Is Tendinitis and Tendinopathy the Same? Understanding the Differences

Is Tendinitis and Tendinopathy the Same? Understanding the Differences

Tendon pain can be a debilitating condition, impacting your ability to move freely and perform everyday activities. Two common terms often used interchangeably when discussing tendon pain are tendinitis and tendinopathy. While they might sound similar, they refer to different issues within the tendon. Understanding these differences is crucial for effective diagnosis and treatment.

Tendinitis refers to the inflammation of a tendon, often resulting from acute injuries or repetitive strain. This condition is characterised by pain, swelling, and tenderness in the affected area. Tendinitis typically occurs due to sudden increases in physical activity or overuse of a particular tendon. It is an inflammatory condition, which means that rest and anti-inflammatory treatments are generally effective in managing the symptoms.

On the other hand, tendinopathy is a broader term that includes both tendinitis and tendinosis. Tendinosis refers to the degeneration of the tendon tissue without significant inflammation. This condition is more chronic and results from long-term overuse and wear and tear of the tendon. Unlike tendinitis, tendinopathy involves changes in the tendon structure, such as collagen degeneration, which makes the tendon weaker and more prone to injury.

Symptoms of tendinitis and tendinopathy can overlap, making it difficult to differentiate between the two without a thorough evaluation. Common symptoms include:

• Pain and tenderness in the affected tendon

• Swelling and warmth around the tendon

• Stiffness, especially in the morning or after periods of inactivity

• Weakness in the affected limb, making it challenging to perform certain movements

Despite these similarities, the underlying causes and treatment approaches for tendinitis and tendinopathy differ. Tendinitis is primarily caused by sudden, acute stress on the tendon, such as increasing your running mileage too quickly or performing repetitive activities without adequate rest. It is often seen in athletes, manual labourers, and individuals who engage in activities that require repetitive motions.

In contrast, tendinopathy results from chronic overuse and repetitive micro-trauma to the tendon. Factors contributing to tendinopathy include improper technique in sports or exercise, inadequate warm-up, poor footwear, and muscle imbalances. Age-related changes also play a role, as tendons lose their elasticity and strength over time, making them more susceptible to degeneration.

Treating tendinitis and tendinopathy effectively requires a tailored approach based on the specific condition.

For tendinitis, the primary focus is on reducing inflammation and allowing the tendon to heal. Common treatments include:

• Rest and avoiding activities that exacerbate the pain

• Applying ice to the affected area to reduce swelling

• Using non-steroidal anti-inflammatory drugs (NSAIDs) to manage pain and inflammation

• Physical therapy to improve flexibility and strengthen the surrounding muscles

• Gradual return to activity, ensuring proper warm-up and technique

Tendinopathy, being a more chronic condition, requires a different approach to address the underlying tendon degeneration. Effective treatments for tendinopathy include:

• Eccentric exercises, which involve lengthening the tendon under tension to stimulate collagen production and repair

• Shockwave therapy, which uses sound waves to promote healing and reduce pain

• Class IV laser therapy to reduce inflammation and accelerate tissue repair at the cellular level

• Physical therapy to correct muscle imbalances and improve biomechanics

• Custom orthotics to support the affected tendon and distribute pressure more evenly

Understanding whether you have tendinitis or tendinopathy is crucial for choosing the right treatment and preventing further injury. If you experience persistent tendon pain, it’s important to consult with a healthcare professional for a thorough evaluation and diagnosis.

If you’re struggling with tendon pain and are unsure whether it’s tendinitis or tendinopathy, our team at We Fix Feet can help. Contact us for a comprehensive assessment and personalised treatment plan to address your specific condition. Book an appointment online or call us at 0115 9328832 to start your journey towards pain-free living.