Tendonitis is defined as irritation and resulting inflammation of a muscle tendon; typically resulting from over-use. Some of the more common types of tendonitis experienced include: Tennis Elbow (pain in the later part of the elbow), Golfers Elbow (pain in medial portion of elbow), Supraspinatus or Rotator Cuff Tendonitis (pain on the top of the shoulder or neck), and Plantar Fasciitis (Most commonly characterized by heel pain.) Statistically, many people will experience tendonitis at some point in their life. Many physicians still advise “waiting it out”, and report that many cases pass. While this is partly true, what happens in chronic cases that do not seem to remit, or seem to flare-up more often? Many people are left with little to no solution to their problem.
A better approach to treatment of Tendonitis:
While many people seem to recover rather quickly with little to no intervention, if you find that you are someone who has been dealing with tendonitis off and on for quite some time there is a good chance your problem can become chronic. What does this mean exactly? Chronic inflammation of a tendon is characterized as Tendonosis; or chronic tendonitis that has lead to damage at a cellular level. When you have chronic inflammation in a tendon over-time it leads to micro-tears in the muscle. These micro-tears cause the body to trigger a healing response. In an effort to quickly heal the body will produce Type III collagen fibers to “patch” the irritated muscle. Type III collagen is lacking the tensile strength of healthy tissue; making the tendon weaker, and more likely to rupture. Additionally, cases where tendonitis seems to “come and go” are more likely to become chronic and lead to a greater chance of a more serious injury.
IASTM (Instrument Assisted Soft-Tissue Mobilization) has been shown to promote healing and increase tensile strength of injured tendons and ligaments by promoting a healing response on a cellular level. By inceasing blood flow and fibroblast activity we can activate a healing response. Many people have even reported resolution of their tendonitis. IASTM in addition to stretching, spinal or extra-spinal manipulation, and specific rehabilitative exercise is an extremely effect, and cost-efficient solution.
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