Clinical syndrome describing overuse tendon injuries characterized by a combination of PAIN, diffuse or localized swelling, and impaired performance. Distinguishing tendinosis from tendinitis is clinically difficult and can be made only after histopathological examination.
A fibrous cord that connects the muscles in the back of the calf to the HEEL BONE.
A band of fibrous tissue that attaches the apex of the PATELLA to the lower part of the tubercle of the TIBIA. The ligament is actually the caudal continuation of the common tendon of the QUADRICEPS FEMORIS. The patella is embedded in that tendon. As such, the patellar ligament can be thought of as connecting the quadriceps femoris tendon to the tibia, and therefore it is sometimes called the patellar tendon.
Injuries to the fibrous cords of connective tissue which attach muscles to bones or other structures.
Fibrous bands or cords of CONNECTIVE TISSUE at the ends of SKELETAL MUSCLE FIBERS that serve to attach the MUSCLES to bones and other structures.
High-amplitude compression waves, across which density, pressure, and particle velocity change drastically. The mechanical force from these shock waves can be used for mechanically disrupting tissues and deposits.
A condition characterized by pain in or near the lateral humeral epicondyle or in the forearm extensor muscle mass as a result of unusual strain. It occurs in tennis players as well as housewives, artisans, and violinists.
A competitive team sport played on a rectangular court having a raised basket at each end.
Injuries incurred during participation in competitive or non-competitive sports.
The flat, triangular bone situated at the anterior part of the KNEE.
A team sport in which two teams hit an inflated ball back and forth over a high net using their hands.
Harmful and painful condition caused by overuse or overexertion of some part of the musculoskeletal system, often resulting from work-related physical activities. It is characterized by inflammation, pain, or dysfunction of the involved joints, bones, ligaments, and nerves.
The musculotendinous sheath formed by the supraspinatus, infraspinatus, subscapularis, and teres minor muscles. These help stabilize the head of the HUMERUS in the glenoid fossa and allow for rotation of the SHOULDER JOINT about its longitudinal axis.
Compression of the rotator cuff tendons and subacromial bursa between the humeral head and structures that make up the coracoacromial arch and the humeral tuberosities. This condition is associated with subacromial bursitis and rotator cuff (largely supraspinatus) and bicipital tendon inflammation, with or without degenerative changes in the tendon. Pain that is most severe when the arm is abducted in an arc between 40 and 120 degrees, sometimes associated with tears in the rotator cuff, is the chief symptom. (From Jablonski's Dictionary of Syndromes and Eponymic Diseases, 2d ed)
A preparation consisting of PLATELETS concentrated in a limited volume of PLASMA. This is used in various surgical tissue regeneration procedures where the GROWTH FACTORS in the platelets enhance wound healing and regeneration.
Unilateral or bilateral pain of the shoulder. It is often caused by physical activities such as work or sports participation, but may also be pathologic in origin.
A game played by two or four players with rackets and an elastic ball on a level court divided by a low net.
A form of therapy that employs a coordinated and interdisciplinary approach for easing the suffering and improving the quality of life of those experiencing pain.
Inflammation of the synovial lining of a tendon sheath. Causes include trauma, tendon stress, bacterial disease (gonorrhea, tuberculosis), rheumatic disease, and gout. Common sites are the hand, wrist, shoulder capsule, hip capsule, hamstring muscles, and Achilles tendon. The tendon sheaths become inflamed and painful, and accumulate fluid. Joint mobility is usually reduced.
Inflammation or irritation of a bursa, the fibrous sac that acts as a cushion between moving structures of bones, muscles, tendons or skin.
A regimen or plan of physical activities designed and prescribed for specific therapeutic goals. Its purpose is to restore normal musculoskeletal function or to reduce pain caused by diseases or injuries.
Injuries to the knee or the knee joint.
Discomfort stemming from muscles, LIGAMENTS, tendons, and bones.
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
Individuals who have developed skills, physical stamina and strength or participants in SPORTS or other physical activities.
Surgical division of a tendon for relief of a deformity that is caused by congenital or acquired shortening of a muscle (Stedman, 27th ed). Tenotomy is performed in order to lengthen a muscle that has developed improperly, or become shortened and is resistant to stretching.
Activities or games, usually involving physical effort or skill. Reasons for engagement in sports include pleasure, competition, and/or financial reward.
Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
Forcible or traumatic tear or break of an organ or other soft part of the body.
A departure from the normal gait in animals.

