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First Aid & Emergencies

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Tendon Injury (Tendinopathy) - Topic Overview

To diagnose a tendon injury, a doctor will ask questions about your past health and your symptoms and will do a physical exam. If the injury is related to your use of a tool or sports equipment, the doctor may ask you to show how you use it.

If your symptoms are severe or do not improve with treatment, your doctor may want you to have a test, such as an X-ray, ultrasound, or MRI.

In most cases, you can treat a tendon injury at home. To get the best results, start these steps right away:

  • Rest the painful area, and avoid any activity that makes the pain worse.
  • Apply ice or cold packs for 10 to 15 minutes at a time, as often as 2 times an hour, for the first 72 hours. Keep using ice as long as it helps.
  • Take over-the-counter pain relievers such as acetaminophen or NSAIDs (such as ibuprofen or naproxen) if you need them. Be sure to follow the nonprescription medicine precautions. Always take these medicines exactly as prescribed or according to the label.
  • Do gentle range-of-motion exercises and stretching to prevent stiffness.

As soon as you are better, you can return to your activity, but take it easy for a while. Don't start at the same level as before your injury. Build back to your previous level slowly, and stop if it hurts. Warm up before you exercise, and do some gentle stretching afterward. After the activity, apply ice to prevent pain and swelling.

If these steps don't help, your doctor may suggest physical therapy. If the injury is severe or long-lasting, your doctor may have you use a splint, brace camera.gif, or cast to hold the tendon still.

It may take weeks or months for a tendon injury to heal. Be patient, and stay with your treatment. If you start using the injured tendon too soon, it can lead to more damage.

To keep from hurting your tendon again, you may need to make some long-term changes to your activities.

  • Try changing your activities or how you do them. For example, if running caused the injury, try swimming some days. If the way you use a tool is the problem, try switching hands or changing your grip.
  • If exercise caused the problem, take lessons or ask a trainer or pro to check your technique.
  • If your job caused the tendon injury, ask your human resource department if there are other ways to do your job.
  • Always take time to warm up before and stretch after you exercise.
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