Specialist expertise: One-stop Solution for Musculoskeletal Injuries, Trauma and Overuse Musculoskeletal Injuries, Upper and Lower Limb Tendon Injuries, Ultrasound-guided Injections, Sports Medicine, Sports and Exercise Medicine, Sports Injuries, Orthopaedics, Shockwave Therapy, Musculoskeletal Injuries.
I see many patients with tendonitis – tennis elbow, golfer’s elbow, Achilles tendonitis, patellar tendonitis, hip tendonitis, foot tendonitis and wrist and hand tendonitis. Managing tendonitis is always difficult, partly because we don’t completely understand tendonitis. Partly, also, because our treatments are not great. I wrote a blog explaining how to manage tendonitis. Exercise is the best medicine for patients with tendonitis, but some cases are resistant to exercise and require other treatments.
One option for patients with difficult tendonitis is an injection. We have used cortisone injections for tendonitis since the discovery of cortisone over 70 years ago. Today, doctors perform over 500000 steroid injections for arthritis or tendonitis. Cortisone is a good pain reliever for arthritis and tendonitis, but it has some nasty side effects such weakening of tendons. Recently, other injections such as platelet-rich plasma (PRP) or hyaluronic acid are used to inject into or around tendons to help with pain.