Tendinitis
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| What is tendinitis? | Inflammation of a tendon.
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| A tendon that moves in a straight line is surrounded by a ________. | Paratendon (such as the biceps tendon).
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| A tendon that runs across a bony prominence is surounded by a tendon sheath called an _______. | Aponeurosis.
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| What connects muscle to bone? | A tendon.
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| _____ keeps a tendon in place. | Retinaculum.
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| Describe the pain in Grade 1 tendinitis. | There is pain during activity only.
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| Describe the pain in Grade 2 tendinitis. | There is pain at the beginning of the activity and disappears then returns after activity.
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| Describe the pain in Grade 3 tendinitis. | Tendinits has pain at the beginning, during and after activity.
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| Describe the pain in Grade 4 tendinitis. | Pain with activity and during daily living.
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| What type of activities cause tendinitis? | Tennis, golf, swimming, occupational activities.
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| Where is the most common place for bicipital tendinitis to occur? | In the long head.
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| What is the best indicator of tendinitis? | Pain when stretching.
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| What activities can cause pattellar tendinitis? | Running or the step machine.
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| What activities can cause popliteal tendinitis? | Running combined with running and pronation or tight gastrocs.
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| What are the signs and symptoms of acute tendinitis? | Pain after or during activity, inflmmation, heat or swelling along tendon. Crepatis may develop.
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| What are the s/s of chronic tendinitis? | Pain is localized and client should be able to pinpoint, chronic swelling or thickening, decreased ROM, decreased strength, flair ups in the acute stage with repeated overuse.
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| What are common observations in the acute stage? | Antalgic gait or posture, swelling or redness.
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| What are common observations in the chronic stage? | Postural assessment may also show muscle imbalances, thickening of tissue.
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| What are common findings during palpation? | Pain occurs at the tendon, swelling and heat may be present, hypertonic and TPs.
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| What are the ROM test findings? | AF - Painless; PR pain on compleate stretch; AR painful on the contraction of the muscle with the affected tendon.
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| What are special tests that can be used to prove tendinitis? | Supraspinatus, infraspinatus test for shoulder tendinitis; speeds test for bicep tendinitis.
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| What are short term goals to treating tendinitis? | - increase circulation, decrease fascial restriction, decrease TP, prepare the tendon for deep tissue frictions.
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| What hydrotherapy do you use for tendinitis? | Since it is an inflammatory condition - ice.
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