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Tendonitis/ Tenosynovitis for Massage
Therapists
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Definitions:
Tendonitis - inflammation of tendon (
can be Achilles tendon, patellar tendon, elbow tendon, wrist tendon, shoulder
tendons aka the rotator cuff),
Tenosynovitis - inflammation of the gliding
surface of the tendon and the surrounding sheath; Sheathed tendons are
usually found in the wrist and ankles where tendons pass close to the bone.
Calcific tendonitis - calcium deposits
in tendon usually from chronic inflammation
Signs/Symptoms-
persistent pain,
referred pain,
pain decreases after warming up,
pain increases after use,
muscle weakness may occur,
common with strains and sprains
heat, swelling,
stiffness
usually in musclo-tendinous junction because
of weakness and limited blood supply there
Causes: over use of tendon/muscle,
tendon/muscle is not strong enough to do the requested movements, misalignment
of posture causing more wear and tear on specific areas
Treatment Guidelines:
- decrease pain and swelling
break up adhesions
- triggerpoint injured area and surrounding
areas
- realign and balance posture
- deep tissue work to muscles of the tendons
to relieve pressure
- ice massage or vascular flush (alternating
hot and cold, ending in cold)
- light stretching
- exercise to strengthen
Common types: Achilles tendonitis,
patellar tendonitis, rotator cuff tendonitis,
infraspinatus tendonitis,
tennis elbow,
shin splints,
repetitive stress syndromes (RSI)
Resources:
Friction Massage Therapy A simple
self-massage technique helpful in resolving tendinitis by Paul Ingraham,
Registered Massage Therapist (Vancouver)
Essential Principles By Ben Benjamin
Essential Principles By Ben Benjamin
Shoulder Series #3: Subscapularis Tendinitis
Essential Principles By Ben Benjamin
Univ of MD -
tendinitis
Google Books:
Understanding
Sports Massage - Patricia Benjamin
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