Blog EntryAny have experience with shoulder tendonosis?Feb 5, '06 3:40 PM
for everyone

I've had problems with my left shoulder for about 6/7 years now. Even had surgery back in '99 that cleared up some bursitis, but it seems that the underlying problem has never really gone away.

My latest doctor diagnosed me with tendonosis. That's right. Tendonosis, not tendonitis. While tendonitis is an inflammation of the tendon, tendonosis is a degenerative condition.

I haven't had much luck with physical therapy over the years, and I've been reading a lot about how the treatments for tendonitis (i.e., anti-inflammatory medications, physical therapy) don't really work for tendonosis.

Anyone else have any experience with tendonosis?


24 CommentsChronological   Reverse   Threaded
ratel wrote on Feb 5, '06
I have tendonosis in my right quadriceps insertion. Using a combination of therapy, stretching, specific strength training, and an OssaTron treatment; I was able to get it under control.

The Tendinosis.org website is a pretty good resource. Also, "Overuse Tendinosis, Not Tendinitis" is a good introduction to the condition.
joelhersh11 wrote on Feb 5, '06
hi son---sorry that my first email about the trip was not on multiply--have had more people join but i don't have the timee to write on 2 venues and not emough have joined--when i get home i will down load the pictures and write a blog for multily---ceck out your emais for one called chaing mai---as for your shoulder, i would suggest seeing a niche specialist dealing with sports medicine---and get on the internet to see what you can find and any specialist more concerned with your problem-----love dad
Comment deleted at the request of the thread owner.
exhumer wrote on Feb 6, '06
Dave, I play a lot of volleyball and had shoulder problems about 5 years ago... (my back left shoulder just under the bony part that sticks out).

I felt a 'numbing ' pain and general weakness especially when I served/spiked... I actually sat out a year and a half to 'rest' it. Unfortunately, in a relatively short time, I had the same shoulder problems.

So I spoke to a doctor friend of mine about surgery... he told me that in most cases my type of injury didn't require surgery... so I did some research on the web and found this site: http://www.physsportsmed.com/issues/1999/03_99/briner.htm. It's very informative (about types of v-ball injuries) and has a great section at the end on shoulder stretches and exercises (with diagrams!). I think the towel stretch was the most helpful (figure 4)

I did all the exercises diligently for two months and my shoulder was good as new! I continue to do the exercises (especially the stretches). I haven't had a single issue with my shoulder since (knock on wood).
lyle wrote on Feb 6, '06
Like Ed said, the key is to do the excercises. I was able to rehab my shoulder subluxation without requiring surgery by following the appropriate strengthening exercises.
dave wrote on Feb 6, '06
ratel said
I have tendonosis in my right quadriceps insertion. Using a combination of therapy, stretching, specific strength training, and an OssaTron treatment; I was able to get it under control
Who drove this course of treatment for you? Was it your doctor, the physical therapist? I assume you got the OssaTron teatment during PT? Thanks for the info!
fisher4 wrote on Feb 6, '06
Dave,

Never mind all this PT, based on my years of experience I advise you to begin drinking heavily.

Fish
jamiduckson wrote on Feb 7, '06
I was just explained the link between being HLA-B27 positive, a genetic blood trait, and a variety of inflammatory disorders. Find out if you are HLA-B27 positive and see a rheumatologist to make sure you are properly diagnosed.
ratel wrote on Feb 8, '06
dave said
Who drove this course of treatment for you? Was it your doctor, the physical therapist? I assume you got the OssaTron teatment during PT? Thanks for the info!
That is a slightly tricky question Dave.

My therapist drove all of my treatment except for the OssaTron, and was able to get me to pain free movement unless I was squatting over about 300 lbs. Independent of my therapist I started doing research and remembered that a close friend of mine had access to an OssaTron machine. However due to the fact that at that time it was only FDA approved for lateral epicondylitis and plantar fasciitis, we did the treatment one weekend in my garage. My therapist happened to suffer from plantar fasciitis, and since I had asked him to attend he volunteered to be treated at the same time.

