Tendonitis Fact Sheet
As muscle builders push their bodies to the limits muscle injuries become more common. Tendonitis is becoming an increasing problem for professional bodybuilders and gym user alike. But like so many muscle building related injuries, tendonitis can be (almost) prevented and treated to full recovery. Tendonitis often starts out as a small insignificant pain in a joint so it's often ignored. But left untreated tendonitis can be untreatable and may stop you from training. The aim of this article is to spread awareness about tendonitis so it can be treated early and completely rehabilitated.
How tendonitis occurs.
A tendon is the end part of a muscle that attaches the muscle to the bone. The normally very elastic and soft muscle tapers off at the end to form the much more dense and stiff tendon. While this density makes the tendons stronger, the lack of elasticity of the tendon and the constant pulling on its attachment to the bone with movement, makes it much more susceptible to a low level of tearing. This tearing will produce the inflammation and irritation known as tendonitis. Tendonitis is usually seen after excessive repetitive movement with which the tendon gradually becomes tighter until the fibers start to tear. For example, a guy who has been training his biceps with heavy curls for a few years may experience tendonitis in the biceps, elbow or wrist.
Where does tendonitis occur?
Tendonitis is most likely to occur in the areas of your body that you use the most. So for bodybuilders, these are the most likely places you'll experience tendonitis:
- Elbows
- Wrist
- Biceps
- Shoulders
- Triceps
- Knee joint
- Leg
Other areas where tendonitis occurs include the hips and ankles. As these areas are not commonly put under too much pressure tendonitis is much less likely. The most common place for tendonitis to occur is in the arms (biceps, elbows and triceps).
Tendonitis symptoms.
Tendonitis is often ignored by weight trainers because it starts off with only a slight pain and stiffness in the affected area. Most lifters just write this off as stiffness from a heavy training session. Usually with tendonitis the pain will get worse over time. After you have finished your workout the pain with be the worst and the following day expect stiffness tightness in the area. If the pain is in a joint, you may have trouble extending the joint fully. It is also common to feel the pain when the affected area is under strain, ie when you're lifting weights.
What do I do if I think I have tendonitis?
See a doctor. If the pain occurs after every workout and you can feel it on rest days it's best to go a see a doctor (preferably a sports doctor) immediately. If tendonitis goes untreated for too long it may become permanent. Even if you are unsure, you should consult a doctor. You may have to stop working the muscle for a few weeks but that's much better than having a permanent injury!
Tendonitis treatment.
With the correct care for the area, the pain in the tendon should lessen over 3-4 weeks, but it should be noted that the healing of the area continues and doesn't even peak until at least 6 weeks following the initial injury. This is due to scar tissue formation, which initially acts like the glue to bond the tissue back together. Scar tissue will continue to form past 6 weeks in some cases and as long as a year in severe cases. After 6 months this condition is considered chronic and much more difficult to treat. The initial approach to treating tendonitis is to support and protect the tendons by bracing any areas of the tendon that are being pulled on during use. It is important to loosen up the tendon, lessen the pain, and minimize any inflammation.
This can be done with the use of medicated creams, ice and anti-inflammatory agents. These treatments can reduce swelling, relieve pain and dilate the blood vessels. Cortisone injections can reduce inflammation, but unfortunately are very caustic and can cause a weakening of the tendon structure and a create more scar tissue.
After the scar tissue has begun to accumulate, it's important to perform procedures that break down the scar tissue in the tendon tissue, so as to let the tendon and muscle regain it's normal flexibility and lessen the chance of further injury. The tendon is still very fragile so in the initial stages only light stretching can be performed. Then the patient may move on to a daily routine of light exercises and stretching depending on the tendon soreness and pain.
How to prevent tendonitis.
Prevention of tendonitis is easy, and everyone who's lifting weights should be doing this by default. First, you need to stretch your muscles regularly. This means before you work the muscle you should be stretching it fully. Make sure you hold the stretch tight for at least 20 seconds to fully stretch the muscle. You should also stretch your muscle either immediately after the exercise or after your workout.
Second it's very important you warm up each muscle before working it. You should be doing this anyway! Yet I see so many people in the gym just jump straight into it. At the beginning of your workout you should be stretching and warming up all the muscles you plan to work. In addition to this, make sure you do at least 1 light weight high rep set of the exercise you are about to do. This will get your muscle ready for the movement and lessen the chance of injury.
To wrap things up I would just like to say that tendonitis should not be as bigger problem as it is in gyms around the globe. You can severely limit your chance of getting tendonitis by simply stretching and warming up properly. If you are over the age of 35 you are at higher risk, so this especially concerns you. If you think you have tendonitis, stop working out and head down to the doctors. It might be nothing, but it could be serious. Do you want to risk it?
For more information on tendonitis, tendonitis treatment, cures, exercises and more head to iTenodnitis.com. The information in this article was taken from this site and it's the best resource online for tendonitis sufferers.




















Got Something To Say? Post Your Comments Below
I've got a peculiar situation.I experience a burning sensation in both my knees whenever I bend them, get up from a seat, climb stairs, go for a jog. Yet, there doesn't appear to be any sort of inflammation. I've visited several doctors and all of them tell me that there's really nothing to worry and that basic rest should take care of the problem. The trouble is, that after 'resting' my ass off, the problem still persists and I'm losing the toned body that I had until a couple of months ago. Kindly help.