Sonographic incidence of tendon microtears in athletes with chronic Achilles tendinosis. (1/395)

OBJECTIVE: To assess the number and distribution of tendon microtears in asymptomatic controls and athletes with chronic Achilles tendinitis or partial thickness tears using high resolution ultrasound. METHODS: The mean number of microtears in three random tendon cross sections were recorded per tendon third in 19 asymptomatic volunteers, 16 athletes with symptomatic chronic Achilles tendinitis, and eight athletes with partial Achilles tendon rupture. RESULTS: Microtears were most numerous in the middle third section of the Achilles tendon. Some 67% of tendons in the control group had no microtears, and 28% showed a single microtear. Only 18% of the athletes with chronic Achilles tendinitis and none of the athletes with partial tendon rupture were without microtears in the middle third of their Achilles tendon. Of the tendons with chronic tendinitis, 13% had more than three microtears per section which increased to 87% in tendons exhibiting partial rupture. CONCLUSIONS: There appears to be an association between microtear formation and Achilles tendon rupture.  (+info)

Safe relief of rest pain that eases with activity in achillodynia by intrabursal or peritendinous steroid injection: the rupture rate was not increased by these steroid injections. (2/395)

A history of morning and rest pain that eases with activity was found to improve after anti-inflammatory injections around the paratenon or within the Achilles bursae. The reduction in pain morbidity was significant, and the peritendinous steroid injections did not increase the rupture rate.  (+info)

Diagnostic classification of shoulder disorders: interobserver agreement and determinants of disagreement. (3/395)

OBJECTIVES: To assess the interobserver agreement on the diagnostic classification of shoulder disorders, based on history taking and physical examination, and to identify the determinants of diagnostic disagreement. METHODS: Consecutive eligible patients with shoulder pain were recruited in various health care settings in the Netherlands. After history taking, two physiotherapists independently performed a physical examination and subsequently the shoulder complaints were classified into one of six diagnostic categories: capsular syndrome (for example, capsulitis, arthritis), acute bursitis, acromioclavicular syndrome, subacromial syndrome (for example, tendinitis, chronic bursitis), rest group (for example, unclear clinical picture, extrinsic causes) and mixed clinical picture. To quantify the interobserver agreement Cohen's kappa was calculated. Multivariate logistic regression analysis was applied to determine which clinical characteristics were determinants of diagnostic disagreement. RESULTS: The study population consisted of 201 patients with varying severity and duration of complaints. The kappa for the classification of shoulder disorders was 0.45 (95% confidence intervals (CI) 0.37, 0.54). Diagnostic disagreement was associated with bilateral involvement (odds ratio (OR) 1.9; 95% CI 1.0, 3.7), chronic complaints (OR 2.0; 95% CI 1.1, 3.7), and severe pain (OR 2.7; 95% CI 1.3, 5.3). CONCLUSIONS: Only moderate agreement was found on the classification of shoulder disorders, which implies that differentiation between the various categories of shoulder disorders is complicated. Especially patients with high pain severity, chronic complaints and bilateral involvement represent a diagnostic challenge for clinicians. As diagnostic classification is a guide for treatment decisions, unsatisfactory reproducibility might affect treatment outcome. To improve the reproducibility, more insight into the reproducibility of clinical findings and the value of additional diagnostic procedures is needed.  (+info)

Ultrasound therapy for calcific tendinitis of the shoulder. (4/395)

BACKGROUND AND METHODS: Although ultrasound therapy is used to treat calcific tendinitis of the shoulder, its efficacy has not been rigorously evaluated. We conducted a randomized, double-blind comparison of ultrasonography and sham insonation in patients with symptomatic calcific tendinitis verified by radiography. Patients were assigned to receive 24 15-minute sessions of either pulsed ultrasound (frequency, 0.89 MHz; intensity, 2.5 W per square centimeter; pulsed mode, 1:4) or an indistinguishable sham treatment to the area over the calcification. The first 15 treatments were given daily (five times per week), and the remainder were given three times a week for three weeks. Randomization was conducted according to shoulders rather than patients, so a patient with bilateral tendinitis might receive either or both therapies. RESULTS: We enrolled 63 consecutive patients (70 shoulders). Fifty-four patients (61 shoulders) completed the study. There were 32 shoulders in the ultrasound-treatment group and 29 in the sham-treatment group. After six weeks of treatment, calcium deposits had resolved in six shoulders (19 percent) in the ultrasound-treatment group and decreased by at least 50 percent in nine shoulders (28 percent), as compared with respective values of zero and three (10 percent) in the sham-treatment group (P=0.003). At the nine-month follow-up visit, calcium deposits had resolved in 13 shoulders (42 percent) in the ultrasound-treatment group and improved in 7 shoulders (23 percent), as compared with respective values of 2 (8 percent) and 3 (12 percent) in the sham-treatment group (P=0.002). At the end of treatment, patients who had received ultrasound treatment had greater decreases in pain and greater improvements in the quality of life than those who had received sham treatment; at nine months, the differences between the groups were no longer significant. CONCLUSIONS: In patients with symptomatic calcific tendinitis of the shoulder, ultrasound treatment helps resolve calcifications and is associated with short-term clinical improvement.  (+info)

