The Science Behind Tendinosis vs Tendinopathy

In the world of health & medical care, particularly in the fields of Chiropractic and Physical Therapy, two terms that are often discussed in relation to tendon injuries are tendinosis and tendinopathy. While these terms may sound similar, they actually refer to distinct conditions that affect the tendons in our bodies.

What is Tendinosis?

Tendinosis is a chronic condition that results from degeneration of the collagen fibers in the tendon. This degeneration is often caused by repetitive overuse or an acute injury that did not heal properly. Unlike tendinitis, which involves inflammation of the tendons, tendinosis is characterized by structural changes in the tendon tissue.

Key Characteristics of Tendinosis:

• Chronic Nature: Tendinosis is a chronic condition that develops over time.
• Microtears: The tendon may contain microtears and disorganized collagen fibers.
• Pain: Patients with tendinosis often experience pain and stiffness in the affected tendon.
• Gradual Onset: Symptoms of tendinosis tend to develop gradually rather than suddenly.

Understanding Tendinopathy

Tendinopathy, on the other hand, is a broader term that encompasses any disease or disorder of a tendon. This term is often used as an umbrella to describe conditions such as tendinitis, paratenonitis, and tendinosis. Tendinopathy can affect tendons throughout the body, from the Achilles tendon to the rotator cuff.

Key Features of Tendinopathy:

• Inflammation: Tendinopathy can involve inflammation of the affected tendon.
• Various Causes: Tendinopathy can be caused by overuse, injury, or aging.
• Pain and Swelling: Patients with tendinopathy may experience pain, swelling, and restricted movement in the tendon.
• Broad Spectrum: Tendinopathy is a broad term that covers various conditions affecting tendons.

Diagnosis and Treatment Options

Given the similarities between tendinosis and tendinopathy, accurate diagnosis by a healthcare professional specializing in Chiropractic or Physical Therapy is crucial. Diagnostic tools such as imaging studies and physical examinations can help differentiate between the two conditions.

Once diagnosed, treatment plans may include a combination of rest, physical therapy, chiropractic adjustments, and in some cases, surgical intervention. The goal of treatment is to alleviate pain, improve function, and promote healing of the affected tendon.

Conclusion

Understanding the differences between tendinosis and tendinopathy is essential for effective management of tendon injuries. By seeking expert care from professionals in Chiropractic and Physical Therapy, individuals can receive personalized treatment plans tailored to their specific needs. If you suspect a tendon injury or are experiencing persistent pain, don’t hesitate to consult with the healthcare providers at IAOM-US for comprehensive care and support.