulder tendonitis

  1. Shoulder pain is the main symptom. It can have a different nature, amplified in the evening and during movement.
  2. Difficulty in movement. By what kind of movement is limited, you can determine which muscle tendon is inflamed. If the rotation of the shoulder outward is difficult, it is a small round muscle, if the rotation of the shoulder inward is subscapular. If it is difficult to raise hands, hold the load - the biceps (biceps).
  3. The skin of the shoulder may have areas in which redness and swelling are observed (the latter is quite rare).
  4. Easily palpable fibrous nodules may form on the tendon.
  5. During movement, the shoulder joint may make a crunch and creak. This is a sign of calcifying tendonitis, when certain sections of the tendon are ossified.

Shoulder tendinitis has three stages of development.

First stage

It is characterized by mild pain, which passes on its own. Mobility is not limited.

Second stage

Due to intense pain, difficulty in movement appears. After some time at rest, the pain usually goes away. On x-rays, the initial changes are recorded.

Even “neglected” joint problems can be cured at home! Just remember to smear it once a day.

Third stage

The pain appears regardless of whether there is movement in the joint or it is at rest. A painful attack lasts up to 8 hours. It is impossible to make a certain type of movement in the shoulder joint. On x-rays, changes characteristic of this stage of the disease are recorded.

As you can see, the symptoms intensify from the first to the third stage.

Treatment of brachial tendonitis

The tactics of treatment are determined by the stage of the disease. Since the symptoms are minor at the first stage, people often do not pay attention to them at all, and it is during this period that the treatment is the simplest and most effective. It consists in the obligatory reduction of the load, gentle motor regime for the shoulder joint, if tendonitis is of a post-traumatic nature, cold compresses are applied. Cold is indicated only immediately after an injury. Reducing the load does not mean complete immobility of the joint. Immobility can cause tendon adhesions and result in complete atrophy. It is useful to perform a set of exercise therapy exercises, focusing on your well-being. If tendonitis is not post-traumatic, then cold is not used.

To relieve the condition, pain medications are prescribed. If the cause is an infection, anti-inflammatory drugs are prescribed, in the form of injections, ointments, tablets. The most used are Nise, Movalis, Ketorol, Nurofen, Naklofen, Revmoksib. The course of treatment is short, more often - 5-7 days, antibiotics may be prescribed. Usually, the implementation of these recommendations is enough to normalize the condition.

If the disease has passed into the second stage, injections of painkillers and anti-inflammatory drugs, blockade of the shoulder joint are prescribed. When the acute pain passes, physical exercises are added, they will be recommended by a specialist in exercise therapy. A therapeutic massage may be prescribed. There are contraindications for him, for example, in the presence of infection, massage is strictly contraindicated.

To enhance the effectiveness of pain treatment, special ointments and gels are often added, which are applied externally to the painful area of ​​the shoulder. It can be Diklak gel, Deep Reelif, Ibuprofen, Fastum gel, Voltaren.

Physiotherapy

The complex of therapeutic measures include physiotherapy. Physiotherapeutic procedures improve blood flow in the soft tissues, the result is an acceleration of metabolism: more nutrients come in and the output of vital products is accelerated. All this leads to the elimination of inflammation.

The following procedures are usually prescribed:

  1. Magnetotherapy - exposure to a damaged area with an alternating magnetic field. The primary action is to warm the tissues.
  2. Laser therapy - exposure to monochromatic electromagnetic radiation.
  3. Phonophoresis - the introduction of drugs using ultrasound: the therapeutic effect of the drug is enhanced by its effect.
  4. Electrophoresis is the management of drugs using direct current.
  5. Shock wave therapy is the effect of mechanical waves on damaged tissue, which leads to the destruction of salt deposits. This procedure is prescribed for calcifying tendonitis.

If the disease is started, conservative methods do not help; surgical methods are used. This is usually observed in the third stage of development of brachial tendonitis. Surgical interventions lead to temporary disability and require a fairly long rehabilitation period. There is a risk of postoperative complications.

If untreated, tendinitis takes on a chronic form. In this case, the connective tissue can atrophy, and the shoulder joint will completely lose mobility. In such a situation, it is likely that any treatment will not give a result.

Folk remedies for the treatment of tendonitis

Since tendonitis is widespread, traditional medicine offers its own recipes to relieve this disease. Decoctions, tinctures, teas and ointments are used that have anti-inflammatory, antimicrobial, restorative and analgesic effects. Watch this video if you want to know how treatment for shoulder tendonitis is carried out:

It is recommended to apply compresses from:

  1. Grated potatoes.
  2. Chopped garlic, to which eucalyptus oil is added.
  3. Shredded onions mixed with sea salt.

A decoction of cherry berries, ginger tea with sassaparilla and an alcohol solution of walnut partitions, infused with alcohol, are taken orally. Folk remedies help in the fight against the symptoms of the disease, but you can not limit yourself to them only.

Shoulder tendonitis is not a sentence, but if it is not started to be treated at the first stage, it can progress quickly and significantly worsen life. A shoulder joint can even completely lose mobility, the consequence is disability. Nowadays, captured tendonitis is cured. However, this requires strict observance of all the instructions of the attending physician for a long time. The reward for this will be the ability to move easily and freely, without experiencing pain.

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  • Joint pain limits your movement and full life ...
  • You are worried about discomfort, crunching and systematic pain ...
  • Perhaps you have tried a bunch of drugs, creams and ointments ...
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