Insertional tendinitis

This includes a group of diseases which are caused due to chronic pull of the tendons on the bones. These diseases can be caused due to constant pull of the muscles in patients due to overuse. There are other pathologies which may lead to aggravation of the disease.

Causes

  • Bony outgrowth
  • Gout
  • Ankylosing Spondylitis
  • Inflammatory arthritis like RA, Psoriatic arthropathy

Types

Plantar fasciitis – due to constant pull of the muscles of the foot on the inferior aspect of the calcaneum.

Medial epicondylitis (Golfer’s elbow) – due to the constant pull of the flexor muscles of the forearm on the medial aspect of the elbow.

Lateral epicondylitis (Tennis elbow) – due to the constant pull of the extensor muscles of the forearm on the medial aspect of the elbow.

Olecranon bursitis (Student’s elbow) – due to constant pull of the triceps muscle at the back of the elbow.

Calcific tendinitis – due to the deposition of calcium in the insertion or in the substance of the rotaor cuff muscles at the shoulder.

deQuervain’s tenosynovitis – due to swelling in the sheath of the muscles at the base of the thumb.

Greater trochantric bursitis – due to the constant pull of the muscles attached at the side of the hip.

Patellar tendinitis – Due to the constant pull of the patellar tendon in front of the knee.

Retro-calcaneal bursitis – due to the constant pull of the calf muscle at the back of the heel, may be associated with extra bone formation.

Plantar fasciitis – due to the constant pull of the muscles of the foot at the base of the heel.

 

Treatment –

  1. Anti-inflammatory analgesics
  2. Physiotherapy – is an important modality which can be tried in early cases.
  3. Local injection of PRP/cortisone – PRP has a potential to generate healing response along with anti-inflammatory action.