Lysylhydroxylation and non-reducible crosslinking of human supraspinatus tendon collagen: changes with age and in chronic rotator cuff tendinitis. (5/395)

OBJECTIVES: To investigate age related and site specific variations in turnover and chemistry of the collagen network in healthy tendons as well as the role of collagen remodelling in the degeneration of the supraspinatus tendon (ST-D) in rotator cuff tendinitis. METHODS: Collagen content and the amount of hydroxylysine (Hyl), hydroxy-lysylpyridinoline (HP), lysylpyridinoline (LP), and the degree of non-enzymatic glycation (pentosidine) were investigated in ST-D and in normal human supraspinatus (ST-N) and biceps brachii tendons (BT-N) by high-performance liquid chromatography. RESULTS: In BT-N, tendons that served as control tissue as it shows rarely matrix abnormalities, pentosidine levels rise linearly with age (20-90 years), indicating little tissue remodelling (resulting in an undisturbed accumulation of pentosidine). A similar accumulation was observed in ST-N up to 50 years. At older ages, little pentosidine accumulation was observed and pentosidine levels showed large interindividual variability. This was interpreted as remodelling of collagen in normal ST after age 50 years because of microruptures (thus diluting old collagen with newly synthesised collagen). All degenerate ST samples showed decreased pentosidine levels compared with age matched controls, indicating extensive remodelling in an attempt to repair the tendon defect. Collagen content and the amount of Hyl, HP, and LP of ST-N and BT-N did not change with age. With the exception of collagen content, which did not differ, all parameters were significantly (p < 0.001) lower in BT-N. The ST-D samples had a reduced collagen content and had higher Hyl, HP, and LP levels than ST-N (p < 0.001). CONCLUSIONS: Inasmuch as Hyl, HP, and LP levels in ST-N did not change with age, tissue remodelling as a consequence of microruptures does not seem to affect the quality of the tendon collagen. On the other hand, the clearly different profile of post-translational modifications in ST-D indicates that the newly deposited collagen network in degenerated tendons is qualitatively different. It is concluded that in ST-D the previously functional and carefully constructed matrix is replaced by aberrant collagen. This may result in a mechanically less stable tendon; as the supraspinatus is constantly subjected to considerable forces this could explain why tendinitis is mostly of a chronic nature.  (+info)

Comparative efficacy and safety of nimesulide and diclofenac in patients with acute shoulder, and a meta-analysis of controlled studies with nimesulide. (6/395)

Adverse events, particularly gastrointestinal, partially offset the therapeutic value of NSAIDs. The abilities of nimesulide to inhibit COX-2 preferentially and to exert other novel anti-inflammatory actions are consistent with good efficacy and safety. This is borne out by a double-blind multicentre comparison of nimesulide and diclofenac in 122 patients with acute shoulder, and by a meta-analysis of various nimesulide trials. At the end of the 14 day double-blind study, nimesulide was at least as effective as diclofenac (investigator ratings: good/very good in 79.0% of patients given nimesulide, and 78.0% with diclofenac; patient ratings: good/very good in 82.3 and 78.0% respectively). Four patients (6.5%) dropped out in the nimesulide group (two early recovery, one lack of effect, one adverse event), compared with 13 (21.7%) in the diclofenac group, due mainly to adverse events (P=0.003). Global tolerability was judged by the investigators to be good/very good in 96.8% of the nimesulide group compared with 72.9% of those given diclofenac. Judgements by the patients were 96.8 and 78.0% respectively. Both differences are highly significant statistically. The meta-analysis demonstrates that nimesulide given for 2 weeks is far more efficacious than placebo in treating osteoarthritis, and is at least comparable to other NSAIDs The benefit-risk ratio for nimesulide was better in all individual studies since 100 mg nimesulide twice daily was about equal to placebo in safety and tolerability, especially regarding gastrointestinal adverse events.  (+info)

Attitudes toward management of patients with subacromial pain in Swedish primary care. (7/395)

