Symptoms

Tendinitis: Tendinitis is characterized by inflammation. When a tendon is irritated due to overuse or injury, it becomes red, swollen, and painful. Activities become challenging, and the affected area feels warm to the touch. Rest, ice, and anti-inflammatory medications are often used for treatment. Physically, tendinitis involves the body's natural response to injury, where immune cells rush to the site, causing swelling and discomfort.

Tendinosis: Tendinosis, on the other hand, is a chronic condition involving structural changes in the tendon. Over time, repetitive stress or aging causes tiny tears in the tendon without significant inflammation. This leads to a deep, persistent ache, stiffness, and weakness. Unlike tendinitis, tendinosis doesn't respond as well to anti-inflammatory treatments since inflammation isn't the primary issue. Instead, specialized exercises, physical therapy, and sometimes medical interventions are employed to promote tendon healing.

Molecular Insights

At the molecular level, tendinitis involves an influx of inflammatory cells such as macrophages and cytokines, triggering pain and swelling. In tendinosis, there's a breakdown of collagen fibers within the tendon. Collagen is the main structural protein in tendons, providing strength and flexibility. In tendinosis, an imbalance between collagen production and degradation occurs. This disruption leads to the formation of disorganized collagen, making the tendon weaker and more susceptible to injury.

Understanding these differences is crucial for accurate diagnosis and effective treatment. Whether it's tendinitis with its inflammation or tendinosis with its structural changes, tailored interventions can aid in recovery and improve the quality of life for individuals dealing with these conditions.

Treatment Options

Tendinitis: Treatment for tendinitis focuses on reducing inflammation. Rest, ice packs, and anti-inflammatory medications like ibuprofen help alleviate symptoms. Physical therapy can aid in strengthening the affected area and preventing recurrence. In severe cases, corticosteroid injections might be administered to reduce inflammation.

Tendinosis: Tendinosis treatment revolves around stimulating tendon repair. Eccentric exercises, where the muscle lengthens as it contracts, have been found beneficial. These exercises create controlled stress on the tendon, promoting collagen production and healing. Additionally, techniques like shockwave therapy and platelet-rich plasma (PRP) injections can enhance the healing process by promoting tissue regeneration.

For additional treatment information, check out my previous blog about tendons here.

Supplements that can help

Several supplements have been studied for their potential in supporting tendon health and recovery. As an affiliate with Thorne Health, not only have I recommended their products, I have very successfully used them myself during my own training to avoid injuries. While individual responses can vary, here are some supplements that have shown promise in promoting tendon healing:

1. Collagen Supplements: Collagen is a crucial component of tendons. Taking collagen supplements may help support tendon structure and integrity. Look for hydrolyzed collagen supplements, which are easily absorbed by the body.

2. Vitamin C: Vitamin C is essential for collagen synthesis. It plays a vital role in the production of collagen fibers, which are the building blocks of tendons. Ensuring an adequate intake of vitamin C through supplements or a balanced diet can be beneficial.

3. Omega-3 Fatty Acids: Omega-3 fatty acids have anti-inflammatory properties and may aid in reducing inflammation associated with tendon injuries. Fish oil supplements are a common source of omega-3 fatty acids.

4. Glucosamine and Chondroitin: These supplements are often used to support joint health. While more research is needed, some studies suggest that glucosamine and chondroitin might have a positive impact on tendon health, especially in individuals with osteoarthritis.

5. Turmeric/Curcumin: Curcumin, the active compound in turmeric, has anti-inflammatory and antioxidant properties. It may help reduce inflammation and promote healing. Curcumin supplements or turmeric extracts can be considered.

6. Bromelain: Bromelain is an enzyme found in pineapple. It is known for its anti-inflammatory properties and might help in reducing swelling and inflammation associated with tendon injuries.

You can also find bundled supplements like this one that cover most of your needs.

Before starting any supplements, it's crucial to consult with a healthcare professional, especially considering your specific health needs and any existing medical conditions. They can provide personalized recommendations, ensuring that the supplements won't interfere with other medications or treatments you might be undergoing. Additionally, obtaining these nutrients through a balanced diet rich in fruits, vegetables, and lean proteins is always a good practice.