Treatment of tendonitis with rheumatism

The treatment of rheumatic illnesses and also the rheumatic tendon inflammation should take place absolutely by a trained rheumatologist, since the therapy must be adjusted differently depending upon patient and is to be counted quite on side effects. In addition to various pain medication, immunosuppressants, cortisone and biologicals are part of the drug therapy. Especially for pain in joints, muscles and tendons due to rheumatic inflammation, the patient receives physiotherapeutic therapy or, in general, exercise therapy.

Basically, patients should not stop moving, as the problems will get worse in the long run. Due to the pain, many patients avoid certain movements – as a result, muscles and tendons become increasingly atrophied and weakened. At the beginning of sports activities, the pain may increase because the muscles, tendons and the entire musculoskeletal system are not accustomed to the new movements.

Various organizations offer programs for independent or group training. However, care should be taken not to overload the body, as the tendons and muscles are damaged due to the inflammation. Exercises and sports like swimming, yoga, cycling and also shadow boxing strengthen and train the whole body. In the most severe cases, the complaints can be remedied by cutting the tendon (tenotomy), which is a surgical procedure.

Duration

The occurrence of symptoms in rheumatic diseases, such as tendonitis, can be short- or long-term. With the short term occurrence one speaks of thrusts. The problems worsen within a short time to a degree, as they are otherwise not noticed by the person concerned.

This condition can last for weeks or months. With suitable drug and non-drug therapy, an attempt is made to bring this relapse to an end. In principle, the rheumatic disease remains present throughout the rest of the patient’s life.

With appropriate therapy, however, the aim is to ensure that there are fewer or no relapses and that the patient remains as pain-free as possible. This is not equally successful for every patient. Therefore, the therapy (with medication and exercise therapy) to reduce tendon inflammation must be designed individually for each patient.