OBJECTIVE: We aimed to describe the attitudes among GPs and physiotherapists toward the diagnostic approach and management of patients with a common shoulder disorder. METHOD: A questionnaire was sent out to 188 GPs and 71 physiotherapists. The total response rate was 71.8%. The questions were based on a written case simulation with cues about history and symptoms. RESULTS: The results showed a unanimous opinion of the diagnosis. Rotator cuff tendinitis was marked as the most probable. The two groups showed similarities in the way that they would examine the patient. The GPs referred the patients to the physiotherapists significantly more often than the other way around. The most probable choice of treatment made by the GPs was non-steroidal anti-inflammatory drugs (NSAIDs) and by the physiotherapists, movement exercises together with ergonomics. Most treatment alternatives had at least 20% of the responders marking a neutral attitude, and few treatments were disregarded. CONCLUSIONS: We conclude that in Swedish primary care GPs and physiotherapists have a uniform diagnostic approach towards patients with subacromial pain, but their choice of treatment reflects an uncertainty about the effectiveness of conservative treatments. The questioned pathogenesis of the suggested diagnosis and lack of research regarding the efficacy of conservative treatments could explain this uncertainty.  (+info)

Achilles tendinitis associated with fluoroquinolones. (8/395)

AIMS: To determine whether there is an association between use of fluoroquinolones and tendinitis in a large population under everyday circumstances. METHODS: A retrospective cohort study was carried out in a dynamic population. Data came from the IPCI-database which consists of all data on consultations, morbidity, prescriptions and other interventions, as registered by GPs in a source population of approximately 250 000 persons. For this study data were collected from 41 general practices in the period from January 1st, 1995 through December 31st, 1996. All persons treated with either fluoroquinolones, amoxicillin, trimethoprim, cotrimoxazole or nitrofurantoin were followed from the first day of treatment until the outcome of interest, death, transfer to another practice, or end of the study period, whichever came first. The risk window was defined as the legend duration +1 month. Potential cases were defined as a registration of a tendinitis or tendon rupture. Patients with a history of tendinitis or tendon rupture, preceding trauma or inadequate diagnoses were excluded on the basis of a review of the patient profiles and additional clinical data, blinded as to the exposure status. Results were adjusted for age, gender, concurrent corticosteroid exposure and number of GP visits. RESULTS: There were 1841 users of fluoroquinolones and 9406 users of the other antibacterial drugs with an average duration of 9 and 7 days, respectively. Tendinitis or tendon rupture was registered in 97 profiles, but after review only 22 complied with the case definition. The adjusted relative risk of tendinitis to fluoroquinolones was 3. 7 (95%CI: 0.9-15.1) for Achilles tendinitis and 1.3 (95%CI: 0.4-4.7) for other types of tendinitis. Achilles tendinitis to ofloxacin had a relative risk of 10.1 (95%CI: 2.2-46.0) and an excess risk of 15 cases per 100 000 exposure days. CONCLUSIONS: Although the numbers in our study are small, our results suggest that some fluoroquinolones may increase the risk of Achilles tendinitis, and that this risk increase is highest for ofloxacin.  (+info)

Tendinopathy is a general term referring to the degeneration or dysrepair of a tendon, which can result in pain and impaired function. It was previously referred to as tendinitis or tendinosis, but tendinopathy is now preferred because it describes various pathological conditions within the tendon, rather than a specific diagnosis.

Tendinopathy often develops due to overuse, repetitive strain, or age-related wear and tear. The condition typically involves collagen breakdown in the tendon, along with an increase in disorganized tenocytes (tendon cells) and vascular changes. This process can lead to thickening of the tendon, loss of elasticity, and the formation of calcium deposits or nodules.

Commonly affected tendons include the Achilles tendon, patellar tendon, rotator cuff tendons in the shoulder, and the extensor carpi radialis brevis tendon in the elbow (also known as tennis elbow). Treatment for tendinopathy often includes rest, physical therapy, exercise, pain management, and occasionally, surgical intervention.

The Achilles tendon, also known as the calcaneal tendon, is a strong band of tissue that connects the calf muscles to the heel bone (calcaneus). It plays a crucial role in enabling activities such as walking, running, and jumping by facilitating the movement of the foot downward, which is called plantar flexion. Injuries to the Achilles tendon, such as tendinitis or ruptures, can be quite painful and impact mobility.

The patellar ligament, also known as the patellar tendon, is a strong band of tissue that connects the bottom part of the kneecap (patella) to the top part of the shinbone (tibia). This ligament plays a crucial role in enabling the extension and straightening of the leg during activities such as walking, running, and jumping. Injuries to the patellar ligament, such as tendonitis or tears, can cause pain and difficulty with mobility.

Tendon injuries, also known as tendinopathies, refer to the damage or injury of tendons, which are strong bands of tissue that connect muscles to bones. Tendon injuries typically occur due to overuse or repetitive motion, causing micro-tears in the tendon fibers. The most common types of tendon injuries include tendinitis, which is inflammation of the tendon, and tendinosis, which is degeneration of the tendon's collagen.

