What causes tendinitis

Tendinitis (tendovaginitis)

Tendonitis develops on the tendons, which are often under stress. The disease is caused by permanent, recurring mechanical stress on the tendon, which creates local inflammation. It occurs on any tendon, but the small wrist tendons are most commonly affected. For example, long work at the computer or at the desk has an unfavorable effect on the tendons and leads to tendinitis on the wrist. Increased repetitive loads such as weight training or climbing also irritate the tendon sheath. The disease is very painful and leads to the typical pulling and stabbing of the affected tendon.

As a rule, there are three forms of tendonitis: on the one hand, non-germ-induced tendinitis (tendovaginitis), so-called non-infectious, which is caused by recurring mechanical stresses on the tendon. Patients are mostly people who work on the PC for long periods of time, mothers who constantly carry the child, but also line workers with repetitive hand movements. The tendon sheath and tendon are overloaded and become inflamed - this is where the affected tendon is usually overheated and reddened. If left untreated, nodular thickenings develop, sometimes with palpable rubbing of the tendon.

The second form of tendovaginitis is rheumatic tendinitis and the third is infectious tendovaginitis, which is caused by germs.

But there is also a special form of tendinitis that affects the first tendon compartment, the so-called tendovaginitis stenosans de Quervain. The cause is usually an overload of these tendons due to frequent spreading of the thumb. An increased incidence is observed in young nursing mothers.

Since tendonitis has a tendency to become chronic, a doctor should be consulted in good time if there is pain. Timely diagnosis and rapid therapy will lead to better results and avoid aggravation.

To do this, it is usually sufficient to immobilize the affected tendon. In the case of severe pain, immobilization of the affected tendon using a splint or plaster splint can be useful. The application of an anti-inflammatory ointment to the affected tendon helps at times. Nonsteroidal anti-inflammatory drugs calm the pain and reduce inflammation.

In the case of tendinitis caused by the germ, the pathogen must first be identified with the help of a blood test. It is then treated with the appropriate antibiotic.