Unless you are planning to regularly place a high load on your shoulder in the future, I would imagine that a regimen of stretching and specific strength training should be all that you would need.
happygo wrote on Oct 31, '06, edited on Oct 31, '06
Go see Miller Physical Therapy on Linton Blvd
They are new, and the therapist is the best in the area.
www.miller-pt.com
edwinj wrote on Nov 29, '06
Has anyone had any experience with Sonic Relief?
My wife was diagnosed at Mayo with cronic Tendonosis, this is the first time that we have ever heard of it.Mayo had little response as to treatment, my wife is in severe pain with general joint pain and we do not know where to go now. Mayo basically said "live with it".
Any suggestions? Please?
Ed Johnson
edj@eandsconsults.com
theboat13 wrote on Dec 1, '06
Dave, does your shoulder do any popping or grinding when you move it? I've been seeing doctors/therapists for over a year and my shoulder has received every diagnosis including cyst, tendonitis, arthritis, cartilege tear, etc. I'm 22, I had no sports injury, but I used to lift A LOT for track. I have constant muscle pain around my scapula and seemingly unlocalized clicking throughout the entire joint. I get muscle impingement when I rotate it. It's only gotten this bad in the past year. Does it sound anything like yours??
theboat13 wrote on Dec 1, '06
Dave, does your shoulder do any popping or grinding when you move it? I've been seeing doctors/therapists for over a year and my shoulder has received every diagnosis including cyst, tendonitis, arthritis, cartilege tear, etc. I'm 22, I had no sports injury, but I used to lift A LOT for track. I have constant muscle pain around my scapula and seemingly unlocalized clicking throughout the entire joint. I get muscle impingement when I rotate it. It's only gotten this bad in the past year. Does it sound anything like yours??
odorto wrote on Dec 1, '06
I'm an old athlete (74+) who works out regularly. The gym I use recently acquired some great new equipment called "Strive." I'm pretty sure I got my shoulder tendonosis from trying to do too much on the upper body Strive machines. I've seen an orthopod and had diagnostic ultrasound, a cortosone shot(not much help) and am now working with an occupational therapist, doing the stretching and isometric routines. Some improvement but too early to tell. Dick D. rhdbcd@talkamerica.net
sorehip wrote on Dec 31, '06
I am 52 and have been dealing with pain in my hip for about 4 yrs. now. After exhausting every possibility I started prolotherapy treatments. Much of the area has improved but I am not where I want to be yet. I will continue treatments until my prolotherapist feels she can't help me. As long as I'm getting some relief even on the micro level I will continue geting treated.
drallina wrote on Jan 7, '07
Prolotherapy is an excellent therapy to GROW new ligament and tendon fibers that have been torn (micro-tears). Your body has the ability to grow new collagen fibers over the torn ones resulting in a stronger ligament or tendon without pain and a more stablized joint. Go to AAOMed.org. I have been using prolotherapy for tendinosis and ligament problems for over 10 years. Dr. Allina www.drallina.com
goncaloborges wrote on Feb 9, '07
I treat a lot of patients sufering from shoulder and what i really see is that they don't understand how shoulder works.
shoulder as other parts of body works like a lever, so it has to have a fixed point for the movement. This point depends on a good stabilization of the scapula for a good movement of the shoulder.
If you use your shoulder a lot you should look for a good location and stabilization of your scapula, a good strecth on the rotaters and capsula and a strong muscle specially external rotaters and umeros depressors, so infraspinatus and latissimus dorsae, and also strong romboids and serratus.
Do this and avoid overuse specially over head movements and you will be shoulder pain free for sure
Dr G. Borges. Portugal ( gborges@netcabo.pt )
mrslfobes wrote on Feb 24, '07, edited on Feb 24, '07
is there anyone here that has experience with tendonosis in the army? my husband has been in pain constantly for over a year and was just diagnosed a few days ago. the doctor told him to basicly suck it up. he is even in pain in his sleep! he still has to do all the pt and going to the range to shoot and wearing all the heavy gear. and he is a mechanic, so he will need his shoulder later in life after the army to provide a living. i am worried that he will hurt it to the point of not being able to provide for the family. the doctor told him to go to do therapy, but that is it. he pretty much described tendonitis to us at he appointment. does anyone have any advice?
buffy08210 wrote on Jun 17, '07
MRI should help sort out the prognosis and degree of tendinosis, also amount of atrophy or existence of neuropathy. As a radiologist this advice is self serving but seems missing in prior posts.
bora957 wrote on Nov 8, '07, edited on Nov 8, '07
I was recently diagnosed with tendonosis of the L shoulder. Although it has been about six weeks since the original injury, from what I have read, I should be able to recover by following specific treatments including ice massage and deep tissue massage. Literature tells me that I have approximately a year to recover what I have lost in use. Unfortunately, I also have a tear to the shoulder that needs to be repaired surgically. Since I injured myself at work, I have to go through workmen's comp and they had not diagnosed me correctly since they had not done an MRI, only x-rays. I had x-rays done while I was in the hospital for another problem and was diagnosed at that time, last week, with tendonosis. I will show my literature to WC so they will get on the right track of treatment, and if they don't, I'll do it myself. I will send you info for specific treatment if you need. Let me know how you make out. Good luck. Bora957
caprep wrote on Jan 28
I was recently diagnosed with tendonosis in both shoulders and would appreciate any information shared with you regarding this condition. While my specialist suggested anti-inflammatory injections and pain medication, from what I've gathered so far is that anti-inflammatory injections do little if anything for this particular condition.
faith12345 wrote on Feb 17
Hello I have torn tendon from a motor vehicle accident in 2005 December and is unable to flex my left elbo, the hand feel weak and the elbo is quite painful. I have tried many antiinflamatories but this gives temporary relief of the pain. Is there a cure for this condition?
pennypnchr1 wrote on Mar 31, edited on Mar 31
I have had many years of tendon tenderness... Doc told me I had tendonitis in my wrists, I tore a tendon in left shoulder, then later I developed Tennis Elbow... then sprained a knee, my hips hurt occassionally and now I have come to near rupturing my Achilles Tendon on left foot, currently in a full cast. My right foot is now becoming tender with all the weight now on it using crutches. The Hospital Orthopedic Technician tells me my problem is a degeneration. I am 50 yrs old and 135lbs. I need to get back to work. I need some answers and I am not getting them from my Doctor. If ANYONE knows of a good Orthopedic Surgeon in Southern Ontario -- PLEASE HELP!!!

~Frustrated
whatsmyproblem wrote on May 15
buffy, I just had a diagnostic ultrasound done on my right elbow, forearm and wrist, checking for what I was certainly assuming to be tendonosis (as was my doctor), and no abnormalities were found, which is absolutely baffling to say the least.
I've been dealing with what I originally told was 'tendinitis' over 2 yrs ago (due to repetitive strain from a previous job... that seemed the most obvious reason) and have recently been informed by a sports doctor that it's most likely tendonosis- of which I read that a diagnostic ultrasound would be able to detect- which it didn't. The radiologist said that it doesn't always pick up on it, but from what he saw my tendons looked perfectly fine.
He suggested I ask my doctor to book me for an MRI for further testing. I'm assuming an MRI would be able to show more detail? Is it common for ultrasounds to miss any tendon and/or collagen degeneration or abnormalities??
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