Tendon injuries can cause pain, swelling, stiffness, and limited mobility in the affected area. The severity of the injury can vary from mild discomfort to severe pain that makes it difficult to move the affected joint. Treatment for tendon injuries may include rest, ice, compression, elevation (RICE) therapy, physical therapy, medication, or in some cases, surgery. Preventing tendon injuries involves warming up properly before exercise, using proper form and technique during physical activity, gradually increasing the intensity and duration of workouts, and taking regular breaks to rest and recover.

A tendon is the strong, flexible band of tissue that connects muscle to bone. It helps transfer the force produced by the muscle to allow various movements of our body parts. Tendons are made up of collagen fibers arranged in parallel bundles and have a poor blood supply, making them prone to injuries and slow to heal. Examples include the Achilles tendon, which connects the calf muscle to the heel bone, and the patellar tendon, which connects the kneecap to the shinbone.

High-energy shock waves are intense, short pulses of mechanical energy that can be used in medical treatments. They are created by rapidly accelerating and decelerating a substance, such as gas or liquid, to produce a compression wave that travels through a medium. When this compression wave encounters a boundary between tissues with different acoustic impedances, it reflects back and creates a shock wave with high-energy peaks.

In medical terms, high-energy shock waves are often used in the treatment of various conditions, such as kidney stones (lithotripsy), musculoskeletal disorders (extracorporeal shock wave therapy or ESWT), and wound healing. The high-energy peaks of the shock waves can cause cavitation, tissue fracture, and other biological effects that can help break up kidney stones, stimulate tissue regeneration, and improve blood flow to promote healing.

It is important to note that while high-energy shock waves have therapeutic benefits, they can also cause harm if not used properly. Therefore, it is essential to receive treatment from a qualified medical professional who has experience in administering shock wave therapy.

Tennis Elbow, also known as Lateral Epicondylitis, is a common cause of pain on the outside (lateral) part of the elbow. It's an overuse injury that causes inflammation and microtears in the tendons that attach to the bony prominence (epicondyle) on the outer side of the elbow, specifically where the extensor carpi radialis brevis muscle tendon inserts. Despite its name, this condition is not limited to tennis players; it can occur in any activity that involves repetitive and forceful gripping or wrist extension, such as painting, plumbing, cooking, or using tools. Symptoms often include pain and tenderness on the outer elbow, weakened grip strength, and sometimes radiating pain down the forearm.

I apologize for any confusion, but "Basketball" is a sports game and not a medical term. It involves two teams of five players each trying to score points by throwing a ball through a hoop 18 inches (46 cm) in diameter and 10 feet (3.05 meters) high mounted on a backboard at each end of the court.

If you have any medical questions or terms, I would be happy to help define those for you.

Athletic injuries are damages or injuries to the body that occur while participating in sports, physical activities, or exercise. These injuries can be caused by a variety of factors, including:

1. Trauma: Direct blows, falls, collisions, or crushing injuries can cause fractures, dislocations, contusions, lacerations, or concussions.
2. Overuse: Repetitive motions or stress on a particular body part can lead to injuries such as tendonitis, stress fractures, or muscle strains.
3. Poor technique: Using incorrect form or technique during exercise or sports can put additional stress on muscles, joints, and ligaments, leading to injury.
4. Inadequate warm-up or cool-down: Failing to properly prepare the body for physical activity or neglecting to cool down afterwards can increase the risk of injury.
5. Lack of fitness or flexibility: Insufficient strength, endurance, or flexibility can make individuals more susceptible to injuries during sports and exercise.
6. Environmental factors: Extreme weather conditions, poor field or court surfaces, or inadequate equipment can contribute to the risk of athletic injuries.

Common athletic injuries include ankle sprains, knee injuries, shoulder dislocations, tennis elbow, shin splints, and concussions. Proper training, warm-up and cool-down routines, use of appropriate protective gear, and attention to technique can help prevent many athletic injuries.

The patella, also known as the kneecap, is a sesamoid bone located at the front of the knee joint. It is embedded in the tendon of the quadriceps muscle and serves to protect the knee joint and increase the leverage of the extensor mechanism, allowing for greater extension force of the lower leg. The patella moves within a groove on the femur called the trochlea during flexion and extension of the knee.

I'm sorry for any confusion, but "volleyball" is not a medical term. It is a sport in which two teams of six players each face off on opposite sides of a net. The objective is to send a ball over the net so that it lands in the opposing team's court (or they are unable to prevent it from doing so), and to prevent the same thing from happening on their own side.

