What Are Tendon Injections?

Tendon injections are a medical procedure that involves administering medication directly into a tendon, the thick fibrous cords that attach muscle to bone. These injections are typically used to treat tendonitis or reduce tendon inflammation, which can cause pain and restrict movement. This minimally invasive tendon care method aims to reduce inflammation, alleviate pain, and promote healing in the affected tendon.

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How Are Tendon Injections Performed?

During a tendon injection procedure, you will be positioned to access the affected area comfortably. The skin overlying the tendon is cleansed, and a local anesthetic may be applied. Using a fine needle, the doctor injects a solution (often a combination of a corticosteroid to reduce inflammation and a local anesthetic to relieve pain) into the tendon sheath. The procedure is usually quick, with the injection taking only a few minutes. Time is crucial for healing tendon injuries effectively.

The main therapeutic goal of tendon injections is to deliver medication that reduces inflammation and pain directly to the site of tendonitis. This tendonitis treatment option can also have a diagnostic role by determining if the tendon is the source of pain. Improvement following an injection can confirm the diagnosis and guide further treatment.

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Pre-Op and Post-Op Instructions

PRE-OP

  • Arrange for transportation if you expect to have difficulty using the affected tendon after the procedure.
  • Discuss all medications you are taking with your physician, as some may need to be temporarily discontinued.
  • Diabetic patients should maintain good blood sugar control, as corticosteroids can affect glucose levels.
  • Those on blood thinners may need to stop these medications for a period before the injection.
  • Inform your doctor if you have signs of an active infection, as the procedure may need to be postponed.
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POST-OP

  • Embrace rest, sparing the tendon from stress to aid the post-injection tendon care process.
  • Apply ice to the injection site to reduce any minor swelling or discomfort.
  • Refrain from immersion in water, such as swimming or using a hot tub, for a couple of days.
  • Be vigilant for signs of infection or other adverse reactions and inform the clinic if such symptoms occur.
  • Attend follow-up appointments to monitor the healing process and discuss potential next steps in treatment.
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Next Steps After Tendon Injections

If symptoms persist or return after the initial relief from the injection, additional injections may be considered. Other treatment options, including physical therapy or minimally invasive hand surgery, may be discussed based on the severity of the condition and the response to initial treatments.

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Tendon Injections FAQ

What are tendon injections used for?

What types of tendon injections are available?

How long does it take to feel relief after a tendon injection?

Are tendon injections painful?

How many tendon injections will I need?

What are the risks and side effects of tendon injections?

Who is a good candidate for tendon injections?

How do tendon injections compare to other treatments?

What should I expect after the injection?

What are tendon injections used for?

Tendon injections are commonly used to treat tendonitis and other tendon-related injuries. These injections deliver anti-inflammatory medications or regenerative substances directly into the affected tendon, helping to reduce pain, decrease inflammation, and promote healing.

What types of tendon injections are available?

The most common tendon injections include corticosteroid injections, which reduce inflammation and pain, and regenerative injections, such as platelet-rich plasma (PRP) or stem cell therapy, which stimulate tissue repair and promote long-term healing.

How long does it take to feel relief after a tendon injection?

Relief from tendon injections can vary depending on the type of injection and the severity of the condition. Corticosteroid injections may provide relief within a few days, while regenerative injections like PRP or stem cell therapy might take several weeks to show noticeable improvement as the healing process occurs.

Are tendon injections painful?

The procedure is generally well-tolerated, with most patients experiencing only mild discomfort. A local anesthetic is usually applied to numb the area before the injection, minimizing any pain during the procedure. Some soreness at the injection site may occur afterward, but this typically resolves within a few days.

How many tendon injections will I need?

The number of injections required varies depending on the individual and the specific condition being treated. Some patients may experience significant relief after just one injection, while others might need several injections to achieve the best results. Your physician will develop a treatment plan tailored to your needs.

What are the risks and side effects of tendon injections?

While tendon injections are generally safe, there are risks and potential side effects. These may include temporary pain or swelling at the injection site, infection, or, in rare cases, weakening of the tendon if corticosteroids are used frequently. Your physician will discuss these risks with you before the procedure and take steps to minimize any complications.

Who is a good candidate for tendon injections?

Tendon injections are often recommended for individuals with tendonitis or other tendon-related injuries who have not responded well to conservative treatments like physical therapy, rest, or oral medications. A thorough evaluation by your physician will help determine if tendon injections are a suitable option for your specific condition.

How do tendon injections compare to other treatments?

Tendon injections offer a targeted approach to pain relief and healing, delivering medication or regenerative substances directly to the affected tendon. This approach can be more effective than oral medications, which may not reach the injured tendon as effectively. Tendon injections are less invasive than surgical options and can be used with other treatments like physical therapy to enhance recovery.

What should I expect after the injection?

After the injection, you may experience some immediate relief, although the full effects may take a few days to become noticeable. For a few days following the injection, it is advisable to rest the affected finger and avoid activities that strain it. Your physician will provide specific post-injection care instructions and may schedule a follow-up appointment to assess the success of the treatment.

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