• The inflammation and degeneration of tendons may be an aging process or overuse injuries or an occupational hazard.
  • The tendon blood flow is decreased. The pathological changes includes degeneration of tenocytes and collagen fibres and accumulation of lipids, glycosoaminoglycans and calcium deposits.
  • This leads to severe pain, inflammation and dysfunction and sometimes rupture if tendon is Involved.
  • The diagnosis requires clinical acumen and imaging studies especially dynamic ultrasonography by an expert musculoskeletal radiologist.
  • The conservative approach can be rest and splintage and local steroid injection with care not to penetrate tendons ( under usg guidance).
  • The resistant and recalcitrant cases are subjected to RSWT and the results are promising and can result into cure.

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