If you have any medical questions or terms, I would be happy to help clarify those for you!

Cumulative Trauma Disorders (CTDs) are a group of conditions that result from repeated exposure to biomechanical stressors, often related to work activities. These disorders can affect the muscles, tendons, nerves, and joints, leading to symptoms such as pain, numbness, tingling, weakness, and reduced range of motion.

CTDs are also known as repetitive strain injuries (RSIs) or overuse injuries. They occur when there is a mismatch between the demands placed on the body and its ability to recover from those demands. Over time, this imbalance can lead to tissue damage and inflammation, resulting in chronic pain and functional limitations.

Examples of CTDs include carpal tunnel syndrome, tendonitis, epicondylitis (tennis elbow), rotator cuff injuries, and trigger finger. Prevention strategies for CTDs include proper ergonomics, workstation design, body mechanics, taking regular breaks to stretch and rest, and performing exercises to strengthen and condition the affected muscles and joints.

The rotator cuff is a group of four muscles and their tendons that attach to the shoulder blade (scapula) and help stabilize and move the shoulder joint. These muscles are the supraspinatus, infraspinatus, teres minor, and subscapularis. The rotator cuff helps to keep the head of the humerus (upper arm bone) centered in the glenoid fossa (shoulder socket), providing stability during shoulder movements. It also allows for rotation and elevation of the arm. Rotator cuff injuries or conditions, such as tears or tendinitis, can cause pain and limit shoulder function.

Shoulder Impingement Syndrome is a common cause of shoulder pain, characterized by pinching or compression of the rotator cuff tendons and/or bursa between the humeral head and the acromion process of the scapula. This often results from abnormal contact between these structures due to various factors such as:

1. Bony abnormalities (e.g., bone spurs)
2. Tendon inflammation or thickening
3. Poor biomechanics during shoulder movements
4. Muscle imbalances and weakness, particularly in the rotator cuff and scapular stabilizers
5. Aging and degenerative changes

The syndrome is typically classified into two types: primary (or structural) impingement, which involves bony abnormalities; and secondary impingement, which is related to functional or muscular imbalances. Symptoms often include pain, especially during overhead activities, weakness, and limited range of motion in the shoulder. Diagnosis typically involves a combination of physical examination, patient history, and imaging studies such as X-rays or MRI scans. Treatment may involve activity modification, physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections, and, in some cases, surgical intervention.

Platelet-Rich Plasma (PRP) is a portion of the plasma fraction of autologous blood that has a platelet concentration above baseline. It is often used in the medical field for its growth factor content, which can help to stimulate healing and tissue regeneration in various types of injuries and degenerative conditions. The preparation process involves drawing a patient's own blood, centrifuging it to separate the platelets and plasma from the red and white blood cells, and then extracting the platelet-rich portion of the plasma. This concentrated solution is then injected back into the site of injury or damage to promote healing.

Shoulder pain is a condition characterized by discomfort or hurt in the shoulder joint, muscles, tendons, ligaments, or surrounding structures. The shoulder is one of the most mobile joints in the body, and this mobility makes it prone to injury and pain. Shoulder pain can result from various causes, including overuse, trauma, degenerative conditions, or referred pain from other areas of the body.

The shoulder joint is a ball-and-socket joint made up of three bones: the humerus (upper arm bone), scapula (shoulder blade), and clavicle (collarbone). The rotator cuff, a group of four muscles that surround and stabilize the shoulder joint, can also be a source of pain if it becomes inflamed or torn.

Shoulder pain can range from mild to severe, and it may be accompanied by stiffness, swelling, bruising, weakness, numbness, tingling, or reduced mobility in the affected arm. The pain may worsen with movement, lifting objects, or performing certain activities, such as reaching overhead or behind the back.

Medical evaluation is necessary to determine the underlying cause of shoulder pain and develop an appropriate treatment plan. Treatment options may include rest, physical therapy, medication, injections, or surgery, depending on the severity and nature of the condition.

I'm sorry for any confusion, but "Tennis" is generally not a term that has a medical definition. It is most commonly known as a sport or game played with rackets and a ball on a court with a net dividing the space in half. If you have any questions about a specific medical condition or term, I'd be happy to help if I can!

Pain management is a branch of medicine that focuses on the diagnosis and treatment of pain and improvement in the quality of life of patients with chronic pain. The goal of pain management is to reduce pain levels, improve physical functioning, and help patients cope mentally and emotionally with their pain. This may involve the use of medications, interventional procedures, physical therapy, psychological therapy, or a combination of these approaches.