Tendons arent actually that big so inflammation can easily go unnoticed, that said you could still get decent cardio out of an exercise bike. That would put less strain on your joints and exercise bikes have tension adjustment so you can feel out whats to much. I had tennis elbow it got pretty bad even after nine months it still acts up every now and again, it took alot of rest and theraputic massage to fix it.
Ice works pretty good for the pain, at least i found it did.D
so i had this pain in my shoulder, at first it was just a slight uncomfortable feeling but it got worse. i especially noticed pain during dips, military press, and incline BP. through about a mnth it got worse, until i realized this pain isnt normal, i should have stopped at the start. anyways since late november, i havent been working out my shoulders or doing any chest or back exercises( basically no exercise involving shoulder movement)just focusing on what i can do (bi/tri-cep, forearm, legs & abs)
how soon should i start to rehab my shoulder, n what would u recomend
Hi Marius,
I would recommend asking your question on the forum. You will receive some quality advice.
http://www.muscleandstrength.com/forum/
When I try to bench press/dumbell press, my elbow seems to lose power and it gives way. There is no pain or soreness, no anything. It just gets weaker as I try to press the weight. Some trainers think it could be my elbow but some seem to think it could be my shoulder causing the weakening in my elbow. Any thoughts on what it could be and possible remedies on what I can do to regain full power back in my elbow?
Thanks alot,
Mike
Hi Mike,
I recommend seeing a doctor about this condition.
Ive had elbow tendonitis for about 3 months and seems to be slowly worsening. I dont find ice to help and stretching causes pain. Originially only hurt when doing one arm chins, now its everything, closing a door, writing with a pen etc
I'd let a doctor know about it. I've complained of similar pain (mostly dominant wrist, but sometimes ankles)and a rhuematologist said it might be tendonitis or lack of Vitamin D.
I think that a lot of people with pains are missing the first sentence under "What to do if I think I have tendonitis?" I've had a pain in my elbow/forearm that started after skullcrusher workout a month ago. I'm going to make a doctor's appointment next.
Great article. I had shoulder tendonitis about 2 years ago which got so bad I could no longer do many lifts without pain. I started up weights again about six months ago and the shoulder is perfect but now I have elbow tendonitis which has slowly gotten worse so on the one hand, I am not concerned as I know with rest it will return to being perfect but I was really on a roll in the gym so hate to give it up. I do stretch and warm up every session. My first 5-6 sets of each session are warmups, starting at a very low weight with high reps. Its frustrating to go through it again.
I am a 77 year old female who is active and in good health. However, every muscle I have hurts when I use it. I had a pulled achiles tendon once and the pain in my muscles is the same as that pain. Aleve doesn't touch it nor does other pain killers. It did not respond to cortozone (only my stomach lining responded negatively to that!) I have told three GPs and one Orthopedic surgeon about it. Their response was that it was probably an inherited tendency for the tendons to become inflexible. If so, is there anything available to keep me pain free enough that I can continue to do the things I need to do.......walk a reasonable distance, etc. I'd really appreciate the help. Annabelle Robson
Hi Annabelle,
This might be a good question for the forum. It is a bit beyond my areas of expertise.
http://www.muscleandstrength.com/forum/
i've been training a long time and have and continue to experience tendonitis from my wrist shooting up and my elbow shooting down in the same arm only from preacher curls. my solution stop preacher curls do a different exercise in my dealings with tendonitis it will be more server in certain actions and angled movements, try doing a different angle ie for this scenario hammer curls or checks.
My elbow pain just stays at that area. It does not go down to the wrist nor up to the shoulders. The precise area for the pain is on the inside of the elbow and an inch above the bone protrusion. From what I read, this cannot be tendonitis because people who suffer from those have their injuries spread from the point of origin moving either up or down their arm, or both ways. How can my problem be fixed? I am doing my powerlifts three times a week with each lift done per workout. I know the pain will start from the squat and the bench. Any kind of help will be appreciated. Thank you in advance.
Scott, did you get any info on your elbow pain?
I have the exact same pain in the same location from
doing the same thing. It's been over a month, I've
rested it, iced it, wrapped it, body's shrinking,
not happy
I am a 16 year old girl and I play tennis. I've had tendonitis just over a month now and the pain hasn't really gone away yet. I have been to the physiotherapist twice now. I have been told that I have tendonitis in my wrist. I'm just wondering if my tendonitis will eventually go away? I would also like to know if there are any good creams that will help cure tendonitis?
Hi Beray,
I would recommend asking your question on the forum. You will receive some great advice.
http://www.muscleandstrength.com/forum/
Hey Steve,
I have shoulder tendonitis. I've taken almost a month off. My orthopedic doc told me wait 10 more days and I cant start shoulder/ chest lightly and slowly progress heavier. How long will tendonitis last ? I HATE not being able to be in the gym and pumping iron. Ive given it a good month to rest. I am just nervous of injuring it more from heavy lifting. I was noted by the doctor to stay away from barbell press and at most do dumbbells due to less strain on shoulder joint. Is it normal for many body builders to deal with shoulder tendonitis and still continue to work out like that want ? I dont want all my hard work to go to wait because a damn tendon.
Tendinitis can last for decades. My best advice is to keep a good balance between heavy shoulder, chest and back movements and to take things slowly.
Most people overwork the chest which can cause all kinds of issues.
Hi Steve,
I have been suffering with hip tendonitis for about 8 months. At first I did not realize what it was because it would come and go but once I figured it out I cut back my running and weights but it still worsened. I have completely stopped working out for almost 6 weeks now and the pain is still there. I will say that the pain is better, some days there is no pain and others it is bad. Is there anything I can do to help the situation? I am afraid to stretch even because it might make it worse.