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Tendonitis

Description

Tendonitis, the most common cause of shoulder pain, is the painful inflammation of tendons and of tendon muscle attachments to bones. It is especially common in the shoulder rotator cuffs, hips, Achilles' tendons and hamstrings. Three of middle-aged persons have calcium-containing minerals in the tendons of the rotator cuff, contributing to tendonitis.

Treatment for this disorder is symptomatic. Suggested treatments are: avoiding stress on the joint by general rest, or rest of the specific joint; use of analgesics, anesthetics, and corticosteroids; use of heat or ice compresses. A sling, splint, or cast may also be necessary. Physical therapy, fluid removal by aspiration, and surgical removal of calcium deposits may also be prescribed.

Causes

Primary Factors

The primary cause of tendonitis is unknown.

Predisposing Factors

Trauma (especially in sports activities), strain, excessive exercise, hypermobility, postural misalignment, abnormal body development, elevated blood cholesterol levels. Other muscular and skeletal disorders including: rheumatic diseases such as rheumatoid arthritis, gout, reiter's syndrome, progressive systemic sclerosis, amyloidosis and congenital defects.

Signs & Symptoms

Signs and symptoms include: swelling, inflammation, localized pain which is most severe at night and may cause insomnia, aggravated pain with the application of heat, pain from the neck to the proximal shoulder, local tenderness, muscle spasms, and restricted movements. If calcium deposits are found in the tendon, they will cause calcified tendonitis.

Nutritional Supplements

Structure & Function: Joint Support

---------------------------------
General Supplements
---------------------------------

AdultChild/Adolescent
Bromelain 5 - 20 mg 5 - 10 mg
Copper 2 - 5 mg 1 - 2 mg
Magnesium 400 - 600 mg 200 - 300 mg
Manganese 10 - 20 mg 5 - 10 mg
Vitamin C1,000 - 3,000 mg 1,000 - 3,000 mg




Note: All amounts are in addition to those supplements having a Recommended Dietary Allowance (RDA). Due to individual needs, one must always be aware of a possible undetermined effect when taking nutritional supplements. If any disturbances from the use of a particular supplement should occur, stop its use immediately and seek the care of a qualified health care professional.

Dietary Considerations

Anti-inflammatory agents should be taken with milk to minimize gastrointestinal irritation. Anti-inflammatory drugs, such as colchicine and salicylazosulfapyridine, decrease the absorption of fat, carotene, sodium, potassium, vitamin B-12, lactose and folic acid.

Corticosteroids, another class of anti-inflammatory agents, can cause any or all of the following: increased vitamin D metabolism leading to accelerated bone loss, decreased glucose tolerance, gastric ulceration, increased excretion of vitamin C, potassium and zinc; and increased vitamin B-6 requirement.

Corticosteroids, such as Prednisone, can cause sodium and water retention, muscle wastage or hypertension.

Corticosteroids have many potential side effects. The individual should be carefully monitored for the onset of vitamin and mineral deficiencies, bleeding or edema.

Homeopathic Remedy

1.* Arnica montana tinct. - 30C
2.* Ruta graveolens tinct. - 30C
3. Rhus Toxicodendron - 30C
4.** Symphytum officinale tinct. - 30C - can use tincture per as and as dressing

Treatment Schedule

Doses cited are to be administered on a 3X daily schedule, unless otherwise indicated. Dose usually continued for 2 weeks. Liquid preparations usually use 8-10 drops per dose. Solid preps are usually 3 pellets per dose. Children use 1/2 dose.

Legend

X = 1 to 10 dilution - weak (triturition)
C = 1 to 100 dilution - weak (potency)
M = 1 to 1 million dilution (very strong)
X or C underlined means it is most useful potency

Asterisk (*) = Primary remedy. Means most necessary remedy. There may be more than one remedy - if so, use all of them.

References

Boericke, D.E., 1988. Homeopathic Materia Medica.

Coulter, C.R., 1986. Portraits of Homeopathic Medicines.

Kent, J.T., 1989. Repertory of the Homeopathic Materia Medica.

Koehler, G., 1989. Handbook of Homeopathy.

Shingale, J.N., 1992. Bedside Prescriber.

Smith, Trevor, 1989. Homeopathic Medicine.

Ullman, Dana, 1991. The One Minute (or so) Healer.

Herbal Approaches

----------
Herbs
-----------


Fenugreek
Licorice
Mullein

Note: The misdirected use of an herb can produce severely adverse effects, especially in combination with prescription drugs. This Herbal information is for educational purposes and is not intended as a replacement for medical advice.

Discussion:

Licorice is reputed to prompt production of endogenous cortisone.

Aromatherapy - Essential Oils

Eucalyptus Essence,Ginger Essence,
Lavender Essence,Peppermint Essence,
Rosemary Essence.



Related Health Conditions

Amyloidosis
Arthritis
Inflammation
Pain
Reiter's syndrome
Sclerosis
Spasm

Abstracts

References

Arslanagic, J. & N. Brkic. Personal Experience in the Treatment of Acute Sports Injuries with Bioflavonoids. Medical Archives, 36. 1982.

Beeson, P.B. & W. Mc Dermott, eds. 1975. Textbook Of Medicine. 14th ed. Saunders Pub. Co., Philadelphia. 1892 pp.

Berkow, R. 1977. The Merck Manual. Merck Sharp and Dohme Research Laboratories Pub., Rahway, New Jersey. 2165 pp.

Bland, Jeffrey. Nutraerobics. San Francisco: Harper & Row, 1983.

Bland, Jeffrey. Medical Applications of Clinical Nutrition. New Canaan, Conn.: Keats, 1983.

Chicago Dietetic Association and the South Suburban Dietetic Association of Cook and Will Counties. 1981. Manual of Clinical Dietetics. W.B. Saunders Co., Philadephia.

Eschleman, M.M. 1984. Introductory Nutrition and Diet Therapy. J.B. Lipincott Co., Philadelphia. 464 pp.

Hamilton, H.K. ed. 1982. Professional Guide To Diseases Intermed Communications Inc. Pub, Springfield, Massachusetts. 1323 pp.

Hunt, S.M., J.L. Groff & J.M. Holbrook. 1980. Nutrition: Principles and Clinical Practice John Wileyand Sons, N.Y. 506 pp.

Järvinen M et al., Histopathological findings in chronic tendon disorders. Scand J Med Sci Sports, 1997 Apr, 7:2, 86-95.

Metzner, J. Influence of Flavonoids on Capillary Permeability, Carageenin Edema, and Histamine Spasms. Agents Actions, 10. 1982.

Tarayre, J. & H. Lauressergues. The Use of Bioflavonoids, Proteolytic Enzymes, & Vitamin C In Inflammatory Disorders. Arzneim-forsch, 27 1977.

Wyngaarden, J.B. & L.H. Smith. 1985. Cecil's Textbook of Medicine. Saunders Pub Co., Philadelphia. 2341 pp.

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