Tendinosis And Physiotherapy
For appointments/enquiries, please SMS/Call/WhatsApp 96402670
Tendinosis, often termed as chronic or long term tendonitis, happens
with constant, repetitive damage to a tendon at a cell level, causing
slow, constant damage and degeneration without any inflammation (meaning
it can happen with little to no swelling).
patients often complain of persistent pain, without any signs of
swelling, but the spot is often tender. Some of our patients come to us
with partial or fully ruptured tendons, as the damage and degeneration
had become so severe that the tendon snapped when they moved. When this
happens we need to fully rest the tendons by splinting the
injured joint as well as immobilizing the top and bottom joints below
it, if available. An example is splinting the ankle and foot for the chronic achilles tendonitis.
for patients with a tendinous micro tears or partial ruptures, we can
discover simply by observing the way they move, or by clinically
observing or joint, or by palpating the tender spot. Magnetic resonance
imaging and/or ultrasonography will further confirm the presence of the
Our patients will often present with
constant complains of joint stiffness, sometimes burning, aching at the
same spot, or at the same tendon. Sometimes there's swelling, sometimes
not. But the one thing that is constant is there is an increased level
of swelling + plus after any activity, resulting in increased stiffness
and pain the next day or even during the next hour.
interestingly, some of our patients when presenting to us with this
injuries, reports that it is during a stressful moment in their life
where they start to notice this symptoms. Upon reflections, stress
induces the a response where muscles tends to tighten up, effectively
stretching tighter and more taut any tendons that links to them. If
these patients de-stresses by rigorous activities, when coupled
together, almost ends up with extra damage to the tendons, with
resultant tendinosis over a period of time.
Physiotherapy Treatment of Tendinosis
of their physical and physiological nature, tendons heal very slowly
(they don't receive direct blood supply and nutrition, but indirectly
through tendon sheaths, unlike the blood-rich muscles), and tend to
re-injure easily because of their role in the movement of the body/body
parts. Any forms of tears (micro, partial or full) results in the body
repairing the site by plastering it with a form of disorganized collagen
fibres, which is weaker than normal tendon, resulting is almost always
recurring of tendon injuries.
When treating our
patients with tendinosis, we are generally more conservative. Our
partnering medical professionals often prescribe NSAIDs (non-steroidal
anti-inflammatory drugs), and we provide the exercise therapy, gentle
active and passive stretching to maintain joint and muscle integrity,
pushing patient to rest a lot during the acute stage plus icing and
elevation to manage swelling and pain.
often take about 3-5 days for the acute symptoms to be relieved, and
full recovery takes about 2-3 months, varying from individual to
individual (some individuals recover pretty fast, some take longer than
the usual, this is common variances).
Other patients share this following advices, as advised by family, friends and their own doctors.
- Consumption of Vitamin B6
- Muscle Eccentric Loading
- Using Inflatable Splints
- Shock-wave therapy
- Tendon Bioengineering
- Consumption of Vitamin E
- Consumption of Nitric oxide
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Our Physio & Rehab Expertise
Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
Areas of specialization
- physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
- hand therapy: forearm, wrist, hand and fingers
- podiatrist: leg, calf, ankle, foot and toes
- read more on our specializations here
All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.
Initially, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover. They then provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
To call for inquiries or appointments, please contact us at:
Where to next?
- Make A Physiotherapy, Hand Therapy or Deep Tissue Release Singapore Appointment
- Arrange A CallBack or Make An E-Enquiry Here
- See the list of physiotherapy conditions we treat
- See the list of orthopedic surgeons we serve in Singapore
- Return to Urbanrehab's Physiotherapy, Hand Therapy and Sports Massage Singapore Home Page from our tendinosis page
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We appreciate you as a patient and want you to know that the #1 way we grow as a clinic is through word of mouth referrals from valued patients like yourself.
We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients.
When you have the opportunity, please take the time to tell your family, friends and physicians about the positive results and experience you have had in our clinic.
Thank you so much, and stay healthy!
SPECIALIST REHAB APPOINTMENTS & ENQUIRIES
Please Call/SMS/WhatsApp to 96402670, thanks!
We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.
The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.
The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at 96402670, thanks!