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Tendinopathy (tennis & golfer's elbow, Achilles, patellar)

Tendinopathia (epicondylitis humeri) · Tendinopatie (tenisový a golfový loket, Achillova šlacha, šlacha čéšky)

What it is

Tendon collagen degenerates from overload — not really inflammation.

Symptoms & signs

  • Localised tendon pain on loading
  • morning stiffness
  • tenderness to press
  • weak grip or push-off

🚩 Get help if…

  • see a doctor soon Sudden snap or pop, then weakness (possible tendon tear)
  • see a doctor soon Hot, red, swollen joint with fever
  • see a doctor soon Tendon pain after starting an antibiotic such as ciprofloxacin
  • see a doctor soon Numbness or tingling in the fingers or foot

Where it strikes

Medical treatment

  • Progressive loading (eccentric) exercise is the treatment
  • topical NSAIDs
  • shockwave therapy
  • avoid steroid injections into tendons
  • surgery rarely

Natural & lifestyle

  • Heavy slow resistance training
  • load management
  • isometrics for pain relief
  • correct footwear and technique
  • patience (3–6 months)

Emerging & experimental

  • PRP (mixed evidence)
  • high-volume injections
  • sclerosing therapy
  • tendon stem-cell research

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Nitroglycerin patches — trials show faster recovery mixed evidence
  • Acupuncture — trials disagree mixed evidence
  • Prolotherapy — small trials early / small studies

ICD codes