Tendon Injection Treatments

Understanding Tendons

Tendons are robust, flexible bands of fibrous tissue that connect muscles to bones. They play a crucial role in facilitating movement, as they transmit the force of muscle contractions to the bones. However, tendons can become inflamed or injured, leading to conditions like tendinitis and tendinosis, causing pain, swelling, or impaired performance.

When Tendon Injection Becomes Necessary

Tendon injections are often recommended when conservative treatments for tendon-related conditions, such as rest, physical therapy, or oral medications, have not provided sufficient relief. These conditions include tendinitis, tendinosis, and other forms of tendinopathy that affect common sites such as the Achilles tendon, the bicipital tendon, the rotator cuff of the shoulder, and the wrist extensors.

Overview of the Tendon Injection Procedure

Tendon injections involve administering therapeutic substances directly into the affected tendon to alleviate pain and promote healing. These substances can include corticosteroids for tendinitis, platelet-rich plasma therapy, or stem cell injections for tendon healing. The injections are often guided by ultrasound to ensure accurate placement.

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The cost of Tendon Injection Treatments may be covered by private health insurance plans, depending on the specifics of the policy. Check with your insurance provider to understand what is covered.

Related Concerns

Tendon-related conditions can lead to chronic pain, reduced mobility, and impaired performance in daily activities. If left untreated, these conditions can progress and potentially cause permanent damage to the tendon.

Causes of the Issues

Tendon issues are often caused by overuse or repetitive strain on the tendon, leading to inflammation (tendinitis) or degeneration (tendinosis). They can also result from acute injuries or age-related wear and tear.

Treatment Approaches

Treatment for tendon-related conditions can range from conservative approaches, such as rest and physical therapy, to more invasive procedures like surgery. Tendon injections are a minimally invasive treatment option that can provide significant relief for many patients.

Service Overview

Tendon injections offer a targeted approach to treating tendon-related conditions. By delivering therapeutic substances directly to the affected area, these injections can reduce inflammation, promote healing, and alleviate pain. The type of substance used will depend on the specific condition and the patient's overall health.

Step-by-Step Guide to Tendon Injection Procedure

1. The skin over the affected tendon is cleaned and sterilised.
2. A local anaesthetic may be applied to numb the area.
3. Using ultrasound guidance, the healthcare provider precisely locates the affected tendon.
4. The therapeutic substance is then injected directly into the tendon.
5. After the injection, the area may be bandaged, and the patient is given aftercare instructions. ### Conditions Warranting Tendon Injection Tendon injections are typically recommended for conditions such as tendinitis, tendinosis, and other forms of tendinopathy that have not responded to conservative treatments. These conditions can be caused by overuse, injury, or age-related wear and tear. Lifestyle factors, such as engaging in repetitive movements or sports, can also contribute to these conditions. ### Benefits of Tendon Injection Tendon injections can provide significant relief from pain and inflammation. They can also promote healing in the affected tendon, improving mobility and function. In some cases, these injections can help patients avoid more invasive procedures like surgery. ### Risks of Tendon Injection While tendon injections are generally safe, they can carry some risks. These may include infection, allergic reactions to the injected substance, and potential damage to the tendon or surrounding tissues. It's also possible that the injection may not provide the desired relief from symptoms. ### Preparation for Tendon Injection Before the procedure, patients may need to stop taking certain medications that can increase the risk of bleeding. They should also inform their healthcare provider about any allergies or existing health conditions. ### Pre-Tendon Injection Procedures and Checks At the hospital, the healthcare provider will review the patient's medical history and perform a physical examination. The injection site will be cleaned and sterilised to prevent infection. ### Postoperative Care After the injection, patients may be advised to rest the affected area for a few days. They may also be given specific instructions regarding pain management, wound care, and when to resume normal activities. ### Recovery and Rehabilitation Recovery from a tendon injection is typically quick, with most patients able to resume their normal activities within a few days. Physical therapy may be recommended to strengthen the tendon and improve flexibility. ### Alternatives to Tendon Injection Non-surgical alternatives to tendon injections include rest, physical therapy, oral medications, and lifestyle modifications such as changes in activity levels or ergonomics. ## References
6. CMS (2023). Article - Billing and Coding: Pain Management (A52863) - CMS. [online] www.cms.gov.
7. UC Davis Health (2023). A Review Of Blind Vs Ultrasound-Guided Injections To Treat De Quervain's Tenosynovitis. [online] health.ucdavis.edu.
8. Fidelis Care (2023). Clinical Policy: Tendon Injections, Tendon Sheath Injections, and Ligament Injections. [online] www.fideliscare.org.
9. Allergan Aesthetics (2023). Providers | Practice Resources - Allergan Aesthetics. [online] www.allerganaesthetics.com.

• CMS (2023). Article - Billing and Coding: Pain Management (A52863) - CMS. [online] www.cms.gov.
• UC Davis Health (2023). A Review Of Blind Vs Ultrasound-Guided Injections To Treat De Quervain's Tenosynovitis. [online] health.ucdavis.edu.
• Fidelis Care (2023). Clinical Policy: Tendon Injections, Tendon Sheath Injections, and Ligament Injections. [online] www.fideliscare.org.
• Allergan Aesthetics (2023). Providers | Practice Resources - Allergan Aesthetics. [online] www.allerganaesthetics.com.