The definition of pain management can vary depending on the medical context, but it generally refers to a multidisciplinary approach that addresses the complex interactions between biological, psychological, and social factors that contribute to the experience of pain. Pain management specialists may include physicians, nurses, physical therapists, psychologists, and other healthcare professionals who work together to provide comprehensive care for patients with chronic pain.

Tenosynovitis is a medical condition characterized by inflammation of the lining (synovium) surrounding a tendon, which is a cord-like structure that attaches muscle to bone. This inflammation can cause pain, swelling, and difficulty moving the affected joint. Tenosynovitis often affects the hands, wrists, feet, and ankles, and it can result from various causes, including infection, injury, overuse, or autoimmune disorders like rheumatoid arthritis. Prompt diagnosis and treatment of tenosynovitis are essential to prevent complications such as tendon rupture or chronic pain.

Bursitis is the inflammation or irritation of the bursa, a small fluid-filled sac that provides a cushion between bones and muscles, tendons, or skin around a joint. The bursae help to reduce friction and provide smooth movement of the joints. Bursitis can occur in any joint but is most common in the shoulder, elbow, hip, knee, and heel.

The inflammation of the bursa can result from various factors, including repetitive motions, injury or trauma to the joint, bacterial infection, or underlying health conditions such as rheumatoid arthritis or gout. The symptoms of bursitis include pain and tenderness in the affected area, swelling, warmth, and redness. Treatment for bursitis typically involves resting and immobilizing the affected joint, applying ice to reduce swelling, taking anti-inflammatory medications, and undergoing physical therapy exercises to improve strength and flexibility. In severe cases, corticosteroid injections or surgery may be necessary to alleviate symptoms and promote healing.

Exercise therapy is a type of medical treatment that uses physical movement and exercise to improve a patient's physical functioning, mobility, and overall health. It is often used as a component of rehabilitation programs for individuals who have experienced injuries, illnesses, or surgeries that have impaired their ability to move and function normally.

Exercise therapy may involve a range of activities, including stretching, strengthening, balance training, aerobic exercise, and functional training. The specific exercises used will depend on the individual's needs, goals, and medical condition.

The benefits of exercise therapy include:

* Improved strength and flexibility
* Increased endurance and stamina
* Enhanced balance and coordination
* Reduced pain and inflammation
* Improved cardiovascular health
* Increased range of motion and joint mobility
* Better overall physical functioning and quality of life.

Exercise therapy is typically prescribed and supervised by a healthcare professional, such as a physical therapist or exercise physiologist, who has experience working with individuals with similar medical conditions. The healthcare professional will create an individualized exercise program based on the patient's needs and goals, and will provide guidance and support to ensure that the exercises are performed safely and effectively.

Knee injuries refer to damages or harm caused to the structures surrounding or within the knee joint, which may include the bones (femur, tibia, and patella), cartilage (meniscus and articular cartilage), ligaments (ACL, PCL, MCL, and LCL), tendons (patellar and quadriceps), muscles, bursae, and other soft tissues. These injuries can result from various causes, such as trauma, overuse, degeneration, or sports-related activities. Symptoms may include pain, swelling, stiffness, instability, reduced range of motion, and difficulty walking or bearing weight on the affected knee. Common knee injuries include fractures, dislocations, meniscal tears, ligament sprains or ruptures, and tendonitis. Proper diagnosis and treatment are crucial to ensure optimal recovery and prevent long-term complications.

Musculoskeletal pain is discomfort or pain that affects the muscles, bones, ligaments, tendons, and nerves. It can be caused by injury, overuse, or disease and can affect any part of the body, including the neck, back, shoulders, hips, and extremities. The pain can range from mild to severe and may be accompanied by stiffness, swelling, and decreased range of motion. Common causes of musculoskeletal pain include arthritis, fibromyalgia, tendinitis, bursitis, and muscle or ligament strain. Treatment for musculoskeletal pain depends on the underlying cause and may include physical therapy, medication, and in some cases, surgery.

Orthopedic procedures are surgical or nonsurgical methods used to treat musculoskeletal conditions, including injuries, deformities, or diseases of the bones, joints, muscles, ligaments, and tendons. These procedures can range from simple splinting or casting to complex surgeries such as joint replacements, spinal fusions, or osteotomies (cutting and repositioning bones). The primary goal of orthopedic procedures is to restore function, reduce pain, and improve the quality of life for patients.

