PCL 4- Differential Diagonsis(Tendonitis,Bursitis and Impingement Syndrome)

Hey ppl!
Sorry i posted it up so late!!
i was held up with stuff over the weekend :/ sorry again :)
see u guys soon! :)

Tendonitis

The tendons become inflamed and the action of pulling the muscle becomes irritating. If the normal smooth gliding motion of your tendon is impaired, the tendon will become inflamed and movement will become painful. This is called tendonitis, and literally means inflammation of the tendon.

Tendonitis can occur in any tendon in the body, but tends to occur in one of a small handful of the hundreds of tendons scattered throughout our body.

Types of Tendonitis

Wrist Tendonitis

· common problem that can cause pain and swelling around the wrist

· due to inflammation of the tendon sheath

· Wrist tendonitis usually does not require surgery.

Achilles Tendonitis

· Causes pain and swelling in the back of the heel.

·

Posterior Tibial Tendonitis

· Occurring near Achilles tendonitis, but is less common,

· If left untreated, posterior tibial tendonitis can result in a flat foot.

Patellar Tendonitis.

· Inflammation of the patellar tendon.

· Treatment of patellar tendonitis usually consists of rest and anti-inflammatory medication.

Rotator Cuff Tendonitis

· Inflammation of the tendons of the shoulder muscles can occur in sports requiring the arm to be moved over the head repeatedly.

· Chronic inflammation or injury can cause the tendons of the rotator cuff to tear.

· Pain associated with arm movement

· Pain in the shoulder at night, especially when lying on the affected shoulder

· Weakness with raising the arm above the head, or pain with overhead activities

Lateral Epicondylitis

· Type of tendonitis that causes pain over the outside of the elbow.

· Can occur in people who perform other sports or repetitive activities of the wrist and elbow.

Bursitis

Bursitis is inflammation of a bursa. A bursa is a tiny fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body.

A bursa can become inflamed from injury, infection (rare in the shoulder), or due to an underlying rheumatic condition.

Bursitis is identified by

· localized pain

· swelling

· tenderness

· Pain with motion of the tissues in the affected area.

Impingement Syndrome

- caused by the tendons of the rotator cuff becoming 'impinged' as they pass through a narrow bony space called the Subacromial space.

- With repetitive pinching, the tendon(s) become irritated and inflamed.

- can lead to thickening of the tendon which may cause further problems because there is very little free space, so as the tendons become larger, they are impinged further by the structures of the shoulder joint and the muscles themselves.

- Impingement Syndrome in itself is not a diagnosis, it is a clinical sign.

- If left untreated, shoulder impingements can result in a rotator cuff tear.

- Impingement Syndrome could be classified as external (either primary or secondary) or internal.

Symptoms

• Shoulder pain comes on gradually over a long period.

· Pain at the front and/or side of the shoulder joint with overhead activity

· Pain at the back and/or front of the shoulder when the arm is held out to the side (abducted) and turned outwards (external rotation)

· Pain when lifting the arm above 90 degrees

· Pain on internal (medial rotation) movements