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Short-term therapy is aimed at relieving pain and decreasing inflammation so that exercise is possible and permanent immobility of the shoulder is avoided. Medications that may be given include long-acting corticosteroids, given by injection directly into the painful area; short-term analgesics such as codeine or acetaminophen with codeine; and oral antiinflammatory agents. Applications of ice are more helpful in relieving pain than applications of heat, which usually aggravate the pain of calcific tendinitis. Once the patient is free of pain, exercise is begun to preserve motion. If the joint becomes fixed, surgical intervention may be necessary to break up adhesions and restore full mobility to the joint.
ten·di·ni·tis(ten'di-nī'tis), Because this word is based on the Latin word tendo, with a genitive singular form of tendinis and a combining form that is therefore tendin(o), the spelling tendonitis is irregular.
tendonitis/ten·do·ni·tis/ (ten″do-ni´tis) tendinitis.
tendonitisinflammation of a tendon. Usually the result of repetitive overuse movements, especially at high intensity. This causes micro-tears in the collagen matrix with inflammation, swelling, tenderness and pain, especially on specific movements. More common in older athletes. Treatment aims to identify and reverse the cause, together with local anti-inflammatory measures such as RICE, anti-inflammatory medication, electrotherapy and occasionally corticosteroid injection (into the paratendon to avoid tendon rupture). See also tenosynovitis.
tendinitis; tendonitis, tendon inflammation due to overuse/trauma; also characteristic of rheumatoid tendinopathy
extensor tendinitis pain in extensor digitorum longus and/or tibialis anterior tendons due to exaggerated out-toed gait required in ballet, or in patients with excessive foot pronation
flexor hallucis longus tendinitis pain, crepitus and tendon pathology posterior to the medial malleolus, associated with en pointe ballet dancing
peroneal tendinitis pain in peroneus longus and peroneus brevis tendons, due to excess pronation and resultant forced external foot rotation
tendo Achilles tendinitis pain in distal part or point of insertion of Achilles tendon; common in ballet dancers due to stresses imposed by jumping and landing whilst en pointe