Different Types of Tendonitis (2024)

Tendonitiscan be a painful condition which is caused by inflammation or irritation of a tendon. It can occur anywhere in the body, but it most commonly occurs in the feet and ankles.

Overuse, repetitive movements, or overstretching can result in tendonitis. It can also be the result of an injury such as a sprained ankle. Most cases of tendonitis can be treated nonsurgically and with rest.

What Is Tendonitis?

Tendons are the strong cord-like fibers that connect your muscles to your bones. They vary in size and shape, from the small ones in your fingers to larger ones in your shoulders and legs.

Tendons are flexible and tough, and they work with the muscles to move the bones in your joints. If a tendon becomes irritated or overstretched, it can become inflamed and develop tendonitis.

Although tendonitis often results from overuse, it can also be caused by an injury – particularly while playing sports. It can also be due to structural abnormalities or diseases, such as arthritis and diabetes.

Common Types of Tendonitis

Let’s take a look at three of the most common forms of tendon inflammation:

Achilles Tendonitis

Achilles tendonitis is often caused by overuse, so it is a common injury in runners. It affects the tendon that connects the calf muscles to the heel bone.

Symptoms include heel pain and tenderness, which can become worse when walking or running. Treatment usually includes rest and pain relievers; sports and fitness activities should be avoided to prevent rupturing or tearing the tendon.

Peroneal Tendonitis

Peroneal tendonitis affects the two tendons that extend down the outer side of the lower leg bone (fibula), behind the bony lump on the outside of the ankle, and along the length of the foot. One tendon attaches to the outside of the foot at the base of the little toe, while the other runs along the sole of the foot and attaches to the inside of the arch.

Together the tendons help to stabilize the ankle. If they become inflamed from an increased load and overuse, they can rub against the bone, causing symptoms such as pain at the back of the ankle (felt most when standing or when pushing off through your foot) and ankle instability.Treatment includes immobilization with a walking boot, anti-inflammatory medications, physical therapy, and bracing.

Posterior Tibial Tendonitis

Posterior tibial tendonitis affects the tendon that attaches the back of the shinbone to the bones of the foot. When it becomes inflamed, it is unable to provide stability and support for the arch of the foot. Over time, this can result in flatfoot.

Symptoms can include pain when you start to push off through your foot and the inability to stand on tiptoes. Treatments can include a cast or walking boot, shoe inserts, arch supports, activity modification, and anti-inflammatory medication.

Symptoms of Tendonitis

Signs and symptoms of tendonitis are usually felt near a joint, at the site of the affected tendon. They can include:

  • Pain that increases with movement (tends to occur more during the night)
  • Tenderness
  • A cracking or grating feeling as the tendon moves
  • A lump felt on the tendon
  • Swelling, redness, and heat at the site of inflammation

Complete Care for Your Feet and Ankles

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Different Types of Tendonitis (2024)

FAQs

What is the most common type of tendonitis? ›

When stretched or torn, tendons become inflamed (known as tendinitis), and you experience tenderness and pain, particularly in the areas near a joint. This type of injury tends to reoccur in the same area. The most common types of tendinitis are tennis elbow, golfer's elbow, jumper's knee, and bicep tendonitis.

What are the 4 symptoms of tendonitis? ›

The main symptoms of tendonitis are:
  • pain in a tendon that gets worse when you move.
  • difficulty moving the joint.
  • feeling a grating or crackling sensation when you move the tendon.
  • swelling, sometimes with heat or redness.

What are the different types of tendinopathy? ›

Tendinopathy can occur in almost any tendon. Common examples include plantar fasciitis, Achilles tendinitis, patellar tendinitis, tennis elbow, golfer's elbow, and supraspinatus tendinitis. Tendinopathy is poorly understood and has many described remedies with very little evidence to support their efficacy.

What is 10 tendonitis? ›

Tenosynovitis is tendinitis with inflammation of the tendon sheath lining. Symptoms usually include pain with active or resisted motion and tenderness with palpation.

What's the worst that can happen with tendonitis? ›

Without treatment, tendinitis can increase the risk of a tendon breaking down or tearing. A completely torn tendon might need surgery.

What is Stage 4 tendinitis? ›

Moderate Tendonitis (stages 3-4) - Pain is caused by extreme exertion that lasts for several hours after physical activity has stopped. When pain severity is approaching stage 4, normal functioning is impaired.

What organ does tendonitis affect? ›

Tendonitis can occur at almost any site of the body where a tendon connects a bone to a muscle. Common areas for the condition include the shoulder (especially in the rotator cuff), elbow, wrist, knee and ankle.

What can be mistaken for tendonitis? ›

Because bursitis and tendonitis pain may be felt near the joints, it is sometimes mistaken for arthritis. Knowing the differences between these conditions can help you identify and address the root cause of your joint pain to get you back to an active life.

What makes tendonitis worse? ›

Forceful or violent motions, such as pitching a fastball. Unnatural motions, like serving a tennis ball. Poor body mechanics or method when doing an activity like aerobics, lifting weights, or painting the ceiling.

What happens if tendonitis doesn't heal? ›

If left untreated, tendonitis could lead to: Chronic tendonitis (a constant, dull pain when you move). Difficulty or inability to move the affected part of your body. Torn tendons (tendon rupture).

Does tendonitis ever go away? ›

Tendonitis may go away on its own over time, but that's not always the case. That's why I tell people with recurring joint pain to see a tendonitis specialist. These doctors can diagnose the problem and get patients with tendonitis on the road to recovery faster.

What is the best anti inflammatory for tendonitis? ›

Doctors may recommend over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, to reduce inflammation in the bursa and tendon and relieve pain. These medications are typically recommended for a few weeks while the body heals.

What is permanent tendonitis called? ›

Tendinosis is a different, long-term condition. It describes an injured tendon that has degenerated from overuse. The similar-sounding names of tendinitis and tendinosis often lead to confusion between these two conditions. Each reflects a distinctly different condition with a tendon, requiring different treatments.

Should I massage tendonitis? ›

For people suffering from tendonitis, it can help with pain relief and speed up the recovery process. Since tendonitis can take weeks to heal, using a massage therapy program to both relax and strengthen the inflamed tendon can give the sufferer a better chance of a full and speedy recovery.

How bad can tendonitis get? ›

Untreated tendonitis can develop into chronic tendinosis and cause permanent degradation of your tendons. In some cases, it can even lead to tendon rupture, which requires surgery to fix. So if you suspect tendonitis, stop doing the activities that cause the most pain.

Where is tendonitis most common? ›

Tendonitis can occur at almost any site of the body where a tendon connects a bone to a muscle. Common areas for the condition include the shoulder (especially in the rotator cuff), elbow, wrist, knee and ankle.

What is one of the most common causes of tendonitis? ›

Tendinitis can occur as a result of injury or overuse. Playing sports is a common cause. Tendinitis also can occur with aging as the tendon loses elasticity.

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