An "athlete" is defined in the medical field as an individual who actively participates in sports, physical training, or other forms of exercise that require a significant amount of physical exertion and stamina. Athletes are often divided into different categories based on the specific type of sport or activity they engage in, such as:

1. Professional athletes: These are individuals who compete in organized sports at the highest level and earn a living from their athletic pursuits. Examples include professional football players, basketball players, golfers, tennis players, and soccer players.
2. Collegiate athletes: These are students who participate in intercollegiate sports at the university or college level. They may receive scholarships or other forms of financial aid to support their athletic and academic pursuits.
3. Amateur athletes: These are individuals who engage in sports or physical activity for recreation, fitness, or personal enjoyment rather than as a profession. Examples include weekend warriors, joggers, swimmers, and hikers.
4. Elite athletes: These are individuals who have achieved a high level of skill and performance in their chosen sport or activity. They may compete at the national or international level and represent their country in competitions.
5. Para-athletes: These are athletes with disabilities who compete in sports specifically adapted for their abilities. Examples include wheelchair basketball, blind soccer, and deaf swimming.

Regardless of the category, athletes are prone to various medical conditions related to their physical exertion, including musculoskeletal injuries, cardiovascular issues, respiratory problems, and nutritional deficiencies. Therefore, it is essential for athletes to receive regular medical check-ups, maintain a healthy lifestyle, and follow proper training and nutrition guidelines to prevent injuries and optimize their performance.

Tenotomy is a surgical procedure where a tight or contracted tendon is cut to help relieve tension, improve mobility, and treat various musculoskeletal conditions. Tendons are strong bands of tissue that connect muscles to bones. In some cases, tendons can become shortened, thickened, or stiff due to injury, disease, or overuse, leading to limited movement, pain, or deformity.

During a tenotomy, the surgeon locates the affected tendon and carefully incises it, allowing the attached muscle to lengthen gradually. This procedure can be performed on different tendons throughout the body, depending on the specific condition being addressed. Tenotomy is often used in conjunction with other treatments, such as physical therapy or casting, to ensure optimal recovery and functional improvement.

Common indications for tenotomy include:

1. Contractures in children with cerebral palsy or other neurological disorders
2. Shortening of the Achilles tendon (equinus deformity) in adults with foot drop or spasticity
3. Dupuytren's contracture, a thickening and shortening of the palmar fascia in the hand
4. Trigger finger, a condition where the flexor tendon in the finger becomes stuck due to nodule formation
5. Certain types of tendon injuries or tears that do not respond to non-surgical treatment.

I'm sorry for any confusion, but "Sports" is not a medical term. It refers to physical activities that are governed by a set of rules and often engaged in competitively. However, there are fields such as Sports Medicine and Exercise Science that deal with various aspects of physical activity, fitness, and sports-related injuries or conditions. If you have any questions related to these areas, I'd be happy to try to help!

Pain measurement, in a medical context, refers to the quantification or evaluation of the intensity and/or unpleasantness of a patient's subjective pain experience. This is typically accomplished through the use of standardized self-report measures such as numerical rating scales (NRS), visual analog scales (VAS), or categorical scales (mild, moderate, severe). In some cases, physiological measures like heart rate, blood pressure, and facial expressions may also be used to supplement self-reported pain ratings. The goal of pain measurement is to help healthcare providers better understand the nature and severity of a patient's pain in order to develop an effective treatment plan.

Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It is a complex phenomenon that can result from various stimuli, such as thermal, mechanical, or chemical irritation, and it can be acute or chronic. The perception of pain involves the activation of specialized nerve cells called nociceptors, which transmit signals to the brain via the spinal cord. These signals are then processed in different regions of the brain, leading to the conscious experience of pain. It's important to note that pain is a highly individual and subjective experience, and its perception can vary widely among individuals.

A rupture, in medical terms, refers to the breaking or tearing of an organ, tissue, or structure in the body. This can occur due to various reasons such as trauma, injury, increased pressure, or degeneration. A ruptured organ or structure can lead to serious complications, including internal bleeding, infection, and even death, if not treated promptly and appropriately. Examples of ruptures include a ruptured appendix, ruptured eardrum, or a ruptured disc in the spine.

Lameness in animals refers to an alteration in the animal's normal gait or movement, which is often caused by pain, injury, or disease affecting the locomotor system. This can include structures such as bones, joints, muscles, tendons, and ligaments. The severity of lameness can vary from subtle to non-weight bearing, and it can affect one or more limbs.

Lameness can have various causes, including trauma, infection, degenerative diseases, congenital defects, and neurological disorders. In order to diagnose and treat lameness in animals, a veterinarian will typically perform a physical examination, observe the animal's gait and movement, and may use diagnostic imaging techniques such as X-rays or ultrasound to identify the underlying cause. Treatment for lameness can include medication, rest, physical therapy, surgery, or a combination of these approaches.

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