Patellar Tendonitis – Recognize And Treat
Patellar tendonitis occurs when there is excessive movement in this part.
Favorable factors for patellar tendonitis
Overload of pillow:
- continuous, prolonged movement, starting up before training is not enough time.
- Due to injury.
- Age (common in middle-aged people).
- Pathological factors: easily encountered in people with chronic musculoskeletal system diseases such as gout, rheumatoid arthritis, etc. axis.
Other factors such as: the body is too fat, the condition of two legs is not equal, leading to the overload in one leg .
Manifestations of patellar tendonitis
The main sign is pain. Pain is located in front of the knee where the tendon is inflamed, the pain is increasing, dull, rarely terrible pain. Pain increases when folding and stretching, as if performing movements: climbing stairs, squatting.
Pain is cyclic, ranging from constant pain, then to severe pain, gradually subsiding and then increasing, the progression of the disease may take months. Tendonitis may progress in a natural or chronic direction.
There are cases of tendon rupture due to inflammation are rare but very serious complications: may have patella tendon or quadriceps tendon rupture. Symptoms then manifested by a sudden increase in pain after a jump
. at the same time completely losing motor function of the muscles.
If pain symptoms do not subside or worsen, affect mobility, activities, or develop redness or swelling, seek medical advice immediately.
How to detect disease?
Diagnosis is based on clinical examination, and in some cases, additional laboratory tests such as X-ray, knee ultrasound or magnetic resonance imaging are needed.
However, these measures are primarily aimed at eliminating pain from other causes such as meniscus injuries, ligaments, degenerative joint damage ...
The treatment of patella tendonitis can be long and complex depending on the extent of damage.
In some severe cases the improvement may not be high, especially if tendon rupture occurs.
Therefore, it is necessary to consult and consult with a doctor early when new symptoms start, the treatment effect will be higher.
The patient does not need complete rest. In fact, a break is completely more harmful than beneficial. It facilitates muscle atrophy and reduces rehabilitation time.
Often indicated for breaks appropriate to the duration of pain. To reduce the burden on the tendons to use crutches to walk, sometimes it is necessary to use the whole knee brace for resting knee joints.
Drug treatment: Anti-inflammatory analgesic, non-cortisone drugs have effects on quadriceps tendons and patella.
Indications for use in acute cases, whereas in chronic cases, it does not work much.
Use of drugs in different forms: tablets, gels or topical creams ... Treatment of injections with many small nose (mésothérapie) results are not stable. People often have to combine anti-inflammatory drugs, vasodilators and anesthetics. Most cases give good results.
Rehabilitation is one of the important treatments of tendonitis.
Physical therapy (ultrasound, shortwave, laser ...) massage, increase muscle movement, stretching also works well.
Patellar tendonitis rarely requires surgery, absolutely indicated in the case of complications of tendon rupture. Indicated in the case of failure when prolonged medical treatment does not result. Especially prolonged pain and hindering sports activities..
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