Treatment of Knee Tendonitis
Tendonitis is the most common injury to the knee, although not the most well known one. In general, it refers to an inflammation, irritation or tear of a tendon, the thick fibrous cords that attach muscles to bone. One of the most frequent types of tendonitis of the knee is pes anserinus tendonitis, which involves the pes anserinus tendons that lie on the inside and just below the knee joint and prevents the lower leg from twisting outward while running. Two other types of knee tendonitis are popliteus tendonitis and semimembranous tendonitis. Middle-aged adult runners are most susceptible to the development of pes anserinus tendonitis, the most common form.
How does knee tendonitis develop?
Tendonitis is caused by overuse, injury or aging. The pain is usually the result of a small tear in or inflammation of the tendon. Tendonitis can also be associated with inflammatory diseases that occur throughout the body, such as rheumatoid arthritis. Popliteus tendonitis is caused by excessive inward rolling of the feet, called pronation, as well as running downhill, which tends to put excessive stress on this tendon and can cause it to tear or become inflamed. Pes anserine tendonitis, on the other hand, is characterized by inflammation of the medial knee, and often coexists with other knee disorders. Semimembranous tendonitis is characterized by swelling over the posteromedial aspect of the knee and tenderness with resisted flexion or outward-turned strain.
What are the symptoms of knee tendonitis?
Knee tendonitis in general produces pain, tenderness and stiffness near a joint and is aggravated by movement. The inflamed tendons in the knee are usually painful when moved or touched, and the tendon sheaths may be visibly swollen from the accumulation of fluid and inflammation. Moving the joints near the tendon even slightly may also cause severe pain. The pain may be worse when ascending or descending stairs, when getting up from a seated position, and at night.
Traditional medicine treatments for tendonitis
The typical treatment regime for tendonitis, such as knee tendonitis, rotator cuff tendonitis or patellar tendonitis, includes rest, ice, non-steroidal anti-inflammatory drugs (NSAIDs), physical therapy and cortisone injections. The problem with this approach is that it does nothing to strengthen the weakened tendon and, thus, does not alleviate the chronic pain that people with this condition experience. While ice, anti-inflammatory drugs and cortisone shots have been shown to produce short-term pain benefit, they result in long-term loss of function and even more chronic pain by actually inhibiting the healing process of soft tissues and accelerating cartilage degeneration.
Other modern medical treatment options include cryotherapy and massage. But again, although they may provide pain relief, they do not address the root of the problem – weakened and/or injured tendons and ligaments. And when all else fails, patients who experience tendonitis may be referred to a surgeon. Unfortunately, surgery often makes the problem worse. Surgeons will use x-ray technology as a diagnostic tool, which does not always properly diagnose the pain source.
Using Prolotherapy as a Regenerative treatment for tendonitis
A better approach to treating tendonitis, which is occasionally misdiagnosed as bursitis, is to stimulate tendon repair and strengthen any weakened or lax ligaments with MEAT treatment, which consists of movement, exercise, analgesics and treatment, as well as herbal supplements. This approach will encourage the damaged tissues to heal as quickly as possible, unlike rest, ice and anti-inflammatory drugs, all of which may reduce the pain, but in doing so decrease the inflammation that is necessary for the proper healing of tendons and ligaments. If a tendonitis injury requires extra-quick healing, such as is the case with many athletes, Prolotherapy can also be done. However, tendonitis usually does not require Prolotherapy, while tendinosis, the degeneration of the tendon, benefits tremendously from Prolotherapy.
Chronic pain is most commonly due to tendon and ligament weakness or cartilage deterioration. The safest and most effective natural medicine treatment for repairing tendon, ligament and cartilage damage is Prolotherapy. In simple terms, Prolotherapy stimulates the body to repair painful areas. It does so by inducing a mild inflammatory reaction in the weakened ligaments and cartilage. Since the body heals by inflammation, Prolotherapy stimulates healing.